The most difficult thing to do.

  1. Nursing has its rewards ,its challenges and is a diverse profession in the different settings nurses find themselves.
    What makes it difficult? What are the hardest tasks ,the most challenging areas and those things that are hard for you?

    I guess for me its floating,having a number of admits during the day and prioritizing

    Do you all have the job wired or are there things that are difficult for you also?
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  2. 13 Comments

  3. by   live4today
    Had the job "wired" ...as you put it! :chuckle Never worked a day at nursing that wasn't quite challenging....had a few slow days at times......but for the most part....left home headed for work with the attitude that I was going to "kick butt" on the job....work hard.....VERY VERY HARD.....laugh a lot along the way.....make all my patients smile or laugh.....cheer up and help out the staff....and so I made it through each workday as I planned it to be.

    Nursing is NO PICNIC job..... There is ABSOLUTELY NOTHING "laid back" about it. Anyone who enters nursing with the attitude that they are going to have a "gravy train job"....needs to exit the field ASAP.....and go on to your plan b, c, or d.......because that person will be sorely disappointed if they think they aren't going to BECOME the definition of what WORK really means.
  4. by   Nurse Ratched
    This week I have been doing the most difficult thing I do as a nurse - watching a family completely screw up their loved one's wishes. I have a patient who is an absolute train wreck: demented elderly, long bone fx (can't operate), end stage renal, bony as a skeleton, wakes up screaming in pain despite our best efforts to keep her medicated.

    Family can't decide to quit dialyzing her. They think she's "overmedicated." Pt has a living will (which totally goes against everything we are doing to her) but also has a health care rep whose decision supercedes the living will. Today we got to put a feeding tube in her. Several docs have (to no avail) talked AT LENGTH to the family about the disservice we are doing to this woman.

    I am in tears thinking about it.
  5. by   jnette
    You TELL 'em, Cheerfuldoer !!! :chuckle SHOULD be that way in ANYthing we do..."do what you do, do well,Son..."
  6. by   Stargazer
    Oh, Ratched, those ARE the hardest. Those were the days I couldn't help but "take home" with me, feeling like a dishrag that had been completely wrung out. Emotionally exhausting.

    I have had families of critically ill patients tell me (or the charge nurse, or the doc, or the CNS) that they "don't want to hear any bad news" about their loved one. Yeah, 'cause when you've got your mind already made up, who needs the facts, right?

    Taking care of a critically ill person while trying to cope with family denial is like pushing a piano uphill by all by yourself.
  7. by   jnette
    Been there many a time, Ratched. It is sad, indeed. We've had a few who have had the ability to decide for themselves when to quit dialyzing. This is a relief to all involved. But as for those poor souls who are not able to do so for themselves, it is a heartbreaking thing to witness. The family seems to be stuck between a rock and a hard place, too. Sometimes have to wonder why these elderly with multiple medical issues and not much hope for recovery are even put on dialysis at all. Doesn't seem fair to them OR their families, who then must make the awful decision to take them off...I have some hunches, but I better not go there...
    Last edit by jnette on Sep 3, '02
  8. by   kewlnurse
    Bed Baths, can't friggen stand doing them, would rather give ss enemas for the entire shift than do baths
  9. by   live4today
    Originally posted by jnette
    You TELL 'em, Cheerfuldoer !!! :chuckle SHOULD be that way in ANYthing we do..."do what you do, do well,Son..."
    Thank you, jnette! :kiss Yes...do to patients (and anyone else) what you wouldn't mind having done to you.
  10. by   bagladyrn
    For me, the hardest is dealing with fetal demises - especially those that are unknown until the mother comes to the hospital. Many times I've done care of mother and the stillborn with tears in my eyes - and never felt that this was inappropriate or unprofessional.
  11. by   Rottie1
    The hardest thing for me to have to do is leaving my family to have to come back to work when on call. - maybe the hardest in any job not just nursing, but I was just called out last night right in the middle of spending time with my 9 y/o, looking forward to football practice, and I was called in because some idiot.... well, nevermind, that is a totally different post....

    I work in surgery and the hardest part was having to take a young lady back with malignant brain tumor. It always seems to happy to all the nicest people.
  12. by   ptnurse
    The most difficult job I have by far some days is just getting myself pumped up to go in. When I get to thinking about the dualing personalities of the nurses, the frequent turnover of nurses on my unit, and the staffing (or lack of). The only thing that gets me through some days is the patients. I just like doing bedside care. Once I get through all the other stuff and actually get to my patient's bedsides, I am usually fine.
  13. by   cactus wren
    I`m with you Nurse Ratched..........It so wrings you out when the family INSISTS on "DO "everything to keep Mom alive, and against the patients wishes.But for every 3 or 4 of those families you usually get 1 family that understands, and appreciates our efforts, they are the ones who makes you feel like we are making a difference.
  14. by   deespoohbear
    I think the hardest thing for me is to have to call a family in when their loved one has taken a turn for the worse. I dread those calls. Even when the family knows that there is no hope it still hard. And telling them that their loved one is gone. We have a lot of DNR's that pass away on our unit, so usually 2 nurses pronouce death in that case. Very emotional for me to look at a family and tell them. The worse case I ever had was a 40 something old that had drunk themselves into oblivion and was dying from cirrhosis. I was one of the nurses who pronouced the pt deceased. The pt had a 7 or 8 year old child. Heartbreaking and such a waste.

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