The most heartbreaking thing ive ever had to do :(

Nurses General Nursing

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Ok, so I kinda need to get this off my chest, since the people who would understand it the most, are you guys. So last week, I had this patient who was 45 years old, and had cancer. She had a hx of ovarian CA, and came into the hospital with c/o abd pain. after ct scans and the whole nine yards, they thought it was an sbo. and they also though the cancer had spread all throughout. So then they were going to take her to surgery to see what they could do, and when the opened her up, they found a tumor that had covered her intestines, and stomach, they had to sew her up and take her back. By the time I had her, she was for the most part comatose, had a morphine drip, resps were labored, and the family was just waiting. This woman had a huge family, 2 young kids, and a husband. Im only 20 and her daughter had to only be maybe 3 or 4 years younger then me. The first day i had her they didnt expect her to make it through the night. then we didnt think shed make it through my shift. well she did, and 3-11 and night turn, until i had her again the next morning. Family came in and out all day, some stayed. Her sisters and kids mostly. They never called out, and never needed anyone in the room, so when they put their light on at 2:30 i knew something was wrong. Walking into that room, my heart hit my stomach :imbar . All the family, just stared at me, crying, and the poor woman was taking her last breaths. They wanted me to listen to her, and i did, knowing i wasnt going to hear anything. She didnt have an apical. and wasnt breathing anymore. But they silence.........that was the worse. they all waited, hoping that i was going to tell them, their worst had come true. Looking at her poor daugher, and her family and saying im sorry, was by far the worst thing i have ever had to do. The daughter lost it, she became hyserical, and my heart went out to her, to lose your mother at such a young age. I left the family, and walked out, and i just wanted to cry. it took all i had not to just lose it. I will never forget the scream her daugher let out. I left work that day, and i couldnt forget what happend, i still cant, and i dont think anyone except other nurses, would understand, what its like to tell a family member their loved one died. I have had one patient die before, she was 90, the family knew it was soon. Not that that justifies it, but it seems so unfair that a 45 year old with kids and husband died. I dont know, but thanks for letting me get that out, i just needed someone to listen, and to know where im coming from, so thanks :)

Hi

Sorry you are feeling so deeply, but if you ever don't feel this way about a heart breaking situation leave nursing.

I've been in the critical cares for 30 + years, you know what it doesn't get any easier, and I'm glad that we are still able to cry.

Specializes in NICU.

You did a great job and should be proud of yourself. You are only 20 years old and already have had to deal with one of the hardest parts of our job as nurses - and you handled it well.

When I first started my career, one of my coworkers told me something that I'll never forget...

When it STOPS getting to you, that's when you need to get out of nursing.

We are human. We see people at their best, and their worst. We become witnesses to the most exhilerating and heartbreaking moments in other peoples' lives. Being compassionate is a big part of our job, and it's only natural to feel like your heart is being ripped out sometimes. But as some of the other posters have pointed out - it's such a priviledge to be a part of this process. The familes will never forget you or your kindness.

You can't let it get to you too much - meaning that you shouldn't go home crying everyday. You need to leave work at the hospital, most of the time. But when you have a patient dying while in your care, there is absolutey nothing wrong with FEELING it. It's normal. It's the hardest part of our job.

I don't know how it is on other units, but where I work, it's acceptable to shed tears with the family. Most of us do, as a matter of fact. Even the doctors and nurse practitioners cry sometimes. Some choose to walk away and do it privately, while others don't hold back and cry with the family present. Of course, I work with babies, and I can think of few things more heartbreaking than the death of a child. Whenever we recieve a letter from a family that lost a baby on our unit, they always seem to work in a line or two about the tears of the staff members caring for their child. They are comforted to know that we are hurting too, and they often say that it reassured them that we really did do everything we could. We know their children better than most of their own families, since they've lived in the hospital, in our care, since their births. We are such a big part of their short lives. It's acceptable and even encouraged for us to attend their funerals, for closure.

I know that if it was me, and I was losing a family member...I would be comforted if the nurses cried with me. It would make me feel like my family member was in good hands - compassionate, caring, HUMAN hands.

You take care.

I think the best nurses are the ones who can put themselves in the families shoes, who can cry with family, or who grieve in private when it's over.

Life seems so unfair sometimes. The younger the patient the harder it is for me. I've held a dying child when the parents could not. This almost made me quit nursing, that was 20 years ago and I still remember it like it was yesterday.

My only solace in situations like these are to remind myself that the person who passed is now in Heaven, happy and pain free and that death is only painful for those of us who are left behind to mourn.

joanne- i can relate and agree with everything you've written. your thoughts echo mine exactly.

being a hospice nurse, that's all i do is help pts die and assist their families in coping. some deaths are easier than others; some seem more natural; some more welcome if suffering cannot be abated. it's a privilege and i can't see me doing anything else, although i have seen many of my collegues switch specialties.

so many times i have cried with the families and have also cried w/my pts. the relationships developed are intimate and feelings shared, highly palpable. assisting your pts and their families in dying is undoubtedly one of the most humbling areas of nsg. and no matter how young, no matter how unnatural or unexpected, no matter how painful......ultimately you are relieved that they are finally in a glorious place. i have done yrs of soul-searching of my spirituality; from everything i have witnessed in these past 10 yrs, has led me to my current beliefs and my faith is unshakeable.

you did well my friend. God bless you; God bless your heart.

leslie

Specializes in n/a.

Thank You for having a heart....

My own Mother died, unexpectantly at the age of 43, when I was 10 yrs. old and left my Father and my 5 sibs (ranging in age 2-18)...shattered. She had complications (bleeding) during a routine hysterectomy (this was back in '67) and the docs could not control it. She left on my 10th b-day, (Sat) had surgery on the following Monday.......and died 4 days after that, on Friday.....I was too young to visit her while she was in the hospital, and family members kept telling me everday that she was getting better and would be home soon......well, it has been 39 yrs., and I'm still waiting....

