Bending and Breaking the Rules in Nursing - page 3
by TheCommuter 27,981 Views | 57 Comments Senior Moderator
I believe rules can be bent at times. Heck, I feel that some rules can even be outright broken as long as doing so has brightened someone’s day. Billie is a pseudonym for the septuagenarian nursing home resident whom I first... Read More
- 6Jan 30, '13 by proud nurseThe CNAs on 2nd shift shared their soul food potluck with one of the residents. She had some ham hocks and peas. I came on for my night shift, and started my rounds. I went into her room, she was awake. She could barely contain herself, she was so excited to tell me about her meal she called me over and whispered, "I had a hock!". I said "pardon?" She said "I had a hock and some peas, and potatoe pie." Never saw her that happy before. It was beautiful.
- 2Jan 30, '13 by amoLuciaQuote from merleeI want to have a smile on my face when I go, too.I am diabetic, and when I am finally terminal, I want my doc to write for 'anything she desires to eat'. And I want my man, if I have one at the time, to get in bed with me and make love to me as much as I can tolerate!
I want to have one last orgasm just before I die!!!
To OP & others - I too have 'bent' the rules at times. I think of J, an insulin-dependent diabetic with fluctuating levels. She had some dementia issues too.
I would bring DD donuts to the staff every payday, when one day J just snuck behind the desk and helped herself to one. For one donut ... she acted like a child snitch. How sad!
For the rest on my time there, on payday, I would buy J a separate chocolate chocolate donut. I then became her 'special friend' and she would follow my directions for care issues without problem because I was her 'friend". And there were no problems with her sugars, either.Last edit by amoLucia on Jan 30, '13 : Reason: sp
- 8Jan 30, '13 by mclennanReminds me of when I volunteered at an AIDS hospice (well it was a group home, but in the 90s we didn't call it a hospice even though that's what it was) and cared for this wonderful man. He was 6'4 and near the end, he wasted away to only 100lbs. or so. He spent a lot of hours sitting in a deep bathtub of warm water, nothing else was very comfortable for him. One night I asked him if he'd like anything to eat or drink and out of the blue he said, "you know what I'm craving? A big, day-glow fruity island cocktail. In a big glass, with the little umbrella and garnishes and a straw. Ice cold. I miss sipping drinks like that on vacation."
Well, of course there were several men in recovery at this place and alcohol was banned. At first I thought, I'll figure out how to make a virgin drink like that for him. I called my uncle who was an ex-bartender in his 60s. I'll never forget it. He said "to heck with that. Let's make this man a proper drink." I stopped by his house the next day and there he had a whole setup, a Thermos with the drink in it, and a hurricane glass packed with fruit, umbrella and straw. He even wrapped it all up in a box so I could smuggle it in.
I did. I arrived & found my patient in his bath, candles lit & music playing as usual. Got a huge container of ice from the machine, and locked the door behind us. I took out the glass, iced it and poured the drink. It was a hideous bright blue and loaded with rum. I fixed up the garnishes and umbrella and gave it to him. I have NEVER seen such a blessed out look on a human being's face!
After only 5 or 10 minutes I could see the blue drink coming out of him in the bath water. His GI was so destroyed that almost anything he consumed was passed so quickly he couldn't absorb it. I didn't say anything. I let him enjoy the cocktail. He finished about half, then handed it to me and said "you finish it. I insist." (I was not a nurse then and an off-duty volunteer). I pulled up a chair next to the tub and settled in. We sat there a long time, talking about our favorite vacations and wild times. I very stealthily changed the bathwater until it was clear again.
He died about a month later. At the visitation I tucked the little cocktail umbrella in his suit pocket and kissed him goodbye.
- 4Jan 30, '13 by lawandaluxnurseI have not done it for a patient, but I would do that for my mom all the time. When she was in long-term care they put her on a puree diet. I was like no way. I am an RN and understand all the implications etc. I and my sister both signed a form releasing the care center from any legal issues if my mom wanted something that was not puree. Mom had Alz. disease and my theory was when mom goes I want her to be as happy as possible. If she went while eating cake or a grilled cheese so be it. That said my sister or I were there everyday for at least one meal usually supper and we both brought in numerous burgers, shakes, cookies, cakes etc and always supervised her with them. Mom loved to go to Donalds as she would call it and loved to drink soda, so once or twice a week and every weekend if mom was up to it we took her out and to eat , shop, church etc. We tried to keep her life as normal as possible. The only reason we even went to long term care was mom started having seizures and it became a safety issue. Well anyway. I don't think you did anything wrong and you made a resident very happy. Sometimes it is these things that keep them going. I always brought mom birthday cake and cupcakes etc at holidays just so she knew what time of year it was and that she was still a huge part of our lives. Yes there is a need for rules, but rules can be bent sometimes.