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What is the worst thing a patient has ever said to you?



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No. 130
from Mahage
Old Nov 06, 2009, 05:36 AM

Default Re: What is the worst thing a patient has ever said to you?
Originally Posted by RhiaRN75 View Post
I've had all kinds of rude and outrageous things said to me, two stand out in my mind.

One's rather general. (If you've ever been in a small town, you'll know it for the insult it is. People say it and are just curious, but some people say it.) "Honey, you ain't from around here, are you?" My reply depends on the pt and what I think will bug them the most. Well dressed 'people of status' get the "I hear that frequently. I suppose it's because my grandmother was very strict in regards to grammer and vocabulary." Other's get "Well, I moved from Connecticut." (Not entirely true, it was my final travel assignment.) Whooo-hoooo! A damm yankee, lol. Or I pour on my best honey-southern drawl and ask "Is this better?" I really love it when the Florida part-timers say it... I'm like, really? Which holler do you call home? I wish I had my husband's knack for accents, then I could really have fun.
Cuss me, call me names, but don't give me a backhanded insult and imply I don't have the sense to know what you're really saying.

The other was a chronic alcoholic. Not a pleasent fellow in the best of circumstances, and his trips to my ER are not usually under good terms. One of the first times I took care of him- he really pushed the limits. Keep in mind, he had two local cops ready at bedside. He wasn't in DT's and fully alert- just jonesing hard and belligerent.
First, I got to hear all about who he was 'before'. I learned all about all the land he owned and money he had- which by that point he'd lost. Then I got to hear about his extensive gun collection, which he had also lost as a result of a felony. He really rambled on about the guns- not quite making any threats but implying he'd get anyone who crossed him. The whole time, his often-beat wife was quietly providing him support. He wanted versed. He wanted ativan. He wanted a drink. No, he didn't want the %$@! IV. I had better get that versed, if I knew what was good for me. (Trust me, if my little hospital did it, I'd have been willing to get him that versed, and an ET to boot, and just hush him up... I mean, protect his airway and provide a compassionate way to ride out the DT's.) At one point, he looked me dead in the eye and told me 'I'd hate to see someone get hurt'. He meant it. Twit. I told him that I sure would hate to see someone get hurt as well- I generally disliked having to go to court. Besides, the only guns present in the room belonged to the two nice officers. (who at that point were about to 'subdue' Mr. Congeniality) One of them reminded him that there was a set of leather restraints with his name on them. I later learned it was no joke- pt really did have his own set. His house was raided as well, just to make sure he hadn't aquired any new guns. It would usually have creeped me out- but I was so fed-up by that time I just didn't care.
I took care of him many times after that. I found out that even though he beat his wife, he loved cats- go figure. After a conversation one night about pets, his cats, my cats, and animal planet- everything was cool. I still didn't trust him. Last I saw of him- he was end-stage liver and on his way to jail. Which made me wonder who was taking care of his cats.
His loyal wifie of course!
Mahage
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No. 131
from Mahage
Old Nov 06, 2009, 05:46 AM

Default Re: What is the worst thing a patient has ever said to you?
Don't get me wrong from my reply to the last post. I strongly believe alcoholism is a disease. NO ONE wants to loose everything. I have a dear child in the throughs of it right now. She is ripping our hearts out and is in process of loosing everything and with her fragile physical conditon may loose her life.

I am sure someone loves the jerk you described also. Hopefully some day there will be more progress made in treatment and maybe even prevention. Until then, absolute abstinence is the only way and right now I alternate between being mad and scared for my child.

As a nurse I try to remember that someone loves the person who is giving me a hard time, but I don't take a whole lot of crap. It doesn't work to get my child (adult) straight and it won't work to make the mean drunk or other belligerent rude patients straighten up. I am kind but I set limits.

Mahage
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No. 132
from RhiaRN75
Old Nov 06, 2009, 05:51 AM
Updated Nov 06, 2009 at 06:00 AM by RhiaRN75

Default Re: What is the worst thing a patient has ever said to you?
His loyal wifie of course!
You'd think, but once he became so ill he needed someone to care for him, she left. (I mean left, as in half the country away.) He was too sick to beat her and actually seemed sincerely sorry- it's amazing what happens when one finally quits or really gets sick- so she left for greener? pastures. I can't say I blame her, but I do wonder if it was because she finally felt it was safe to leave, was just fed up, or needed a 'strong' man.

