patients who LIE about their symptoms! - page 2

Had a pt w/ cardiomyopathy, EF 40%, CHF, htn, etc. In for exacerbation of CHF. Pt of internal med residents and cardiology. Pt was having short runs of vtach, 5 to 8 beats. Asymptomatic. well, at... Read More

  1. by   begalli
    But what is the point of this thread if not snarky to begin with, right?
  2. by   leslie :-D
    it sounds like she was a candidate for an aicd anyway, regardless of whether she lied or not.
    i'm not seeing the relevance.
    happynurse, is this the first time a pt has lied to you?
    i thought it was known that pts who lie, usually do so out of fear.
    i'd probably try and do the same thing.

    leslie
  3. by   TZRNER
    And what about the people who come in c/o feeling weak for a week with stable vital signs, so they wait out in Triage for 4 hours and come back and tell the nurse they had open heart surgery last week and didn't tell the triage nurse because they thought they should have known they were here last week.
  4. by   P_RN
    that patient decided to lie? i seriously doubt that. more likely she was scared stiff. to the layman funny feelings in her chest was the call of the grim reaper. more likely she'd had it before and it went away. would we rather have her sent out the door and die in front of her kids? i don't get this post. to me it's a terrified patient who was in total denial anything was wrong.

    and someone mentioned
    well, i've had a few of them fib to get to stay
    i hope you didn't mean they could put themselves into fibrillation?

    let's be nicer in our posts.
  5. by   Spidey's mom
    Ok I'm just gonna ask it . . . .

    What is "AICD"?

    steph
  6. by   Little Panda RN
    Quote from stevielynn
    Ok I'm just gonna ask it . . . .

    What is "AICD"?

    steph


    Automatic Implantable Cardiodefibrillator
  7. by   Little Panda RN
    Quote from nd_mom
    Automatic Implantable Cardiodefibrillator

    I think I spelled it correctly?
  8. by   jetscreamer101
    automatic internal cardiac defibrillators
  9. by   Little Panda RN
    Quote from jetscreamer101
    automatic internal cardiac defibrillators


    Thank you, I knew it was something like that, leave it to me to botch how it is said, just ask my husband!:chuckle
  10. by   MuddaMia
    Quote from begalli
    What would you rather have happened with this lady?

    You can choose to look at it as a "lie." Or more appropriately you can look at it as DENIAL which is common almost 100% of the time.

    I'd rather pay for this lady's AICD than a $4,000 white house toilet or a $500 screwdriver used to install that toilet!
    :yeahthat:
  11. by   HappyNurse2005
    So I'm just wondering, do other regular ole bedside nurses strive to find out insurance information? Does it really concern us or is it necessary to the nursing care given a patient?
    It is on their face sheet, and I find out to see if the pt needs a social services consult. She was a self pay. It is also where we see if the pt has a primary care doc or not (some docs utilize hospitalists so they don't have to see the pt in the hospital, but sometimes a pt on the hospitalists service doesn't have a PCP and will need assistance to find one)

    Self pay pt's can get 3 days worth of their meds for free from the pharmacy upon discharge-gives them a stop gap until they can find a free clinic. So if I see a pt that is self pay, I put in a social work consult.

    What if said self pay pt gets a cardiac cath, and needs Plavix, which is quite expensive? I can make sure the case manager knows and helps them get enrolled with the drug company to get the plavix at a reduced price.

    Self pay pt's can also be referred to have eligibiilty assistance come help them apply for assistance with their hospital bills, get med samples from doc's office, etc.

    As a proactive nurse, who cares for the whole pt and not just their medical condition, yes, i make sure my pt has resources to pay for their medications. How effective is it to fix their medical condition if we throw them out to the wolves with no way to maintain?
  12. by   begalli
    Yes, you're right about the facesheet.

    But what about the lady who can't afford an AICD and needs assistance paying for that? Did she get a consult as well and why the comment about taxpayers paying her bill but not that taxpayers are paying for the plavix?

    There must be more to the original post that makes you obviously offended that the taxpayers are paying. Was your patient an IVDA? What, in your mind makes her less deserving?





    -NOT saying IVDA does not deserve.
  13. by   begalli
    Quote from HappyNurse2005

    As a proactive nurse, who cares for the whole pt and not just their medical condition, yes, i make sure my pt has resources to pay for their medications. How effective is it to fix their medical condition if we throw them out to the wolves with no way to maintain?
    Proactive for ALL, right?

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