if you're going to work ltc, it's very helpful if you truly enjoy the elderly population.
lots of people don't, whether it's r/t the overall devaluing of elderly, whether it's r/t fear of aging and its ultimate reality (for many), whether it's r/t just the overall depressing environment one can get when working with 'diapers and baby food'.
when i graduated (from a diploma program), i was offered a job at the sister hospital - a very exclusive, elite, good-paying job.
i wanted to work with elderly.
i interviewed at different facilities and automatically rejected those where i observed drooling, overly sedated pts strapped in their wcs...watching cartoons in the day room.
then i interviewed with a DON and ADON, whose evident pride for facility, just gushed throughout interview.
i later checked state survey scores (deficiency-free facility) and accepted job offer.
immediately i was given med pass for the 40 residents on the floor, and they gave me 3 months before i assumed the cn role, for which i was hired.not only did i fall in love with these residents, i learned a lot about prioritizing, time mgmt, polypharmacy with all of its potential interactions (esp with renal/hepatic impairment), and developed key assessment skills...
since elderly just do not present w/any textbook s/s.
as a ltc nurse, it is the subtleties that you pick up on, when someone is ill.
we had plenty of iv's, wounds, drains, tubes, acute morbidities...and the best part of all?
very little turnover, dedicated nurses (who also adored elderly) with high standards of care, and plenty of team work.
if you work in a poorly run facility, that sucks for you the nurse, and even more so for the pts.
but if you happen to work in a facility that is well run, everyone benefits, including new grads who learn a lot.
only reason i left was to take inpt position at hospice facility.
even when i took that position, i remain part time at ltc facility, until it became too much.
this was a wonderful job for me as a new grad...
and would go back to it, if it was a reputable facility.
don't listen to naysayers.
they have likely worked for a shabby facility, or had bad experience r/t personal reasons.
but you really gotta like the elderly if you're going to work there.
otherwise, good chance you just won't appreciate all the implications that go along with being elderly and debilitated.