To you ICU nurses - page 2

by NightNurseRN 2,410 Views | 11 Comments

In your experience, how often to pts diagnosed with ARDS recover? For example lets say this particular pt. was a smoker, had chronic bronchitis and slight pneumonia, suffered a heart attack and had a CAB X5. The ones youve seen... Read More


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    First of all, there is no need for anyone to apologize. I deliberately did not say it was a family member because I wanted the truth no matter what so thank you! Second- the doctors actually say things are looking better today, his lungs look better on xray and his O2 is staying up after a little weaning from the vent. I know there are ups and downs but today we are happy
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    Quote from NightNurseRN
    Thank you for the replies... The pt. im refering to is a family member of mine

    I cant stop feeling guilty because I told him he would be fine before his surgery
    Oh, NightNurse, please don't feel guilty.

    I don't know much about ARDS or the stats about prognosis, but you could not have predicted that this would happen to your family member.

    It also sounds like he was facing a surgery that he didn't have much choice about undergoing. Of course you told him he'd be fine...that's what people need to hear, when they are scared. It's not wrong to believe it, and you can only focus so much on what *could* go wrong...it is important, IMO, for someone to go in to a surgical situation with as positive an attitude as possible. Even if you HAD feared a poor outcome or complications, could you have pictured saying to him, "things aren't going to go well afterwards?" Of course not. I believe it's one of those "little white lies" done to benefit the person it's told to. I don't think, though, in your case, that you were doing that even.

    It was a complication you couldn't have predicted, and I believe that your family member, in the back of his mind, was aware that complications were a possibility with such a major operation. I don't believe for a second that he thinks you weren't being truthful with him, or blames you in any way, shape, or form, for his NOT being "fine" post op, so you shouldn't blame yourself, either.

    I hope this makes sense. I wish your family member (and you!) the best.
    Last edit by cherrybreeze on Apr 20, '10 : Reason: spelling


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