Family Members and their pearls of wisdom... - page 3

by R!XTER 6,058 Views | 34 Comments

I don't think a shift goes by where I don't shake my head and think "what is wrong with people??" Here are some gems I've heard recently from patients' families: While I'm meeting/vitaling a new ED pt, pt's 50-something... Read More


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    Last edit by JDZ344 on May 14, '14
    KelRN215, wooh, lalopop86, and 2 others like this.
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    Ok the setting, LTC, the resident is almost a hundred and her son is not much behind her. Tells me his mother is getting dizzy. I state "yes I know, I have assessed her. The doctor is seeing her in the morning." Son states " I want you guys to check her carbon monoxide ( I think he means dioxide but I didn’t help him out) level. It could be too low." He goes on to make some unintelligent statement about some other family member who was on a vent and eventually died to total organ failure r/t catastrophic disease process who just so happen (shock) to have an abnormal blood gas. After explaining the more likely causes of dizziness ie orthostatic hypotension and the futility of a painful blood gas for no reason he states " I am not getting anywhere with you." He goes on to cite her dementia as a reason for a blood gas, his last pearl of wisdom “She is probably forgetting to breathe."

    I rest my case.
    wooh, pomegranate, anotherone, and 1 other like this.
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    dementia patients -- gotta love 'em. and their families, too sometimes. my sister-in-law, a mammography tech, likes to talk about the 96 year old patient whose daughter brought her in for a mammo. mamma had late-stage alzheimer's and daughter was incensed that she had to go through three doctors to get someone to give her the referral for the mammo. meanwhile mamma is verbally and physically abusive and not only had no idea what was going on with the mammo, she had no idea who daughter was.

    my sister in law and i both have mothers with late stage alzheimer's and we were both shocked that someone would do such a thing to their demented mother!


    wooh and anotherone like this.
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    Quote from no50franny

    my all time favourite. pt. arrives in ambulance with vague complaints of nausea / vomiting / abdo pain. hyperventilating and being very dramatic with boyfriend in tow. after a quick work up it is decided that young lady is after some sedatives and/or narcotics. decision is made to place patient in a therapeutic location, the waiting room. patient actually blocks the doors with her legs screaming as nurse tries to wheel her out there. finally get her into wr. you know what's coming don't you- pseudo seizure! boyfriend harrassing at triage, then she throws herself on the floor in front of the triage desk and throws herself around. the patients boyfriend yells this "the paramedics told me what this was, i can't believe you're not doing anything, she is having a pseudo seizure!!!!". "you're right, she is". after a minute or so, she gets up, throws something at me and walks out. has another performance in the front garden. our fantastic police officers then arrest them for public nuisance.


    Quote from ruby vee
    dr. imthenorthendofasouthboundmaledonkey




    Quote from ruby vee
    dementia patients -- gotta love 'em. and their families, too sometimes. my sister-in-law, a mammography tech, likes to talk about the 96 year old patient whose daughter brought her in for a mammo. mamma had late-stage alzheimer's and daughter was incensed that she had to go through three doctors to get someone to give her the referral for the mammo. meanwhile mamma is verbally and physically abusive and not only had no idea what was going on with the mammo, she had no idea who daughter was.

    my sister in law and i both have mothers with late stage alzheimer's and we were both shocked that someone would do such a thing to their demented mother!


    when i did ltc i was made to do a bowel prep for a colonoscopy for a woman with huntington's disease. she cried and cried as she had diarrhea that went everywhere; all over the floor - loose stool river. she had to be cramping badly. then when i come into work the next night, my supervisor reams me out accusing me of not giving the prep. um what? turns out she went for the procedure and wasn't cleaned out enough. so they make me do it next week with even more bowel prep. it was awful. this poor lady kept crying and she had to be cramping so badly. again rivers of loose stool. again i get accused of not giving the prep because she wasn't cleaned out enough. i lose my cool and say if they try to make me do it again, i was going to refuse. i didn't work in ltc to torture old ladies to make them have procedures that are pointless. i get told that if i refuse it's neglect and failure to follow dr's orders, etc, etc. so i tell them fine, i'll just call in that night if i'm scheduled. (i never call in.) luckily (for me) it happens to get scheduled on my night off. apparently the third time, with even more laxatives, it still wasn't enough. the husband kept insisting we do everything, but i think the dr refused after the third round. the husband also wanted her to go for her paps and mammos. people are crazy.
    KelRN215, RNsRWe, and wooh like this.
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    95 y/o Patient on hospice for lung cancer, inoperable, chemo will not help, hence hospice. Family wants CT scans of the lungs every month. why? "we NEED to see how big the tumor is." because that's not a waste of medicare dollars? we're not treating it, it doesn't matter how f@#$#@g big it is. -____-
    The things I see people do to their family members. "I WANT EVERYTHING DONE!" when the best thing would really be...nothing.
    Scarlette Wings, SwansonRN, Fins Up!, and 1 other like this.
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    Gotta love obnoxious family members, when the patient themselves is just the sweetest thing! Happens all the time, especially with the elderly. The patient is all smiley and thanking me for everything, while the son/daughter just cannot be pleased, yelling about the wait and how incompetent everyone is... I always feel like saying "are you here for yourself, or for your mom?? Because she does not seem to be complaining! If you feel put out by being here, by all means, leave! Stop being a martyr and we will all have a much more pleasant evening!"