I know where you're coming from w/ regards to addiction and family. I've watched several friends and family battle alcohol- so I tend to have a soft spot for alcoholics. I set limits yes, but I can't keep the thoughts of how I would want my loved ones treated far from my mind.
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No. 133
from caliotter3
Old Nov 06, 2009, 05:57 AM

Default Re: What is the worst thing a patient has ever said to you?
I suppose the worst was the time that I was getting threatened and talked down to by a patient whose drunk of a friend had sexually assaulted me the day before. I had put the drunk in his place concerning the sexual harassment and assault. (I could not leave the premises at the time. I should have called the police, but you know boys will be drunk, now won't they!). By the time the conversation finished, I had to call my agency and leave the home immediately. I was being threatened and knew it. It was only the previous day that I had been assaulted, and if I had any sense at the time, I would not have been trying to do my job on that particular day. My employer's response to the assault and threats? I never worked another day for that employer. To this day I suffer from post traumatic effects regarding this entire situation. I almost never went back to nursing because of it and other incidents around that time. They can get to you sometimes.
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No. 134
from RhiaRN75
Old Nov 06, 2009, 06:30 AM

Default Re: What is the worst thing a patient has ever said to you?
Caliotter, how horrible! Just wrong on so many levels- they had no right to treat you that way!
I don't know that I would have not gone back the next day either- shock manifests in strange ways.
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No. 135
from caliotter3
Old Nov 06, 2009, 06:36 AM

Default Re: What is the worst thing a patient has ever said to you?
Originally Posted by RhiaRN75 View Post
Caliotter, how horrible! Just wrong on so many levels- they had no right to treat you that way!
I don't know that I would have not gone back the next day either- shock manifests in strange ways.
That's for sure. I've since castigated myself many times over for not standing up for myself. I really needed the job and was afraid to complain about anything. It also never occurred to me that the employer would not do a thing about seeing that I was connected with the police for filing charges, seen by a doctor, etc. They accused me of abandoning and mistreating the patient (instead of acknowledging that it was the other way around) and never spoke to me again.
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No. 136
from Ruby Vee
Old Nov 06, 2009, 04:47 PM

Default Re: What is the worst thing a patient has ever said to you?
Originally Posted by RhiaRN75 View Post
You'd think, but once he became so ill he needed someone to care for him, she left. (I mean left, as in half the country away.) He was too sick to beat her and actually seemed sincerely sorry- it's amazing what happens when one finally quits or really gets sick- so she left for greener? pastures. I can't say I blame her, but I do wonder if it was because she finally felt it was safe to leave, was just fed up, or needed a 'strong' man.

I know where you're coming from w/ regards to addiction and family. I've watched several friends and family battle alcohol- so I tend to have a soft spot for alcoholics. I set limits yes, but I can't keep the thoughts of how I would want my loved ones treated far from my mind.
Spouse abusers are at their most dangerous when their victim leaves them. She probably felt it was safe enough to leave if he was too sick to track her down and kill her. I found the "strong man" comment particularly offensive. I don't have a soft spot for alcoholics, but as far as domestic violence, I've been there. Luckily, I got out alive. I've known people who weren't so lucky.
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No. 137
from morte
Old Nov 06, 2009, 05:03 PM

Default Re: What is the worst thing a patient has ever said to you?
Originally Posted by Ruby Vee View Post
Spouse abusers are at their most dangerous when their victim leaves them. She probably felt it was safe enough to leave if he was too sick to track her down and kill her. I found the "strong man" comment particularly offensive. I don't have a soft spot for alcoholics, but as far as domestic violence, I've been there. Luckily, I got out alive. I've known people who weren't so lucky.
i took that as sarcasm.....
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No. 138
from RhiaRN75
Old Nov 07, 2009, 08:44 AM

Default Re: What is the worst thing a patient has ever said to you?
I didn't mean it in an offensive way- it's more of a cynical view born from frustation then anything else.
Most people in domestic abuse are truly victims, and rightly fear for their lives.
I wan't referring to the majority, though. There are a few dependent personalities that seem to thrive on it. It goes beyond fear or love- they need it. It doesn't just occur with the stereotypical battered-wife scenario- I've seen abused men as well.
Anyhow- I've seen women go from one abusive relationship to another. For whatever reason- and I'm not trying to imply it's not maladaptive or lessens the fact that they are victims- they want domineering men. I have had a few pts who were insulted if their man wasn't 'strong' (their words), that if he didn't have a jealous fit and 'put them in their place', he wasn't a real man and didn't really love them. Again, their words. These are women who have been offered every possible resource, over and over, but still repeat the cycle. I have had them tell me better a bit of 'knocking around' then a weak man.
You can't help them- they don't want the help. Beyond long-term institutionalization, which never happens anymore, you cannot force help onto someone who cannot be declared incompetent; who flat out and repeatedly refuses such help. Who go one step further and actively seek out dysfunctional relationships. There's an infinite number of reasons why- abused as a child, addiction, some horrible traumatic event, mental illness- whatever the reason, some victims don't want it to change. All you can do is try to give them opportunities, compassionate care, and keep the door open in case they decide to walk through.
I don't condone it, I don't think it's ok EVER to abuse another human. I don't think the 'strong man' attitude has a bit of defendable rationale. I cannot force people to live how I think best, though. I can provide them them opportunity and support as best as they allow. I can care for their wounds as best as they will let me. I cannot force someone to be saved.
So, I wasn't really referring to the overwhelming majority of women who are scared for their/their family's lives.
I apologize to anyone whom I may have offended. It was not my intention to belittle or trivialize domestic abuse.

As for my 'soft spot' for alcoholics- being an alcoholic does not always go hand in hand with domestic abuse.
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No. 139
Old Nov 07, 2009, 03:25 PM

Default Re: What is the worst thing a patient has ever said to you?
I don't remember
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