The Patient I Failed - page 4
by nerdtonurse? 374,514 Views | 321 Comments
She knew what she wanted. She'd watched her husband of 52 years die on a vent, and followed his wishes to remain a full code. But she knew that was not what she wanted for herself. So, she wrote a Living Will, had it... Read More
- 2Sep 2, '08 by PedsED-RNThank you for sharing such a heart wrenching story. Thank you for being the kind of nurse to do what was in your power to uphold the dignity of the patient. Sadly, as many have already said, this happens far too often, and each time we see a family's struggle is just as hard as the last. I work in peds, and have seen many tough situations. The only thing harder than letting go of a parent is letting go of a child. I see so many kids with no quality of life, and every medical intervention available keeping them alive. Granted, I have never had my own child in that situation, but it breaks my heart to see lifeless eyes behind the tangle of tubes and machines, and they haven't even been alive long enough to know that they wouldn't want to live that way. =(
- 3Sep 2, '08 by tdthompsonWhat a great message. I've been there several times with ignorant family members. The worse part is transferring a patient back and forth between the ICU, med/surg, telemetry, and a hospice unit as the family wishes changes at the whims of the several children who can't get their act together. Sooner or later something pushes the doctors, social workers, hospital attorney, and ethics committee to meet and stop the merry-go-round. We can care, but we can't stop the madness.
- 2Sep 2, '08 by missypatchesThat was a great article I was in the same situation with my father almost 14 years ago with all the heroics being done since everyone knew him. We finally made the decision to remove him from life support later that night the following morning he was still alive and kicking so we moved him to a special room and waited 3 more days before he finally passed surrounded early one morning surrounded by his loving family.You did your best for the patient, the daughter and the physician failed her in more ways than one. They didn't even take into consideration the living will she made out for herself.
- 2Sep 2, '08 by lovethisjobWOW! Thank you for this article. It was well written, very vivid and realistic. I was really touched by it. :redpinkhe
It opened everyone's eyes regarding death and dying as inevitable, it will come, no matter how we find ways to deny it.
- 5Sep 2, '08 by Cyndi CramerWe see this all too often!
That is why EVERYONE needs to fill out an Advance Directive--and make sure you [b]choose your surrogate wisely!![b]
The person that loves you the most may not be able to fulfill your wishes...
We have been doing extensive education for our staff at my hospital (Tampa General Hospital) using the ELNEC curriculum (End of Life Nursing Education Consortium)
We call our graduates of our 25 hr/3 day course PCRN's (Palliative Care Resource Nurse) and PCRP's (Palliative Care Resource Professional). They are all over the hospital (we have over 200 so far and will have even more after our classes this fall + non-staff who have attended and are bringing this concept to their facilities) and they advocate for patients & families and reach out to staff and physicians with Palliative Care education.
cyndiLast edit by sirI on Sep 3, '08 : Reason: TOS
- 3Sep 3, '08 by jaclibra:heartbeatA heart breaking story so beautifully written.Sometimes I feel less as a nurse by crying so often when reading stories like this one. Thank you so much for letting us have a glance to human nature. Why do you think the daughter did what she did? Can we blame her? Maybe she's so afraid to let go because of the fear of loneliness.