areensee 1,916 Views
Joined Aug 11, '05.
Posts: 68 (37% Liked)
I see this all the time with family and with nurses caring for the patient. I believe this stems from many different reasons including the lack of hospice training in nursing school programs as well as general attitudes and beliefs of society in general.
I see a trend that concerns me greatly over the past 10 years: Students are coming out onto the clinical floors and need waaaaaaay more direction than they used to. The students used to be assigned to the PATIENT, and seek out direction from the Clinical Instructor for guidance.
NOW, the Student Nurse appears to be assigned to the Patient AND the RN, with the Clinical Instructor off somewhere else.
Aside from the fact that the hospitalist in this case is a first class jerk, I've been thinking more about the practice of frequent vitals and all the other horrid things we do to people in the middle of the night. Here's an interesting question. I worked acute care for 15 years and have done vitals at all hours of the day and night. My question is this, is there any evidence that doing so makes any difference in the outcome for our patients? Is there any best practice, any, evidence based practice guidelines? If so, I've never seen them! SO . . . how about some nursing research into the subject? Any takers? Are we simply doing what the administration thinks will open up a bed sooner ($$) or do the things we do actually improve the lives of our patients?
Yes, get out of there! You have what is known as a hostile working environment, and you may be in very real danger. I very much appreciate those civil rights pioneers who risked their lives (and those who lost their lives) to further the cause of social equality, but your life may be in danger and no job is worth that!
So who authorized the enema on the dementia patient? I'd want to have a word with them. Being a hospice nurse this sounds like something that should not have happened. This very well may have BEEN an assault. It angers me to no end when the right to dignity and comfort are forfeited just because a patient suffers from cognitive impairment. Why wasn't the patient at least given medication to relax him prior to the procedure. Don't we do this much for our pets? Why do we treat our elders with such disdain and dishonor? This is one of the big reasons I left hospital nursing after 15 years. I just got tired of trying to convince people they needed to have painful treatments done that they didn't really want.
Yep you're gonna get flamed. I think you're confusing bullying and personality issues. I've been an RN for over 20 years and I've seldom met nurses who are just whining and don't have an actual concern about the way they have been treated. Certainly this happens, but nurses "eating their young" occurs much more frequently, and is a very clear and present form of bullying!
Yes, this is hospice nursing. In my case, with or without the actual verbal prayer, the care itself is unceasing prayer.
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