Things you'd LOVE to be able to tell patients, and get away with it. - page 151

:spin:Just curious as to what you would say. Mine goes something like this: Hi, my name is AngelfireRN, I'll be your nurse tonight. I am not a waitress, nor am I your slave. Yelling... Read More

  1. by   Scoops
    Quote from kprnc58
    why are we afraid to talk to our pt's about their weight? It's time we treat their obesity as the disease condition it is, and educate them about the consequences of it: sleep apnea, diabetes, heart diseaseand osteoarthritis to name a few. It's obvious that many physicians are uncomfortable with this topic as well. I've cared for many pt's who were oblivous to the fact that their 300lb. weight was the reason they were having a knee replacement at 40y.o. and that they could likely improve the pain by losing weight. We are doing them a disservice by not talking to them about their weight.
    As funny of a thread that this is. Isn't part of a nurses practice to educate patients, and treat the human response to a conditon. Thanks
  2. by   silverbat
    of course we do all that and more.. It just gets so frutrating when you say the same things a zillion times to the same pt and they continue the same behaviors. You can teach and teach and teach, but you can't make them learn.

    TO THE NURSE KPRNC58:and re: weight.....yes, I know I am fat, I know that my 300 pounds ain't helpin my knee pain, unfortunately, even a 1200 cal / day diet ain't gonna take it off quickly enough to ease pain caused by bone destruction caused by rheumatoid arthritis or severe osteoarthritis. Not all arthritis caused by being fat. It don't help for sure, though. Even if I weighed 120 pounds, the bone destruction is stil gonna happen unless I can get proper meds, but wothout insurance, how I can I pay for 3,000 dollars/month of meds?

    I do understand what you are saying KPRNC58...BUT, I can guarantee you that they were aware of the part of the cause of their knee pain.....

    off my rant...... helping is good, teaching is better, COMPASSION and understanding is best..........
    dianna
  3. by   canoehead
    Quote from Scoops
    As funny of a thread that this is. Isn't part of a nurses practice to educate patients, and treat the human response to a conditon. Thanks
    Buzz off. (this is the thread where we get to say what we want, right?)
  4. by   CrunchRN
    I agree. This is a vent thread where you say what you think but would never say.

    I mean I agree with "buzz off" in a nice way though. I just think you misunderstand the purpose of this particular thread.
  5. by   HappydayRn
    So to preface this I do telephonic triage for a clinic system.

    1. When I ask you a question answer it,
    " Are you wheezing?"
    Pt: " Well last week I had a fever, and so did my sister, and then man today my nose was so stuffed up!"
    "Okay....but are you wheezing?"
    Pt: " Yeah, so I took some sudafed for it but it didn't help so yeah, man my foot hurts do you think it's related?
    "Uh, huh well probably not, but DO YOU HAVE WHEEZING? OMG JUST ANSWER THE QUESTIONS I ASK, SO WE CAN BOTH MOVE ON WITH OUR LIVES.
    2. I'm not your friend, I don't want to chat with you about your cats for 45 minutes, I have other people waiting to hear from me. Go talk to your cats. I know you are lonely and I can sympathize with that, but please you are making all the other sick people lose appts. because you won't let me get off the darn phone.
    3. Don't call me if you have no intention of listening to me or following my advice.
  6. by   talaxandra
    To the former patient who came in last night for a visit while on day leave from rehab:
    - I know you're worried about cancer
    - you've been diagnosed with MS
    - MS and cancer look different on the scans
    - you need to talk with our doctor/s about these concerns
    - your symptoms do not fit with cancer
    - the fact that your symptoms haven't resolved with pulse methyl pred doesn't mean you have cancer
    -you should write down your questions & concerns and talk about them with your doctor
    - it is not possible for cancer to travel from your mouth to your spine
    - in any case, you do not have cancer
    - increased gastrointestinal rumbling does not indicate that you have cancer
    - spinal cancer and MS lesions look different
    - these are issues you need to talk about with your doctor
    - yes, the doctors at [small country hospital] said they couldn't rule out cancer, that's why you were referred to [quaternary hospital]
    - I understand that you're worried about cancer
    - I thinkyou need to see a psychologist, because your concern about cancer is preventing you from hearing what I'm saying
    - I think this is because of stress
    - you also need to talk to your doctors

    I said all of this, over and over for twenty-five minutes I didn't have, and could seriously have doubled my take home pay if I have a dollar for every time I said "you need to talk to your doctor."

    What I didn't say was:
    - I'm in the middle of feeding a patient
    - I only came out for a straw
    - I'm supposed to be at tea
    - your delaying me means my partner will also be late to tea
    - you're not even a patient here any more
    - for the love of all that's holy, your symptoms aren't caused by cancer
    - why are you not concerned about having MS? Is it not disease enough for you?
    you have two choices: I'm taking your life or my own if it means ending this discussion. Every time you say the word 'cancer' the odds shift further in favour of it being your life
  7. by   Pepper The Cat
    Please please please just take your pills and let me leave the room because I HAVE TO GO PEE!!

