Why do I feel like I'm doping my patients? - page 2

I don't know if this is just where I'm doing my clinicals or if other students and nurses have noticed this but does anyone feel like they end up "doping" their patients when they come on because the... Read More

  1. by   kadokin
    Quote from Gompers
    I think I'm guilty of this. I work with babies, and you can't always tell what's bothering them. But it bugs me when I come on to care for a baby that had a circumcision or hernia repair (pretty minor NICU stuff) the day before, and the nurse before me says, "Yeah, he really didn't seem to need Tylenol or anything, so I didn't give it." Heck, the poor kid had a scalpel to him yesterday!!! Like you get some badge of honor for not needing to give the pain meds? I say load 'em up and make them feel better!!! So I always give PRNs, pretty much as often as ordered, just because I know that if that poor baby goes a whole day with NOTHING, maybe then he'll get so uncomfortable that one little dose of baby Tylenol won't touch his pain later on.

    Same thing with sedation meds. I'm a big fan of them. It's not that I want my patient to sleep all night and not "bother" me - not that at all. It's just that I want them to have some uninterrupted, restful sleep, because that's when all the best growing and healing occurs.
    Exactly. Baby to senior citizen, a hospital can be a difficult place to get adequate rest. Head off the misery before it starts.!
  2. by   babynurselsa
    OOOOHHHHH Bipley, I am so sorry for your father and the suffering he endured. There are so many other options for delivering meds. It is very common to use things like nebulized morphine, topical gels, rectal, and sublingual. I have used all of the above until I found what worked for the individual.
    Whether it was laziness, stupidity or cost containment on behalf of the hospice to not want to boot the cost of compounding is hard to say. Your poor father sounds as though he was done a great disservice.
    THis makes me very sad and angry.
  3. by   Bipley
    Quote from babynurselsa
    OOOOHHHHH Bipley, I am so sorry for your father and the suffering he endured. There are so many other options for delivering meds. It is very common to use things like nebulized morphine, topical gels, rectal, and sublingual. I have used all of the above until I found what worked for the individual.
    Whether it was laziness, stupidity or cost containment on behalf of the hospice to not want to boot the cost of compounding is hard to say. Your poor father sounds as though he was done a great disservice.
    THis makes me very sad and angry.
    Thank you for saying that. Although I was 43 when he died, I was still a daddy's girl in every way. He was very cool and I miss him a great deal. But you know what? I could deal with all this much easier had he not had to suffer the way he did.

    All in all it was probably not the worst lesson in the world for me. For him, yes, but not for me. I'm hyper aware of pain issues now. While I don't think I have really changed how I do things today vs. before my Dad died, I am more aware today.

    I guess it is true, the hardest lessons teach us the most.

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