Re: What is the worst thing a patient has ever said to you?
The name calling hasn't really stuck out in my mind. I do know that a few weeks back I was assigned to a woman who was basically on suicidal precautions because she'd gone on a hunger strike. And she had a beautiful 9 month old child to boot. Nevertheless, she and her sister were basically booting me around like a football anytime I'd come in w/ total manipulation and accusations. If you tried to be encouraging and explain things to them, they'd accuse me of trying to "fool" them. If I told them I was going to hang potassium, yet had to switch the bag of normal saline underneath because it was empty, they'd totally go off on me -- telling me I was a liar and not being truthful with them "because YOU said you were going to hang potassium!!" It went on for 2 days and by the 2nd day, there was just no helping this young woman. PPD had gone totally awry, but she also had some sort of strange idea about medications and medical help. Just a total lack of insight as to how to take care of herself.
It was the MOST exasperating day I'd ever had. In the other room up the hall, I had the nicest woman ever, dying of cancer, who stated in her palliative care consult, that she'd give anything just to have more time w/ her grandchildren. I had to go back and forth between these two rooms, and it was all I could do to want to kick Ms. Starvation mentally deranged out the window.
I have a hard time with patients who present themselves to the hospital, and then proceedd to refuse any sort of treatment the docs prescribe, totally blaming in on the nurse. These folks, IMO, should be escorted to the door. I know she was mentally ill, but I guess I just didn't have the patience for it. You don't want help? Then get out.
I guess I would have a very tough time as a psych nurse, but this patient was also on a medical floor supposedly for medical treatment, and refusing it at every turn. The abuse she dished out over her stay was enough for anyone, but I caught the brunt of it. I shudder everytime I have to take care of a psych patient now.
Nursing News