Ohhhh, My Aching (Blank)

I don't know who said it first, but when I was a kid I heard adults quote this line until I was heartily sick of it: "If I'd known I was going to get this old, I'd have taken better care of myself". Nurses Announcements Archive Article

Psssssst......hey, you! Could you loan me some Advil till payday?

It never occurs to us when we're young that someday we'll be fifty years old, and that places on our bodies to which we have given little thought will begin to hurt. This is why we do stupid things, like jumping off roofs with an umbrella ("Look, you guys, I'm Mary Poppins!"). We shinny up, then proceed to fall out of, various types of trees (yep, I hit every branch on the way down). And when we're a little bit older, we are apt to experiment with substances that give us the idea that we're Superman, hence such behaviors as attempting to run through a wood fence (you should've SEEN the bruises after that incident) or doing cannonballs off the balcony of a second-floor apartment into the pool (no comment).

But that day comes, and then we have the nerve to act surprised. It starts out as a twinge here, a creak there, maybe a little hitch in one's getalong that becomes more pronounced when we are tired or have done the 'weekend warrior' gig a little too enthusiastically. But eventually, we reach a point where it seems we hurt in places that we didn't even know we had..........and in the case of nurses, many of whom are on their feet for eight, ten, or even 12 hours a day, being sore all the time is a pain in more ways than one!

As a nurse who got started relatively late in life (I graduated at age 38) and who has a habit of carrying her groceries on her hips, I'm no stranger to aches and pains. In fact, I take a certain pride in my ability to soldier on in spite of it all: My left knee, which has a way of collapsing under me at the most inopportune times, is about five years overdue for a replacement. My back hurts every day of my life thanks to injuries I sustained in my teens and 20s, and is getting worse every year. My fingers, wrists, elbows, hips, and ankles have ground glass in them. And as for my poor dogs, I continue to be amazed at what they do for me given the abuses I've heaped upon them: too many pounds, too many pairs of cheap shoes, too many long shifts on hard floors.

Yes, I feel every minute of my age and then some; yet in many ways, I'm better than ever and have much more to offer.......even if it does hurt.

I've noticed that sometimes when I massage my hot, calloused feet, I find myself thinking of patients whose backs I've rubbed, bringing them comfort and sleep in an atmosphere that was far from conducive to either, and I am glad that I've been given the ability to do so. My aching back reminds me that I'm blessed to still be able to move and go and do; many people who have suffered less severe injuries end up in wheelchairs, or worse. The arthritis that sometimes causes me to yelp when I bump an affected joint has, so far, spared me the indignity of needing someone to do such simple tasks for me as buttoning my blouse or zipping my jacket; I am grateful that I can not only do them for myself, but also for others who are farther down that road than I.

I've noticed that I tire more easily and need more time to recuperate from a bad shift than I did when I was 40. So what? No matter how hard a night I've had, I can still leave my patients in the hands of someone equally capable as I, go home, and sleep soundly so I can come back refreshed the next afternoon. Thank God I no longer feel the need to "have it all", for that means doing it all.......and after years of 24/7 responsibility, a career holds absolutely no appeal for me. I'm a much better nurse for having found contentment in a job that doesn't define me, especially not at the expense of family, church, and other interests.

I've also noticed that I can endure a great deal more physical discomfort than I once thought myself capable of handling. This has served me well, particularly during tough shifts when I literally cannot sit down for four to six hours at a time. It has also given me the courage to try to increase that endurance and push myself just a little harder each day. Who knows.......gritting it out and working through the pain today just might keep me out of a nursing home twenty years from now.

Now, in all honesty, this aging business isn't necessarily a lot of fun for someone who earns her daily bread by bending, stooping, walking, lifting, pushing, and pulling for thirty-two hours per week. There are times I dream of winning the lottery and spending the rest of my days pampering every aching muscle and tendon I own. But I made peace long ago with the fact that my life was never intended to be an easy one, and any concessions to my physical discomforts are limited to long soaks in the tub and the occasional 15-minute backrub from my husband. Oh, and aspirin..........the old-timers didn't call it the Wonder Drug for nothing!

Specializes in OB, HH, ADMIN, IC, ED, QI.
Lois,

Thank you so much for taking the time to write down all of that information:) I'm actually printing it out to keep with me at work as a reminder since I forget nearly everything these days. I do think it has been 3+ pitting edema and upon my next visit to the doctor, I am going to tell them. Hopefully the techniques you gave me will help keep the swelling down a bit more!

