Why did his nurses do this?

Nurses General Nursing

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I am a pre-nursing student getting very close to finishing my pre-requisites. Part of my impetus for pursuing my nursing dream was the death of my oldest son from relapsed AML. He was 11 when diagnosed, 13 when he died.

I am doing a lot of healing and remembering....Joseph was not at all good to his nurses. He hated on them frequently and all his frustration and anger over being so ill was taken out on them. He had no interest in bonding with them and occasionally got sassy when they told him to do things that had to do. Even when he was compliant, he was pretty surly about it 80% of the time. He wanted nothing to do with that world of sickness and pain even though he pretty much lived in the hospital for the last 9 months of his life. I did what I could to remind him that he still needed to be a good person and that they were doing their jobs to help him get well, etc. The nurses were mostly fantastic about combining nighttime chemo and vitals and everything else so we were disturbed as little as possible.

When he went to ICU, he stayed on the vent for two weeks, oscillator for two weeks and we finally were told there was no chance of survival. We made the decision that day to discontinue treatment and called for family.

One by one throughout the day, the nurses who had been taking care of my angry young man came down to the PICU. I gave them moments alone with him to say goodbye. Apparently they were telling one another that today was the day and the news seemed to spread among them like wildfire. One nurse even drove in on her day off from being out with her elderly mother just to say goodbye to Joseph, who was, of course, heavily sedated and on a neuromuscular block. I have no idea if he even knew anyone was there.

I was so moved that all these nurses, who he treated so badly so much of the time, took time from their days and their lives to come to bid him farewell. Why did they do that? Many of them wept. I am so touched by it but I find myself wondering what was in them that made them want to do this even though he really was a pill?

Specializes in Cardiac Telemetry, ED.

Of course your son was angry. I wouldn't expect anything else. His nurses understood this as well.

I am so sorry for your loss.

Specializes in Hospital Education Coordinator.

A friend died of breast cancer several years ago. Her last weeks were in a hospital. When the MD told her "all had been done" several nurses took turns coming into her room to tell her what caring for her had meant to them. I know this sounds like attending your own funeral. But it meant a lot to my friend. She felt that her life and death had a purpose. As for the way nurses feel about patient's death - I know plenty who have attended funeral services. We bond with our patients to some degree and feel a loss when they expire. While the loss of a child must have been devastating, I applaud you for looking beyond that event to how your son MUST have touched people, regardless of his acting out at times. Remember that when you care for people too and you will be a blessing to them, through your own son.

I'm so sorry for your loss. And I'm so happy to read that he was surrounded by a loving family and compassionate care in his dying days. The nurses knew he was just a little boy in pain. It's especially hard when a child dies. Breaks my heart. May he rest in peace. Hugs.

Specializes in Psych, Med/Surg, Home Health, Oncology.

I am so sorry for your loss.

I have been a Nurse for almost 45 years--for the last 35 years I have worked the adult oncology floor.

This is just what we do; I still have a little cry each time I lose any patient. The thing is, I think that's why we are Nurses; it's our personality.

I LOVE my job; I love my patient's weather they are happy, sad, angry, needy, or whatever.

Again, I am truly sorry for your loss.

Specializes in Oncology.

I'm so sorry for your loss. It must be very difficult.

Even my "grumpy" patients have a special place in my heart. I hate to see any one of them do poorly, and I don't blame any of them for being grumpy or upset. Part of it is trying to see who they are under the anger.

I hate cancer, and I hate what it does to people.

Specializes in Hospital, med-surg, hospice.

I'm so sorry to hear of your loss...many years ago I worked in hospice and it so hard to accept that you are dying when you are so young! There's no one to voice this frustration and anger to but your caregivers; his nurses no doubt knew it was not personal, thank you for posting; it really helps to know we make a difference

Specializes in ER.

Ya know, there's grumpy kids that are basically good but given a rotten situation to deal with. Those kids I love so much, and I applaud them on the inside, for having enough spit and vinegar to fight back. They can crab all they want, and I'm right beside them going "yeah, one more treatment, you can make it!" Those are the kids that will get through it, and when they lose their fight I'm not above giving them a poke or two to get them going again. Usually humor works, or a hug and a short break. It's hard to convince them that we're on their side, but once you do the rewards are HUGE.

Your son was a sweet kid, and it came through despite all the crap he'd been dealt, and all the pain. You are lucky to have him, if only in memory.

Specializes in Critical Care; Cardiac; Professional Development.

I love all of your replies. Thank you so much. I don't think Joseph ever thought he was dying, until perhaps the day he was put on the vent. So most of his surliness just came from not getting to live his life the way he wanted to I think. He has been gone two years now and I am doing well, but your replies really held his spirit close to me. Thank you :redbeathe I hope my (our?) experiences will make me a better nurse.

I currently just started working as a Patient Care Tech in the local hospital (still in school). I can say that I know I spend a lot more time with the patients than most of the nurses in between the 2 units that I work. But I can say that I was reading the other posts and you have to love them all, good, bad, & the ugly. To me it seems as if you are married to your career. Like the soldiers who have to leave their wives for the military. Most clinical employees to me feels like you learn to care for everyone NO MATTER WHAT!! May God Bless you and your son. But if you spend a lot of time with a patient they become part of your daily life and even though you may slightly remove yourself from the feelings they are still their especially for patients who spend an extended amount of time in the medical facility. Good Luck with school and again God Bless you!!!

I have to say that I enjoyed taking care of patients with a little 'spit and vinegar' in them, not matter the age. This made me realize they DID have a desire to live. It scared me more when that feistiness disappeared....

Those nurses cared for your son with good and bad behaviour-they saw the best in him in the toughest times of his life. That is a bond that keeps us human. How precious that your son made such an impact on so many that cared for him.

otessa

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