My goal in life is to NEVER grow up (as children at heart live longer)
But, when i graduate, i want to work in the ER.
Peaceful, since you asked about why some of us dislike Community/Public health so much, I would be happy to tell you why "I" dislike it so much.
In my clinical rotation public health and home health are both in the same clinical. We spend half of the semester working with a school nurse, and the other half working with a home health agency. I LIKE the school nursing part, but its the home health part that I have a really hard time doing.
I get panic attacks when I go into a patients home by myself. I worry about my personal Safety. (we do home health visits alone, and have our own clients). Some houses are so dirty that bugs are crawling all over. Clients have bathtubs, but seem to forget to take showers more than twice a year. If they have cats, i either have to just deal with it, and itch/sneeze/have a full blown asthma attack, or take so much benadryl that I am fighting to stay awake through the whole visit. Many houses here do not have running water or indoor toilets. The dirt, bugs, and grime really get to me. Some of these houses i think would be a great challenge on the tv show "Fear Factor", if they made you touch everything, sit on the couch, and try to pay full attention to the client, and provide them with the best care possible. Its hard to focus 100% on them when you have bugs falling from the ceiling into your hair, and crawling up your shoes, into your pant legs. The worst part is, this is absolutely NO exaggeration. It really is that bad here.
Give me a completely wrecked psych patient, GI Bleeds, gun shots to the head, crashing heart patients, no problem! Make me go into one more house like that, and I'll completely freak.
Granted, as a professional, I just take deep breaths, put my best smile on, and deal with it for the hour that i am there, but the minute I drive out of the driveway, and get far enough away that no one can see me, I pull out the wet-wipes, and scrub myself until I get home and can get in the shower, and put all of my clothes, shoes, in the washer on the hottest setting possible (i wash them twice). I put a sheet over my car seat so that I dont get my apolstery covered in whatever i might have sat down in.
Many areas are not this bad. I just happen to live in a very small town, lots of rural areas, and a high amish population.
Give me the hospital any day, but home health is not for me, I'd rather come home covered in blood and puke than have bugs crawling though my hair.
I absolutely have the HIGHEST respect for home health nurses, because they do that every day, not just half a semester for clinicals. You have to be a very special, flexible, and understanding person to be able to do all that every day, and I am 100% AWARE that in the home health setting, im just NOT that special type of person.
Bring the same patient into the hospital, and leave the bugs at home, and I'd be just fine
Good luck peaceful if you deside that home health is really where you want to go! and know that you will always have that top rung of respect in my book for being able to handle that!