The Patient Who Receives No Visits

I am assured that every nurse who has ever worked at the bedside has provided care for patients who never receive any visitors. Some of us are left wondering why this happens or how the situation evolved to be the way it is today. Nurses Relations Article

I'm certain that every nurse who has ever worked at the bedside has provided care for the patient who never seems to receive any visitors.

In fact, the roles were reversed nearly five years ago when I was the patient laying in a bed on a women's medical/surgical unit at a community hospital in a large city. Even though my inpatient hospital stay was a swift overnight affair, I received no visitors. The facility was located almost forty miles from my home, so a friend dropped me off on the morning of my planned admission before she reported to work, and another friend picked me up at the time of my discharge after her workday had ended. In addition, I had no family members in the area. The vast majority of my relatives lived more than 1,400 miles away from me.

In spite of this, my overnight hospital stay was so short that I did not feel lonely. On top of it all, I was so sedated from the narcotic pain medications that infused into me every time I pressed the button on the patient-controlled analgesia pump.

Anyhow, some of us naturally wonder about the patient who receives no visitors. Many of these patients have adult children, siblings, and other people in their lives who reside in the same metro area based on the information provided on the face sheet. However, none of these individuals ever drop in or call to see how the patient is doing over the course of a lengthy stay at the facility. And when nursing staff or physicians desperately need to contact the next of kin, none of the people listed on the face sheet seem to answer their phones.

Some people jump to conclusions and will exclaim, "How terrible! I would never leave a person alone in this world. Family is everything!" It is true that some self-centered adult children are willingly estranged from a parent who provided nothing but love, warmth, support, and happy memories during their upbringings. These situations are truly heartbreaking.

In addition, other patients are modern-day recluses who actually prefer social isolation over interaction any day of the week. These people would rather have no one in their lives.

However, we do not know the whole story. Nurses have witnessed family dynamics that are edgy or downright dysfunctional. Rather than remain in a situation that produces so much unhappiness and discord, some relatives cut themselves off from the person altogether as a way of emotional self-preservation. Dysfunctional family units are more common than many people realize.

Some would say, "I would hope people show a little more respect for their sick family member than that!" But for many adult children, it is hard to be around the seemingly pleasant male patient who sexually abused them throughout their childhood and adolescence. It is almost impossible for adult grandchildren to visit the sweet elderly female patient who disciplined them as children by burning them with lit cigarettes and beating them with horsewhips. The smiling patient in the hospital bed is the same woman who, many years ago, disowned her sister for marrying someone of another race and rejected her brother for revealing he is gay.

To come to the point, I try to refrain from criticizing the relatives who never visit, and I also try to avoid condemning patients, no matter how difficult or demanding they might be. I am cognizant that I might open emotional wounds if the wrong words come out of my mouth. Dysfunctional families are a familiar part of our societal landscape. If an insensitive nurse lectures about the importance of family, the chances are high that some people within an earshot have dealt with incest, beatings, addicted relatives, emotional abuse, and other unpleasant circumstances within their family units. For them, breaking free took courage.

I wonder why people have visitors for overnight stays!!

Then on the other hand, I have patients who come down from the Arctic and expect everyone they ever met who lives within 250km of the hospital to come and visit. I remember one Princess who expected the Air Ambulance crew to delay her departure for six hours because she had made plans for lunch that day! Uhm, the crew was here dropping someone off, so they refuel, pick up and depart. If she wanted to spend $1200+ on a oneway ticket home, no probs. She left with the crew.

Specializes in LTC, Rehab.

I only skimmed this (sorry :^), but I agree that you just don't know the situation. Although this isn't the same topic, it still fits in somewhat: here's a sort of humorous example one of our clinical nurses gave us of assuming things about family.

She said she had a patient, a 50-something woman, and there was a 30-or-so woman visitor, plus a guy (I forget, but I think maybe he was closer to the older woman's age). So the RN assumed the guy was the partner or husband of the older woman, and that the 30-yr-old was the daughter. Wrong!!! The 2 women were lesbian lovers, and the guy was just a friend! :^) So you just can't assume anything.

Specializes in Pedi.

The last time I was in the hospital, I had no visitors... because I didn't tell anyone I was there.

Some pediatric patients have no visitors for a reason... their parents beat them or shook them and are banned from visiting. I've seen that situation a few too many times. The kids who really broke my hearts were the ones who weren't going to make it (terminal cancer) whose parents would drop them off in the ER with a fever and appear two weeks later to sign the discharge papers. We had one particular patient- about 6- whose parents did this all the time. She was constantly calling for someone to come sit with her, watch TV with her or play with her. She died- fortunately at home- but it was so sad during those countless days in the hospital to see her crying for her Mommy knowing that Mommy wouldn't be there for her.

Specializes in kids.

On a similar note, as a school nurse, It makes me sad when I see only one emergency contact (the custodial parent) to call in the case of emergency....no family listed, no friends....no one...I always wonder what it is like to NOT have a support network, I was pretty darn lucky as a single mom.

Specializes in Emergency/Cath Lab.

You mean we dont always know the full story on our pts....

Great Article. It is true, you can't possibly know why things are the way they are.

When my father was in hospice I got more than an earful from my older half siblings on visiting my father, they did not understand why I did not want to see him. From a young age until I was 12 he was emotionally and physically abusive. I had no love or respect for the man who was my father. I ended up a ward of the court at age 12, so I find it easier to not think about things such as why a patient has no visitors. Having been in the family member's shoes and been the kid who was abandoned to the state by my mother, I know all too well how complex an individual's life can be. I did say good bye to my father the day he died, but only because I was essentially made to feel guilty by other family members who did not have the same experiences as I did.

Also consider that sometimes it is hard on adult children to watch their parents die. My younger brother avoided my mother in her multiple hospital stays because many of her injuries could have been prevented if she had followed doctors orders and used her walker instead of letting her pride get in the way. I recall him telling me, 'I can't just watch her kill herself and be ok with it.'

It is more difficult to see children abandoned, but sometimes it is the best case scenario. Other times it could be as simple as the parents are not coping well with their child's illness. You can never know how you might react as a parent until you are there in that situation.

Once, as a student, I was assigned to a patient who had no visitors. She was sweet and personable and loved to have someone to talk to. Since I was a student, she was my only patient, which meant I had plenty of time with her. I found out that her husband worked out of town, and although she had adult children within ten minutes of the hospital, she didn't want them called. Her reason? She had been hospitalized already three times that year, and she said her children would take time off work to come and see her. She didn't want them to have to take more time off, so she decided (out of care for them) that she just wouldn't tell them she was there! Now, that is a story that probably wouldn't have gotten out to the busy nurses, so I am glad I was there to hear it. But it taught me too, to be careful not to judge. She DID have a caring family - so caring that they would do whatever it took to see their mother, and so she in turn cared enough about them to purposely choose to make sure they didn't miss any more time from work. (I'll bet they were mad when they found out later though :sneaky:)

We have an elderly dementia resident. She visited often until legal paperwork was signed, proving he was incapable of making his own decisions. Now she only shows up for X-mas & his birthday. Everyone thought she was really cold-hearted until we found out that he had been a womanizer their whole marriage.

very insightful article.

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How sad, you live your life bearing the burden of being unable to have children, then get judged by nurses for not having visitors in old age.

They are those that do not want any visitors too, all they want to do is sleep and get over the sickness that brought them to the hospital in the first place! :) They don't even tell family members, co-workers or friends that they are in the hospital...