I'm about halfway through my first semester of clinical, and up until now it has been fairly smooth sailing. Yesterday, though, I had my first experience where I felt like i just couldn't communicate or connect with a patient at all, and it was a difficult experience.
One of the worst parts was towards the end of the day while I was administering oral meds, the patient told me to just leave the meds on his bedside table and leave, and he would take them when he felt like it -- but we're definitely not allowed to do that, because the MAR on the computer would read it as administered even if the pt didn't take it, the patient could spit it out, etc., and if there were complications, it would be hard to trace what was going on. Anyway, I tried to gently let him know that I had to be there to see him take his pills to be sure. The charge nurse had realized he had missed a dose of something earlier in the day and it was showing it his labs. He kept insisting to just leave them on the table, and he would take them "if he felt like it, later". I asked if I should come back later with the meds, if now was a bad time, and he refused that.
The patient was just so mad, and he snatched the meds out of my hands. He took them, but obviously felt some hostility towards me now, no matter how much I tried to explain that it was just for his safety.
Anyway, I just feel like my little bubble has been burst. It was my first bad experience with something like that -- the first month or so, I had always had patients who were fairly "easy" and personable. I knew it wouldn't always be that way, but I just feel thrown off now that I have my first patient who actually didn't like me.
Quote from ckh23
Live and learn, not everyone is nice. You will come across this time and time again in your career. Some people are just unappreciative and nasty no matter how nice you are to them.
I second this! Reading this I was reminded of my first angry patient. 30 something year old man with full ROM, up walking the room and halls and was very "nice" until I refused to give him a bed bath, then he turned into a mean grumpy pain. Did I forget to mention that for the 2 days prior to my clinical day he was showering himself? Yea so he said some nasty mean things to me and to be honest it stung, but it also was a learning experience for all the students at post conference. Regardless of the situation experience is gained in every interaction with a patient.
Last edit by crazytonurse on Mar 14, '12
: Reason: fixing qoute