I was forever changed in so many countless, fundemental ways I can't even begin to share........I just want to say to you that as a young person having experienced the same as your pt's family......THANK YOU for having your patient's death affect you so humanely......makes me think that my Mom's caregivers had the same feelings of HEART. That her death affected not only her family members, but strangers assigned to her well being, as well....:kiss

Dedicated to the man I never Knew...

As I tend to you, in your death.

I feel I know you, by those you left.

You must have been, a wonderful man.

The strengh and character, of your clan

I see love, deep in their eyes.

The pain they feel is no disquise.

The gentle way , they touch your hand.

As you are drifting, to the promised land.

Your children talked, of being raised.

Respect and devotion, lived at your place.

Grateful to God, they appeared to be.

Happy to be a part of your family.

Your wife's heart, is beating loud.

Tears well up, her eyes did cloud.

Unable to speak, she begins to cry.

Begging to God, to not let you die.

So you see, my friend, this life is past.

But the values you left, will always last.

Though I never knew you, I know you well.

Your life, your love, their eyes did tell.

Regretfully... not all patients survive,

but the love they have given their family will last a lifetime.

-author unknown

Specializes in ICU/CCU/MICU/SICU/CTICU.

I think that you did a wonderful job. There are days like those that will make you wonder why you ever went into nursing. Then those same days, you will know why. You helped the patient and her family.

It is perfectly normal for you to feel the way you are feeling. Always feel free to come here and vent, cry, yell, whatever. We have all been there.

It is ok to cry with the family too. It doesnt make you weak, it shows that you are human and that you truly care about what you do. Seek out a chaplain at work, or other co-workers as well. They can be a tremendous help.

Thank you for doing what you do.:kiss

Specializes in ICU;CCU;Telemetry;L&D;Hospice;ER/Trauma;.

What a great nurse you are...to have been there for the family and your patient. Some of these events really kick you in the chest. You are not in anyway amiss in shedding tears, or having 'feelings' for your families and their sick loved one. All here are right, we are HUMAN BEINGS....and are very much connected to one another....

I am reminded of something when I read your letter....

I don't know if you ever watch Animal Planet, but it's one of my favs.

One day, there was a documentary on about a specific elephant herd in Africa that is dwindling,because of encroachment, poaching, disease, drought, etc. The matriarch of the herd had died. The other elephants would stand for days over her body....sometimes touching her with their trunks and nudging her to 'get up'. Then, the herd realized that she was dead, and was not going to get up again.....so they moved on....migrated to areas where there was more food and water and safety for the younger ones. When the seasons changed, the herd moved back through this same spot. The bones of the matriarch were still laying there, scattered in the dust, bleached by the hot African sun. The herd began to pick up pieces of her bones....touching, smelling, regaining memory of her, through her bones....

They lingered....and one elephant in particular, stayed for the longest time....picking up bone after bone of this elephant who had died....it was obvious that this elephant had a deep connection with the matriarch, and missed her....

Are we any different?

If even members of the animal world grieve the loss of a loved one, we certainly should be just as impacted as they.....how we express that grief is highly individual and personal....

You are a wonderful human being to have such empathy and compassion...

don't ever let go of that....

ICU20

I feel like I am good nurse at the beginning of life. I am not so good a the end. It sounds like you have a real gift when it comes to relating to the family and being there for them. It is so sad, but it does mean a lot to the family who saw you treat their mom so well. You did a great job. Nursing needs bright compassionate young people like you. My daughter, God willing, will be graduating from nursing school when she is 20. She is also a bright, caring young lady.Do something nice for you. You know you will take something good away from this, maybe knowing yourself better or knowing you are strong enough to be there for someone else. There are very few people, especially at your age who could do this. I used to work on a cardiac floor and I have had a few patients who have died. The one I remember, though I don't know why, was a little man who died early in the a.m. before he was to go to the OR for CABG. He had a picture of his chihuahua dog beside his bed. He told me how his wife died a few years before, but he still looked forward to going home so his little dog could sit on his lap and play w/ him. She had been his wife's dog when she was alive. I often wonder about the dog and hope that someone loved his dog as much as he did after he was gone.

Specializes in Nothing but ER.

(((hugs))) you did your best. Now its time to take care of yourself. Go out for coffee with a friend, read a book, watch a movie, or just sleep in. You sound like an awesome nurse. You are brave and strong, and you made a difference even if it was hard. Tears are okay. Take care-Prayers-Peace

bopps

your reaction during that very trying and difficult time is a good indication of how you will deal with death and dying. i cringe when i think of how insensitive some nurses were towards my family when my grandmother died. we have a very large family and instead of accomodating us they made snide remarks about the amount of visitors that were at my grandmother's bedside when she was dying. i actually went to the nurse supervisor in this hospital and explained that we had a large family and to please waive the visitors rule of only 2-4 at the bsd. her response was that i should know better than anyone that (being that i'm a nurse) these rules are for the good of everyone. i told her that because i'm a nurse i do know that i would try to accomodate a family to the fullest extent in this type of situation. in addition i was sitting there arguing with this woman instead of being at my grandmothers bedside. so the reason i'm relating this story is because obviously you were touched by this situation. that's a good thing. over the years you will see many people that will remind you of your mother,sister,brother etc. you will treat them as well as you would want your family treated. so expect it. it's a good thing.

I'm so sorry, and I know how you feel. This profession can be gut wrenching. (((Hugs)))

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I am so sorry. I realize this post is not new, but I would love to hear how you are coping today.

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