Same patient's over and over again - Page 4Register Today!
- Apr 25, '12 by imintroubleIf we didn't have repeat "customers" we wouldn't have a hospital.
With that in mind I greet these pts like old friends. All the while I'm mentally
banging my head on the counter.
You really can make your thoughts lighter, by acting as if seeing the same pt for the third time in a month the funnest thing in the world.
Sometimes it works better than others.
- Apr 25, '12 by Patti_RNI've worked in psych, med-surg, the ED, and with substance users/ abusers. Yes, people have addictions, psych problems, and self-destructive behaviors of all kinds. Cigarette smokers know they're at risk for cancer, CAD, hypertension and a whole list of other ailments; they aren't going to be swayed by nurses educating them of the risks--they already know the risks. Drug addicts know the risks of meth, cocaine, crack or whatever their drug is--they've seen their friends die--what we tell them in 10 minutes isn't going to change what they do. Ditto for alcohol... ditto for over eating and obesity... ditto for those who don't get enough exercise. The psych patients are usually non-compliant because of their mental illness, most mental illnesses cause paranoia that prevents the patient from seeking treatment or complying with their course of treatment. They don't want to be haunted by demons; if they could take one pill and have it all go away, they would (if they were well enough to trust enough to take that pill).
It's short-sighted and unreasonable (not to mention judgmental) to believe that educating a person will cure them of an addiction or change behaviors that are so strongly ingrained. It isn't our job to judge, to expect 100% compliance in patients who fight addictions, mental illnesses, or behaviors that we have never experienced. If it were so easy to lose weight, we'd all be thin; if it were so easy to stop smoking, the cigarette companies would be out of business, etc. I don't know an addict who wants to be an addict or an overweight person who deliberately overeats. No, there is something inexplicable that causes a person to continue taking drugs, smoking cigarettes, over eating, or drinking--something that neither science nor medicine has been able to unlock the reason or treatment for--in spite of billions of dollars spent in research. If scientists can't determine what makes a person pursue self-destructive behaviors, and no cure has been found to effectively treat these addictions and behaviors, do we really think our 5 minute lecture will have an impact?
Instead of feeling frustrated because we see the same patients multiple times, we might muster an ounce or so of empathy for them and their families. We should thank our lucky stars it's not us.
- Apr 25, '12 by woohQuote from MattNurseNo, y'all just are responsible for creating the frequent flyers on your local peds respiratory and GI units.Good suggestion, I was considering moving into the NICU, they never come back.
I know it's a good day when report only has half of my patients as "former twenty-x weekers."
- Apr 26, '12 by VespertinasBetween all these patients who come and go, whose names and faces become a blur, and when med passes and discharges/admissions start making m feel like I'm on a hamster wheel..... I welcome the sight of a familiar patient. When I look back at my (short) career, my memories are punctuated by those patients with whom I spent many shifts under many circumstances.
- Apr 26, '12 by PeepnBiscuitsRNQuote from amoLucia"I need to poop. Will you help me poop. If Chuck Norris were here he would make me poop- he would kick the c**p out of me".I too spent hours watching those little cartoons (I need oxycontin, I need oxycontin, do you have any oxycontin?) They should be mandatory viewing for all! This would be all too funny if it wasn't so serious.
- Apr 26, '12 by pinkfluffybunnyDidnt read all the posts but thought I would add that one of the problems with healthcare is having to use the ED as a primary care physician due to lack of insurance.
- Apr 26, '12 by LaterAlligatorOooh, now I have to go look up these cartoons on youtube, they sound very funny!
- Apr 26, '12 by MattNursePatti_RN
I have empathy for ETOH who are in the hospital to quit, even if their intention is to quit but this is the 40th time. My family has many alcoholics who actively battle alcoholism daily.
My direct problem w/ treating ETOH patients monthly is they are not there for withdrawal. They do not want to be detoxed. They ran out of money to buy alcohol and end up in the hospital to detox them for thousands of dollars because they couldn't afford a $6 bottle of cheap vodka to get them to their next disability check.
Seems ridiculous to me.
- Apr 26, '12 by JerseyBSNYes! ITA. I have heard there is a law proposed that non-emergent, non-insured patients can be turned away by ER's. I say GREAT!!!
- Apr 26, '12 by JerseyBSNQuote from Patti_RNThere's nothing judgmental about taking care of patients who simply do not want to pay a small co-pay for Suboxone so they go out and spend 100's of dollars a day on drugs. When they run out of money they check into detox. Don't pay their bill and repeat the cycle over and over again. Sooner or later they need to wake up or stop checking in. I'm tired of paying for their addictions. I may be overweight but no one pays for it but me.It's short-sighted and unreasonable (not to mention judgmental) to believe that educating a person will cure them of an addiction or change behaviors that are so strongly ingrained. It isn't our job to judge, to expect 100% compliance in patients who fight addictions, mental illnesses, or behaviors that we have never experienced. If it were so easy to lose weight, we'd all be thin; if it were so easy to stop smoking, the cigarette companies would be out of business, etc. I don't know an addict who wants to be an addict or an overweight person who deliberately overeats.