What's your favorite type of patient? - page 3

On the more upbeat side of nursing, what's your favorite type of patient? Mine is a cheerful, independent, and interesting old lady or old man, the older the better, who is sharp as a tack. I... Read More

  1. by   lauralassie
    I agree , little old ladies or men who have life experience to shar. That is as long as they don't have to get up to the commode or do anything for that matter that takes up my time.
  2. by   burn out
    Vented and sedated with lots of drips espe. in septic shock is always a challenge and one you can see if you made a difference in quickly...usually 72 hours.
  3. by   RNSacht
    [font=fixedsys]continent!!!!!!!! :bowingpur
    [font=fixedsys]sorry but i have seen more poop and pee lately than i care to ever see!!!!!!!!!!!!! lots of nursing home residents being admitted.:angryfire
  4. by   interleukin
    Paralyzed, sedated, and stable with no scans, taps, tests and/or any other scheduled procedure that would necessitate transport.

    And no family members.

    And there are any number of other open beds meaning my chance for an admission is no worse than 20%.

    And I'm working next to nurses whose assignments are equally unchallenging.

    And there's an inservice at which chocolate cookies will be served.
  5. by   S.T.A.C.E.Y
    Quote from interleukin
    Paralyzed, sedated, and stable with no scans, taps, tests and/or any other scheduled procedure that would necessitate transport.

    And no family members.

    And there are any number of other open beds meaning my chance for an admission is no worse than 20%.

    And I'm working next to nurses whose assignments are equally unchallenging.

    And there's an inservice at which chocolate cookies will be served.
    :chuckle Now theres thinking about the big picture! hahaha
  6. by   perfectbluebuildings
    I really like all ages of my kids, but school-age kids in general are one of my favorite age. They are talkative, trust you to take good care of them, ask all kinds of cool questions, and are not trying to be "too cool" yet (usually). I really like "our" kids with CF too- they are just most all neat families and kids. I like (sometimes) parents who have a young baby that it's their first, and you can teach them soemthing simple about the kid and the ways you can empower them when they are nervous, make them feel like they ARE good parents, really and know a lot of what is good for their kid, and they take it to heart and become such advocates for their health.

    I am rambling so I will stop. This is an interesting thread.
  7. by   Gromit
    I'm with EMSBOSS -Ventilated and sedated (or vented and anoxic to the point that they are the same -whichever. They don't fight, they don't try to pull everything off (or out as the case may be), don't try to get out of the bed (ugh) and they certainly don't greet you by holding the business-end of their foley (recently pulled out without properly deflating it... hahaha. ) when you enter their room. I also like medically interesting ones (I mean those that have multi-system problems, so you kind of play a balancing act to keep 'em sorta stable. )
    Nope. There are many nights when I just prefer mushrooms -turn, feed, do wound care (if required) and bathe. Makes for a much more relaxing night
    The last two shifts I've had the antithesis of 'em tho. Vented head-bangers that kept me busy literally all night long -I charted in bits and pieces. Ugh. How can a guy absorb Ativan drip 1mg/hr, Fentanyl drip 150mcg/hr, and PRN (and believe me, I was giving it) Ativan 2mg/hr and PRN Haldol 5mg/4hr. All of those fine pharmaceuticals and this guy would bite, grab, kick. He was 4-point restraint with frequent obs (me -we had no ancillary help). Construction worker who fell off a scaffold (approx 15'). They had tried weaning him off the drugs the day before, and his pressure skyrocketed and (not sure how) he became more active yet. Sigh. I was so happy to see the night end... I'm no fan of active neuro patients.
  8. by   prowlingMA
    Working LTC and rehab.I actually like the " vegetables" pardon the expression. They really " needed" someone to care for them and spend that extra minute that some don't, like a back rub or reading to.
    Plus you can tell them anything and they don't complain.
  9. by   SandraDeeRN
    I like to have either the confused ones who don't ask you a million questions about what you're doing because they don't know any better (they also can say the funniest things some times...) or the alert, but nice, older patients who aren't demanding and actually appreciate what you do for them (which is rare to get)

    And yes stacey...NO family members! They can drive you crazy!
    Last edit by SandraDeeRN on Jan 22, '07
  10. by   mom and nurse
    The 80 and 90 somethings (the older the better) even if they are pleasantly confused ....... I love hearing what occupation people had when they were younger. One of my most memorable patients was 90 something with a girlfriend 70 something. I asked him the secret off his long life and he said "I ate everything that didn't eat me first!" . He was actually a walkie talkie....used a walker.....
  11. by   SillyLilly
    Quote from GardenDove
    On the more upbeat side of nursing, what's your favorite type of patient?

    Mine is a cheerful, independent, and interesting old lady or old man, the older the better, who is sharp as a tack. I really like to find out more about them and their life experiences. I like the intelligent ones who have had interesting lives and careers, and who are well adjusted and personable.
    Same for me too. Had one today. 102 yo f. (does not look a day over 82) Lives alone (in the same area her whole life), with a cna coming a few times a week. Still cooks and does dishes and some laundry, other light cleaning. Ambulates with a walker just fine. (and I also got a good stick in her too!) I like these types of pts, but in the back of my mind I know theyre clock is winding down and I just hope it is not on my time.... like my pt today is a full code! I could not subject her to that and then where would she spend the rest of her days?

    Other pt I like--a pt who has one time meds, is pleasant, does not have any large complaints. You can check on them every hour and it is all ok. Especially nice when you have 3-4 moderate to heavy pts, and therefore you cannot get another admit because you are at your ratio.

    Also, I appreciate anyone who is a patient patient---with patient family.
  12. by   AliRae
    Usually a safe bet is "The Scoli". They all have the same orders. They're all pretty much the same age. They all cry, and most of them forget to breathe. There don't tend to be too many surprises, unless you count the things Dilaudid makes them say!

    There are days when I yearn for "The Classic Vented Baby". Vec, versed and fentanyl gtts are running through a central line, preferably a triple lumen. She's not on isolation for anything and has continuous ND feeds. Her parents visit, but know when to leave. And she has cute clothes you can dress her in.

    When I'm feeling really adventurous, I'll volunteer for "The Moody Teen". She'll usually come in sporting angry song lyrics scrawled across her abdomen in red sharpie. When asked why on earth she felt the need to take all the Tylenol, she shrugs. When you tell her what it might do to her liver, she shrugs again. She usually (but not always!) stops shrugging when you put another 18G IV in and drop and NG tube. Despite the shrugs, you'll probably spend a few hours in her room, trying to get her to talk. Good luck.

    However, depending on my mood, sometimes I prefer the "The Chronic King". That oh-so-cute little guy who everyone knows, who's been there for five months (and is showing no signs of leaving). You know him. The crib is sideways so he can watch TV, you routinely trip over his toys, and he knows which nurses he likes. Everyone on the unit is at his beck and call. You'd give anything just to pack him up and take him home with you.

    At the end of the day, I think my favourite thing about the PICU is that I have no clue what I'm walking into when I clock in every morning. I love it.
  13. by   SillyLilly
    Quote from rnsacht
    [font=fixedsys]continent!!!!!!!! :bowingpur
    [font=fixedsys]sorry but i have seen more poop and pee lately than i care to ever see!!!!!!!!!!!!! lots of nursing home residents being admitted.:angryfire
    oh, and definetely that too....... everything else aside-just the time it takes up sometimes! i want to scream....

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