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.

Specializes in Pediatric Cardiology.

I prefer when my patients don't have visitors, makes my job a lot easier! :rolleyes:

Very good article though because it is so true. We just don't know and sometimes never will.

It is sad when pediatrics patients don't have visitors but I agree with those who have already addressed this. Sometimes the parents are the reason they are there. I took care of a child during my clinical that was a victim of child abuse so he had no visitors. He liked to be held and pushed in his stroller so having a student was very good for him. The nurses said they were sick of charting with him on their laps!

I work in peds on a floor with chronic kids who most often qualify for home nursing care. We also have several who are CPS custody or live in long-term care homes. I don't always know or understand all the reasons why the kids are in that situation, other times I do know. I also know that many of these kids come from single mothers who work full time and care for other kids at home, families who live far away from the hospital and have to work, and I also understand that families need breaks and are not bad parents if they are not at the bedside 24/7. Especially if their kids spends half of their life inpatient.

On the other hand it is extremely sad when I see families kinda give up on a kid and come less and less often. Sometimes they detach emotionally.

I can see in the adult world how just because a person is sick, does not mean they are a nice person. Maybe they are mean and nasty and have alienated everyone from their lives. In nursing school I did encounter a few adults like this who were just awful, treated the nurses badly on purpose just for kicks, and I could see why even their own kids would not want to stay long for a visit.

Specializes in Telemetry, Oncology, Progressive Care.

It is amazing any parent can leave a sick child in the hospital. I am lucky I have only had each of my kids stay in the hospital overnight one time. My son was a bit older and could have been left but he was only there to have a 24 hour EEG and not sick. They provided him with a video game system and he was in heaven. I was in nursing school and had clinicals the next day (I've never missed a clinical under any circumstances cause I was too afraid of the repurcussion) so my husband stayed the night. My daughter was admitted with asthma at 15 months and I never left her side even when she was sleeping. I just can't imagine.

I don't usually pass judgment on my patients because I learned there could be multiple reasons why there are no visitors. It does bug me though when family does not know what is going on and all of a sudden they visit because they are hospitalized and want to monopolize all of your time and are very demanding. I do tend to notice the patient's who are not very nice don't usually have visitors and it just kind of makes me go hmmmm.

I know the feeling..I was once in the hospital for over a week, with family that I regularly talked to, who couldn't be bothered to drive the 20 min to the hospital to see how I was. You know it's a sad state when the only people to come see you are your boss and his girlfriend!