Katrina

Katrina:

I'm glad you found my post useful. I'm not actively teaching childbirth classes right now, and the information just keeps bubbling up to my fingers (on the keyboard). I'm sure that I drive my pregnant daughter-in-law crazy with my emails, and concerns about her possibly getting the H1N1 flu. :nurse:

Now, about your concerns. If you are in your 7th month or further along, like 30 weeks, the 3+ edema may portend pre-eclampsia /toxemia. It would be helpful for you to keep track of your B.P., if your appointment with your doctor isn't until next week. It wouldn't be a bad idea to see if you have any protein in your urine (if there are "combistix around, or the lab will give you a few). I hope you work with others who won't get upset by you asking them to check your B.P. If the systolic is above 145, and the diastolic is over 88, it's very important that you call your doctor's office and ask to speak to the nurse or, if there's one there, the nurse practitioner. Proteinuria over 1+ should be mentioned, too. They may want you to come in, to be seen...... within a few hours.

The main early treatment for preeclampsia/toxemia, is rest, with a capital "R" and low salt diet! I hope you have the weekend off...... Learn to knit or crochet, if you don't do that already, and when you look at your fingers, note whether they're swollen. It's also time to take your wedding band/rings off, too. The fingers, and any facial swelling is usually manifested after 30 weeks, with preeclampsia/toxemia; and you'll need to have your B.P. checked then, and tell your doctor/nurse about that as soon as you notice it. If your B.P. is over 160/100, have it taken when you're on yourleft side, lying down. Pressure on the right kidney (from compressing your trunk in a sitting position) can cause BPs to rise more than they actually are.

I used to tell classes, that if you look in your mirror at your face, and that isn't you staring back, it could be facial edema - eyes, nose, lips, cheeks edematous and that can make you panicky. :omy: Slowed, "chest" breathing is good for that. A mantra to keep saying to yourself is, "I'm going to be fine", over and over - and believe it!

Keep posting, and let us know how you're doing.

Lois

Specializes in None Yet.

I've always treated my body with a "I'm invincible" attitude, and now... at the tender age of 20, I'm regretting it. I haven't even started nursing school yet (doing pre-reqs) and yet I already know that it's going to be hard when I start on the floor. I'm doing my best right now to loose some extra baggage around the mid-section and strengthen my legs.

My legs are the worst part, I've torn and stretched ligaments and tendons in both my ankles and busted up my right knee and hip falling off horses/tree's/houses/trucks...etc. My back is not in much better shape. But regardless.... I'm used to pain, and I will say, there is nothing like a hot bath with some mineral salts thrown in for good measure :D

Specializes in Trauma and emergency, Orthopedic, ENT,.

:pumpiron:I know that i am getting old when the stretches that i usually do are no longer smoothly transitioning there are a number of Owww or ohhhhhh, however i believe that i have tried to maintain a better diet and activity plan around my schedule. Its sometimes very difficult to maintain the diet especially when inspite of my efforts i will still gain a pound or three.:imbar Whatever! One still has to try

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.
Any advice for us young pups just starting in nursing? :bowingpur

Take good care of your back and legs; always be mindful of proper body mechanics. I have been a nurse for 30 years, and am now dealing with my first work related injury..my back, and it is painful!

Specializes in OB, HH, ADMIN, IC, ED, QI.

You don't ever hear patients or other nurses say, "Ohhhhh, My aching blood pressure" - unless as I did 2 days after Christmas, have a severe headache on the top of my head...... For many years I told pregnant women and their partners, that a headache on the top of the head could be indicative of high BP.

I'd been fighting the HA for about half a week, while staying with my son, his wife and new baby, not wanting to mention it while everyone was celebrating Christmas, so I took tylenol with codeine. It wasn't until I'd packed my suitcase and put it in the car that I realised that the 5 hour trip home might be too much if my BP was much higher than usual......

So I stopped at a hospital on the way to the highway, and asked the ED triage nurse if she'd check my BP without logging me in. She agreed, and told me that it was 206/105 which had never happened before. Yet I'd taken diuretics for lower extremities' pitting edema (another bonus from being on my feet all those years), and that may have masked HTN. When I was going through a lot of stress (the past 10 years), the first reading when I went to my M.D. was sometimes higher than I like it to be, so I learned to ask to have it taken when I was sitting on a chair, rather than up on the examining table, and it would be found to be more acceptable.

It's natural to deny illness in oneself but when that triage nurse looked me in the eyes and said, "You know what you're doing, it's your call", I of course said that I'd see the doctor. It was the right thing for her to hand me the power I prefer, especially when I'm in that uncomfortable role of scared patient with my personal power in jeapardy. I knew that it wouldn't be right to call my son at that time, as he works on EST, in the Pacific time zone. It was 5 P.M. and he usually beds down at 7 P.M.......

