Re: Death stories?
I've done both SICU and hospice nursing, and have seen many, many memorable, special deaths. But one haunts me to this day..
I was charge nurse in a busy SICU. Got a call that we were getting a woman patient from OR, late 50's with metastatic ovarian cancer who had a horrible necrotic bowel. She was a DNR and surgeon came in and told me that the goal was to just "keep her alive" until her daughter and husband got there from a retreat that they had been at and that they were expected by morning. She had battled cancer for a long time, and had actually had terrible pain for days, but wanted her family to go to the retreat so never told them. The surgeon had opened her up and found a totally dead bowel and she was horribly septic. She was surprisingly, extubated and arousable. He ordered a morphine drip and basically told me to do whatever I needed to do to keep her going and that he would cover my actions with orders in the morning. I know, please no lectures about my license, etc. I found out from someone that she was actually a relative of his by marriage. He then went over, pulled the drape and talked with her, told her that there was nothing they could do, etc, but that we would keep her comfortable.
AFter he left, I went and talked with her for a few minutes, did my assessment, gave meds, etc. I noticed she was not scared, in fact she was quite calm and peaceful and alert despite just having had surgery. A little while later she told me "I know what's happening, and I know you're not God..but could you do whatever you can to keep me going just until morning so I can see my husband and daughter one more time. But, if I die before then, just know I am with the Lord and tell them I love them".
As the evening progressed, she worsened. Her B/P dropped, and she started looking worse. I started working nonstop, filled a saline bag with dopamine and started it (she was a DNR and in that hospital we couldn't have started Dopamin in the unit on a DNR) with no label, gave liter after liter of fluid, blood, etc. Gently titrated her morphine. It was this beautiful dance between us..dark and quiet in the unit, me working my a## off without a break trying to let her rest while she would occasionally wake up and talk with me, forcing me to slow down and just be with her. When I finally got her somewhat stable I noted she was awake and almost smiling. I decided to sit down for 5 minutes with her and asked her how she looked so calm in this horrible storm. She asked me..."are you saved, do you know Jesus?" I replied, "no, not really", and she said "you don't want to be where I am without him..but I know where I am going. If you like, we can pray together". And this beautiful dying patient said a simple prayer for me! A prayer that God would bless me, guide me, and show me his love and mercy. I cried and we held hands. I wasn't saved that day, but I was so touched by this brave woman that I still remember her face and name.
Towards morning, she drifted off into unconsciousness. About 4 am her daughter and husband rushed in, she woke up and they actually spent about an hour talking softly and praying, until she required a lot more morphine. Finally when dawn approached, she started deteriorating quickly. The surgeon came in, talked with the family and told me to stop the dopamine, etc. She died about an hour later. I'll never forget her and the gift she gave me by showing such bravery and grace in the most horrible conditions. A few years later when my young son was diagnosed with a severe disability, I remembered her and her example and finally was saved. I have had hundreds of patients since then, but that night remains etched in my memory as one of the more important of my life...
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