Any other cold hearted nurses out there? - pg.6 | allnurses

Any other cold hearted nurses out there? - page 8

Anybody else feel like you're just not as caring and compassionate as other nurses? I think of myself as a caring nurse and I try to do the best I can by my patients. I love it when I leave at the... Read More

  1. Visit  BrandonLPN profile page
    1
    Yes, giving a drug seeker the meds he desires is the lesser of two evils when the alternative is failing to medicate someone who needs it. I don't care how much experience you have, you don't always "know" when someone is faking it. I went to the ER for a full blown kidney stone attack. I was very stoic and was 100% alert and composed. My vitals were even WNL. But, trust me, I needed that morphine. Don't tell me someone in extreme pain will always show objective symptoms, cause this is just not true.
    monkeybug likes this.
  2. Visit  Susie2310 profile page
    0
    Quote from Perpetual Student
    Somebody who is not competent may not be able to refuse and implied consent or consent from their POA would rule the day.

    If 4 nurses pinned me down to keep me safe and provide quality care when I was temporarily unable to think clearly (anesthetized, delirious, or whatever) I would buy them all beers later.
    Yes, I agree with your point about the need to keep the patient safe and provide quality care in situations where a patient is temporarily unable to think clearly (anesthetized, delirious, etc.).

    Something to keep in mind though, and I am writing this generally and not directing it at you specifically, is that a patient's refusal of a procedure does not necessarily imply the patient is incompetent. Patients who are competent have the right to refuse care for any reason, and to provide care against their wishes is to commit battery.
  3. Visit  Susie2310 profile page
    0
    Quote from J.R.theR.N2b
    i was not aware that this was a vent thread for nurses and i humbly apologize for disrespcting nurses. my only real contact with nurses as a patient occured in 1995 when i underwent cardiac bypass surgery. every nurse i had during this hospitalization were indeed "angels of mercy", so i have no real reason for any feeling other than admiration for what nurses provide on a daily basis. so please accept my apology. as i indicated in my earlier post i have some very deep anxiety problems with some medical procedures that i know i could not without sedation. i cannot specify what type of sedation as the only requirement is that i be unaware of the procedure while it is occuring. my biggest issues are with restraint and being held down for any procedure i do not consent to. other procedures which i have anxiety problems are nasogastric tube insertion, foley catheter insertion, and intubation. i have underwent 3 cardiac caths and the only problems i encountered were with the bedrest afterward. i cannot lie still and not move my legs nor raise my head. i mentioned this to my cardiologist after the last cath and she told me to remind her if i ever need another and she will prescribe a sedative for me. i do not wish to be an uncooperative or combative patient, nor want to refuse any procedures recemmended by whatever physicians are treating me, but i am fully aware of what i can handle and that i must be sedated before some procedures can happen. so i guess the first step is to calmly and rationally inform my nurses of my problems so they, together with my doctors, can decide on a solution suitable to them and me. thank you again and please accept my apology. i will gladly answer any and all questions anyone may have either here or in a private message. again thank you all.
    J.R.theR.N2b, I do not believe you need to apologize for disrespecting nurses. I personally do not consider what you wrote disrespectful. allnurses is a public web site, and whilst it is a site for nurses it is also read by and contributed to by nursing students, future nursing students, unlicensed care givers, and the general public. I am an RN and I was happy to read your post. I felt you made perfectly valid points. I appreciate hearing the point of view of patients and family members.
    Last edit by Susie2310 on Feb 21, '13
  4. Visit  DroogieRN profile page
    1
    I've been a nurse three years, but I am 48, so I have life experience to add to many situations. I don't have trouble dropping a difficult NG that may cause discomfort immediately but ultimately is for the patient's benefit. Doesn't even make me blink. I do struggle sometimes with intervention after intervention on a septic 90-year-old full code patient, because I genuinely believe they are suffering and I feel like I am only adding to it, when I think treatment should be withdrawn and they should be allowed to pass peacefully. And I have to squelch down my disdain about the 45-year-old 4-day post-op belly who won't even reach for his water glass and moans for Dilaudid Q1H when I have a World War II vet in the next bed who is eager to walk and get up after his thoracotomy and has taken only Tylenol because, after all, "well, I figured it would hurt, but lying around isn't going to get me better." As nurses, we can feel, or not feel, whatever we want about patients. No one can say any feelings are "right" or "wrong.". What matters is how we care for them.
    DeLanaHarvickWannabe likes this.
  5. Visit  Esme12 profile page
    0
    Quote from J.R.theR.N2b
    i was not aware that this was a vent thread for nurses and i humbly apologize for disrespcting nurses. my only real contact with nurses as a patient occured in 1995 when i underwent cardiac bypass surgery. every nurse i had during this hospitalization were indeed "angels of mercy", so i have no real reason for any feeling other than admiration for what nurses provide on a daily basis. so please accept my apology.