    Also the helicopter families - great one last night. My co-worker's sweet LOL had this most annoying daughter, the type you wish you never gave the call bell. She is on that thing literally every minute, every time the monitor makes a tiny ding, every time her mom passes gas... you know the type. To make it worse, the mom had C-diff so every time she calls, gown up, go in for non-sense, un-gown...So I decided to help out when the light goes on the for 100th time. I go to the door to see what she wants: "Oh, this IV pump is just going CRAZY!!" I stare at her blankly and say "It's not going crazy. It's just beeping" and hit the restart button. Then: "My mom FINALLY pooped!! I just wanted you to know, because they have been waiting for that ALL DAY!!" Then she tells her mom good night and leaves, and the patient starts apologizing about how sorry she is to bother me, and how thankful she is, and how nice everyone is... Makes you wonder if she is the one who raised her daughter?!
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    I also love having to explain that, just because your mom made you her medical POA for when she needs one, she is currently AOx3, so she is still making her own decisions. She stated that she already pooped today (day shift's notes concur), and no, I will not force her to take every PRN laxative known to man just because you want her to (and managed to get her Dr to order them; thank goodness they are PRN). "BUT I'M HER POA!!!!!!"
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    [QUOTE=NO50FRANNY;6697627]"My mother/father/sister/boyfriend/girlfriend has been RUSHED here in an ambulance!" In my head, "no they haven't". To the visitor, "what is their name?". They then look quizzically at me and get impatient because obviously, the only person that has been rushed to a tertiary hospital in an ambulance is their relative. Plus, I know that I haven't had any phone calls with sirens in the background, and about 5 crews are waiting to unload non-critical patients.

    ALL the time!! And the looks on their faces when you tell them that the aforementioned patient is now sitting in the waiting room with everyone else and that no, calling an ambulance for nonsense did not guarantee that they'd be seen immediately, but good try! Priceless.
    NO50FRANNY likes this.
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    I had a nice gem of a pts wife the other day literally lurking over my shoulder as I fed her husband who has pretty advanced dementia his pureed food.

    wife: "he doesnt like this liquid stuff, i feed him real food at home."
    me: "well, the dr. and speech therapy have decided a puree diet is best at this time, as he has difficulties chewing and swallowing. He actually ate about 80% of his breakfast this morning."
    wife: "well, as long as hes getting something, i want him to eat."
    me: *continues feeding pt, who verbalizes that the food tastes good.

    5 mins later...

    pt: "thats enough."
    me: "all done?"
    pt: "yes i am full"
    Me: *starts to put tray away*
    wife: "what are you doing? John!! (name change), eat more, you need to eat more!"
    Pt: "I am full woman!"
    wife: looks at me in disgust and wispers "do you ever make them eat more, even though they say no?"
    me: "huh? like force the food into his mouth against his will? no."
    wife: "yes, force feed. i force feed him at home so he gets enough nutrition. could you please force him to eat the rest?"
    me: "erm. no. thats kind of illegal."


    she was not a big fan of me. oh well..

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    wife of man getting plasmapheresis that day:

    me: "ok Bob (name change), I've got your morning meds here." *rattle off all the meds I'm giving, including senna, miralax and colace*
    wife: "oh, he wont be havin' those colaces and sennas."
    me: "oh?"
    pt: *cocks head with puzzled look*
    wife: "Hes havin' that feesus today right?"
    me: *thinking that feesus meant feces* "probably not if he doesnt have his stool softeners.."
    wife: "why wont they let him have the feesus without those medications? he needs the feesus to live!"
    me: "im sorry.. im not.. umm.. what?!"
    wife: "fine, give him the medications. i just dont want him havin' to poop while theyre giving him the feesus because he cant take the machine in the bathroom with him and hell make a mess!"
    me: "ohhhhh.. heh.. okay. the stool softeners wont make him go, they just make it easier to go. ill hold the miralax if you want."
    wife: *nods matterafactly*
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    Another Bright Moment in Endoscopy--

    Me to Patient (with Family Member at bedside): you can go back to eating whatever your normal diet is, the doctor isn't changing anything.
    Patient: ok.
    FM: Can she have pancakes?
    Me: Like I said, she can have whatever she normally has, no problem.
    FM: Can she have eggs?
    Me: Did she eat pancakes and eggs before today?
    FM: No, she only had liquids for two days...
    Me: Ok, let me try again. She can have whatever she ate BEFORE THE BOWEL PREP, her USUAL FOODS--WHATEVER.
    Patient: ok, good
    FM: So she can have breakfast when we leave?

    I give up. Really.

    Scenario #2--

    Me: You might want to skip carbonated beverages today, no seltzer or soda, but everything else is fine.
    Pt: ok.
    FM: Can he have coffee?
    Me: Is coffee carbonated? (I can't help myself, some people are idiots)
    FM: So then he can have tea?

    I give up. Again. People are stupid...the DRUGGED people understand better than their "attentive" family members sometimes....



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