First time a patient didn't like me - page 2

I got stuck with an elderly pt who was having an episode of delirium and was combative. She wasn't "my patient" I just happened to be there and the nurses needed help getting her in a (posey?)... Read More

  1. by   nurse1952fun
    When I was a student my first pt. was Ethel. I had heard about her from other students and I was petrified. She called me every foul word she could think of, some I had never heard of. The first time I had to take her in the shower room she pushed me under the water. This went on for 6 weeks of clinical. I thought I was not cut out for nursing. After my 6 weeks were up we had a going away party on the unit. I told Ethel we would not be coming back. She cried and begged me to stay. I was the only "visitor" she had since admission months before.
  2. by   sunnyskies9
    Confused and delirious patients are completely irrational. They do require a lot of patience to work with. You just have to keep orienting them and be completely honest and state only facts with them. It is nothing personal against you. I had a confused patient once tell me to go to hell, and I should be ashamed of how my parents raised me.
  3. by   tuhcoolyuh
    As a student, I had an elderly confused patient during my rotation in the ICU. He was put on restraints, and every time I was near or in his room, he started screaming at me, "HEY FATA**, get me out of here!" or "Fatso! Help me!" It was hurtful and humiliating, but I think good practice for growing a thick skin. I know he was confused and upset, and he was lashing out and trying to find some control where he didn't have any. It was pretty terrible, but now that I know I can handle that, I can handle anything.
  4. by   Twiggi
    I haven't had that yet, other than the helpful bit about it being unhelpful to reorient alzheimers patients, I thought that you did a good job and was in awe of your composure in a difficult case. I totally understand that you would take it personally, I think that you are able to rationalize it was the dementia talking, but it still hurts. I totally get it.

    My heart broke a little about nurse1952fun's patient. Its important to remember that "Ethel's" can be just hurt and lonely individuals. Perhaps that is how they have learned to get attention and cope with isolation.

    With some of the assault cases, if it was an alert and oriented client, or a visitor, I would be charging them. Behaviour like that is unacceptable, and hard to tolerate from the clients who have an excuse for it ( dementia, brain injury, tumour etc)