Pt refusals

Nurses General Nursing

Published

So I had this post-op pt who absolutely refused to do anything. No ambulating, convinced the PA to let them keep their foley. All the while screaming "I know my own body!!"

I told them in gory detail all of the complications of refusing to move at all, I cajoled, I demanded, I sent comrades in arms. The pt absolutely refused to budge an inch. I finally convinced them to at least wear their teds and SCDs and to use their inspirex. I gave the heparin and made them move to one side or the other every other hour. Ibasically did everything in my power to prevent all of those complications.

How much do you want to bet that the pt will go home complication free and say "I told them so!"

Specializes in Adult/Ped Emergency and Trauma.

Above all do no harm, pt's with alcoholism and addiction have said more ruder, more hateful, and meaner things to theirselves on a daily basis. They need us to be the voice of reason, not negatively embracing their own feelings.

I won't start an ethics debate, but they do bleed red too. They always deserve a nonjudgmental nurse, especially if they are recovering now.Second chances are awesome. Everyone needs a new start at some point, I'm sure glad that more and more are really starting to see chemical abuse as a disease in need of tx, and not a scumbag in need of a bullet. We still have a long way to go in this area, and more education.

Addiction is not even talked about much as disease process, and it is pushing out generation after generation of physicians and nurses too afraid to approach it as a disease.Especially when I don't know anyone that drug use han't affected negatively in some way. But, two wrongs will never make a right, that's the best advice my momma gave me.

Yeah, don't start an ethics debate on addiction. Please

Specializes in Adult/Ped Emergency and Trauma.

I'm sorry, I don't want to derail the thread, just hate how how many lives drugs negatively affect. I wasn't critiquing anyone. I know it's a hot topic in transplants. Hope I didn't choke on foot. Transplant RNs rule!

Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

bostonterrierloverrn, you didn't choked in my book, you just felt compassion which at times it seems difficult to find within some colleagues.

Specializes in ICU, CVICU.
SHURN, Am I reading what he said correctly,. . .?
Still wondering what that meant too. I am guessing I can assume after the other post...
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