So I rested on the guerney after taking an anti hypertensive, for 8 hours until my nurse told me that another patient was "having a stroke, so we're really busy, but you can go home now". I said, "Is it OK to drive for 5 hours to get there?" It was 11 P.M., and I knew that I wouldn't be home until the wee hours of the morning, but I didn't feel tired at all. The trip went well, and once home at 2:30 A.M., I slept the clock around, leaving my suitcase in the car.

The next day once I got up, around 4 P.M. I had one mission, to fill the Rx for more Lotensin. It was raining and dark when I ran into a median in the road, having seen and avoided the top of it, the next moment I was on it, having run into a small tree. I'm writing this post because there are things about this situation that nurses (especially new ones) need to know.

I did tell my nurse that I live alone, he knew that I had to drive 5 hours to get home as I told him that when he introduced himself and took my history. The goal of the treatment there was clear - to get my BP down, and that was achieved. However planning for discharge wasn't part of my experience. I could have stayed at a hotel nearby, or stayed in the hospital for the night.However the measures I took to stay awake (slapping my face, arms and legs) probably kept me from reacting to the new med as I did the next day.

I could have had a friend go for my prescribed medicine, if he mentioned that driving after the first dose of the antihypertensive drug wasn't the wisest thing to do. ..... Live and learn. Thank heavens I didn't pass out where there were other cars around, possibly injuring others.

We nurses all too often see ourselves as invincible, somewhat superhuman, possibly. I was experiencing the need to be self sufficient and didn't want to seem like a malingerer.

Specializes in Adult ICU.

Ohhh, yes! The aching back! I too, as others posted, find I can't tolerate the long shifts as easily. This age thing seemed to creep up on me fast . . . more like run over me from behind! I have been neglectful in my back/hip/shoulder exercises, (learned in physical therapy a few years back) and now I am paying for it. I just started doing them again. To make me more dedicated, I have my little ones remind me to do them, and then they join me! I eat healthy, don't smoke or drink, and get enough rest, but maybe I should look into those support hose . . . . do they really benefit? I don't like sweaty feet, so I have avoided them.

I can't help but feel this some type of S&M thread...taking pleasure in pain and then justifying it....

Specializes in Management, Emergency, Psych, Med Surg.

I turn 55 this month and my husband got me one of those grabber things so you can reach up to get stuff without getting on a step stool. I was afraid I would fall and break a hip! I also just got my first senior discount. Back pain all the time radiating down the back of my leg. Limping all over the place. When you are young you never think you will ever get this way. I was watching this program on plastic surgery and this young woman said that she thought that 28 was old. I thought to myself, you just wait honey. Your in for a big surprise. I used to be so skinny. I swore my thighs would never rub together. Forget that. But you know, I find such a freedom in getting older and a profound sadness too. I love getting older but the years go by so fast now and I fear that I won't have as much time as I want to enjoy being an old cranky woman. I don't want to die. I want to be where I am now forever.

:yeah: I'm 53 and work with nurses who are mostly 30ish. I watch them zip around the unit pulling this patient up to the head of the bed, getting the patient OOB who is a 4 person assist for transfers, turning combative patients, etc. and never complaining of an ache or pain.

I feel so old and like my body is going to hell in a handbasket. Bless you who can still see the glass as half full!!!

Specializes in OB, HH, ADMIN, IC, ED, QI.
:yeah: I'm 53 and work with nurses who are mostly 30ish. I watch them zip around the unit pulling this patient up to the head of the bed, getting the patient OOB who is a 4 person assist for transfers, turning combative patients, etc. and never complaining of an ache or pain.

I feel so old and like my body is going to hell in a handbasket. Bless you who can still see the glass as half full!!!

Time is the "great leveler"; and there's some satisfaction in knowing that those 30 somethings will be in their 50's before they know it. We all pay for the defiance of better judgment, doing ourselves what has been states is a "4 person aqssist for transfers". We've all seen little kids lifting each other off the ground, sometimes with the lifted outweighing the lifter by once again their weight............ They'll complain plenty in 20 years. :rolleyes:

My 80 year old sister is, and was very competitive, mostly with herself. She's been on oxycodone 75 mgm patches for at least 5-10 years, and finally had a laminectomy and fusions last week. At the risk of hijacking (slightly) the direction of this thread, I'd like to ask those of you who work on post op neuro units, if consideration and planning of post op analgesia for addicts (of prescribed meds) occurs where you work.

The #@!?# where she is a patient, took her patch from her when her husband became hysterical because he couldn't rouse her. Her blood pressure was just fine, and the nurses got her to respond, however they lowered her meds drastically, which resulted in no pain relief (duh!). That reminded me of the way we handled such a scenario in the '60s (fearing we'd make addicts out of post op cases). Please tell me about your experiences, as I plan to go up the administrative tree, where she is - 3,000 miles from me. :madface: