....argh. What actually happened vs. pt perception. I had an aesthetics pt, total overhaul of the anterior chassis, lipo, breast bilat, abdominal......on our Med surg floor. Ummmm....you hurt? Of course you do and I will do my best to ensure that your pain is tolerable, but I cannot take it totally away. That would involve sedating you, and you are no longer in the surgery suite or in PACU. And yes, you must breathe deeply even if your boobs hurt, you don't want pneumonia on top of this, ELECTIVE, surgery, do you?
Don'tget me wrong, I think if someone wants this surgery and UNDERSTANDS recovery, go for it. I have seen may pts feel so much better about themselves after having "things taken care of" and this was not a pt choosing triple Ds over given As. It was a lovely job by one of my favorite aesthetic surgeons who genuinely does a great job.
But in the grand scheme of things, when a pt puts on the satisfaction survey that their nurse did not address their pain and they rarely saw him/her....I just have to wonder what this means for the medicare crowd? Older, in pain, on pain meds, unfamiliar environment.....and you want to tie reimbursement to this?
Bleh......I just don't like having no context for the survey.....someone in for COPD exacerbation and hypoxia is a different animal altogether than a total hip replacement status post ground level fall trauma......