    as i indicated in my earlier post i have some very deep anxiety problems with some medical procedures that i know i could not without sedation. i cannot specify what type of sedation as the only requirement is that i be unaware of the procedure while it is occuring. my biggest issues are with restraint and being held down for any procedure i do not consent to.

    other procedures which i have anxiety problems are nasogastric tube insertion, foley catheter insertion, and intubation. i have underwent 3 cardiac caths and the only problems i encountered were with the bedrest afterward. i cannot lie still and not move my legs nor raise my head. i mentioned this to my cardiologist after the last cath and she told me to remind her if i ever need another and she will prescribe a sedative for me.

    i do not wish to be an uncooperative or combative patient, nor want to refuse any procedures recemmended by whatever physicians are treating me, but i am fully aware of what i can handle and that i must be sedated before some procedures can happen.

    so i guess the first step is to calmly and rationally inform my nurses of my problems so they, together with my doctors, can decide on a solution suitable to them and me. thank you again and please accept my apology. i will gladly answer any and all questions anyone may have either here or in a private message. again thank you all.
    It is not a thread just for nurses only....all thread are open to members of AN to comment on and give their point of view. nurses view having to do procedure to patients that are unpleasant....but we realize that the benefit far out weighs the risk and discomfort. We get no pleasure out of hurting patients and yes some people have more issues than others in tolerating things.

    You are very fortunate that your physician recognizes your needs and medicates accordingly. Nurses do not hold down patients down to perform procedure that patients do not consent for unless they are a danger to themselves or others.

    I wish you the best.
  6. Visit  healthstar profile page
    0
    The NG tube is the best thing that ever happened to him! With a bowel obstruction he would be nauseated and vomiting, throwing off the electrolytes - this is the worst feeling! Even the zofran, phenergan can't help! ! I have placed so many NG tubes due to an ileus and obstruction and I have enjoyed putting them in, I knew that my pt would feel so much better afterwards, except the irritation of the throat . I am not cold hearted at all! I care too much, I am very sensitive, any kind of story ( happy and sad) make me tear up----this is my weakness as well as my strength. I wish I didn't care way too much . I had a hard time separating work from home! I would think about my pts all the time! Especially the Codes!
  7. Visit  J.R.theR.N2b profile page
    0
    the following comments are for esme12 and anyone else kind enough to comment on my earlier post. last monday afternoon i had an appointment with my long time primary care physician and asked him if he might prescribe a tranquilizer for me to combat anxiety and restlessness interfering with sleep. he asked if anything was occuring that necessitated my need for this? i then reminded him of my anxiety concerning possible needs of medical procedures which i feared my problems would interfere with. procedures such as urinary catheterization, nasogastric tube insertion, and intubation. i also informed him of my inquiries on this forum and my asking about the possibility of being sedated to enable me to tolerate same, and my disappointment that the only answers provided me were that sedation was out the question for such minor procedures. he explained to me that the protocol used in carrying out of medical procedures are based on years of experimentation and research, which yield the safest ways of getting these things done. he advised me that what i needed to do when faced with the need of one of these procedures was to calmly and rationally explain to my nurse that i cannot tolerate this without being sedated, who would inform the ordering physician, who if he/she felt it necessary would discuss alternatives, if any, with the patient, but that the physician and only the physician could order the sedation requested. this is why the nurses on this forum do not talk about the possibilities of sedation for any procedure which it is not a routine part of. he did assure me that noone will ever force any procedure on me that i have specifically refused as long as i am competent and rational. he left me with his expert medical opinion that if a patient refuses insertion of an urinary catheter without prior sedation, as long as the physician feels the catheterization to be absolutely necessary that sedation would most likely be ordered. i again wish to thank all of you for allowing me to use this thread to explain my anxieties and promise not to intrude on this thread again.


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