    This is that little lovely women who wants to take her pills one... at... a.. time. Very..... slowly......... so .........she .........won't........choke. And has about 10 pills to take!!
    Last edit by Pepper The Cat on Feb 10, '11
  8. by   gentlegiver
    Quote from talaxandra
    Oh. My. GOD! I think we have a hands down for Winner of Bastard Patient of the Year!
    I have to agree!!!
  9. by   ElvishDNP
    Hey, that ice cream was yummy! Thanks!
  10. by   steelydanfan
    Quote from HappydayRn
    So to preface this I do telephonic triage for a clinic system.

    1. When I ask you a question answer it,
    " Are you wheezing?"
    Pt: " Well last week I had a fever, and so did my sister, and then man today my nose was so stuffed up!"
    "Okay....but are you wheezing?"
    Pt: " Yeah, so I took some sudafed for it but it didn't help so yeah, man my foot hurts do you think it's related?
    "Uh, huh well probably not, but DO YOU HAVE WHEEZING? OMG JUST ANSWER THE QUESTIONS I ASK, SO WE CAN BOTH MOVE ON WITH OUR LIVES.
    2. I'm not your friend, I don't want to chat with you about your cats for 45 minutes, I have other people waiting to hear from me. Go talk to your cats. I know you are lonely and I can sympathize with that, but please you are making all the other sick people lose appts. because you won't let me get off the darn phone.
    3. Don't call me if you have no intention of listening to me or following my advice.
    Somebody doesn't know what to do, cannot take care of himself, and doesn't want to learn how to. It's easier to put it all on you.
    We are a nation of babies. NOBODY wants to be an adult anymore.
  11. by   carolmaccas66
    Quote from steelydanfan
    Somebody doesn't know what to do, cannot take care of himself, and doesn't want to learn how to. It's easier to put it all on you.
    Quote from steelydanfan
    We are a nation of babies. NOBODY wants to be an adult anymore.


    So, so true. The health system enables many people to feel more sorry for themselves and get sicker, and to keep using the health system to become more dependent, instead of rehabilitating people and making them want to go home. It's easier to lie around in hospital, where there is always someone to run around after you, whilst whining and whinging constantly, then wonder why no-one wants to take care of you, be it nurses, doctors or their own families.

    Nursing needs to change so much in this respect. We - and the doctors etc who give in to patients and their families whining and constant, petty complaints - need to stop enabling people to stay unwell. Those who's care is paid for by the state or federal gov't are the absolute very worse - there needs to be a cut off point for ridiculous requests re funding as well. One VA guy who drove me and everyone else nuts last week, is a frequent flyer to the psych unit. He constantly gets admitted for (suppossed) PTSD (no-one has seen any evidence of his condition apparently), mysterious headaches/backaches, has had every test/scan etc done under the sun to investigate all these complaints, always stays longer than he should, refuses to look for any type of work though his psychiatrist encourages this as part of his rehab (he's been assessed and CAN work), but because he's VA, he uses the system to it's full extent. When in the psych unit, he won't participate in any of the groups, socialises fine, smokes all the time, won't do any rehab programs to give up smoking/drinking, won't exercise or try any new relaxation techniques, does not follow any advice, gets discharged, gets into fights at home etc, then comes back in. He won't go to the other VA psych unit near him because 'it doesn't suit him and it's not new like the one he goes to'. He should go to the closest psych unit he is ordered to go into I think.
    The system is enabling these users and losers to rely on the nurses and doctors to be their servants, and one day, legislation will have to be passed to stop this. I really believe this is what should happen, AND these people should HAVE to do some different type of jobs, to see how they go in the work force - none of this lying around all day - shouldn't be allowed in my opinion.

    These are adults and we ARE treating them like babies, so they will behave like babies. It's a self perpetuating cycle and I can't see it ending or changing anytime soon.
  12. by   Simba&NalasMom
    Quote from Ms Kylee
    From what my instructor said, she just calls to complain. Myself and my other two classmates made sure we asked her a lot of questions, volunteered to run to the lab, set up rooms, etc. and we did ok with her. At post conference yesterday, our instructor said "X (the nurse's name) is just X. She's been here forever and you can't change her. The hospital can't change her. She will teach you everything you want to know if you ask, but you need to put her rudeness aside." I've seen her be rude to patients. She may be an excellent nurse, but she's the kind of nurse I know I DON'T want to be.
    When it comes to these individuals, I marvel at the fact that they are actually able to make time outside their busy nursing schedules to bother. When I'm working fulltime hours, the last thing I wanna do when I leave the facility is spend my time off the clock thinking about anything having to do with work! Can you say "No life?"
  13. by   GadgetRN71
    Quote from Pepper The Cat
    Please please please just take your pills and let me leave the room because I HAVE TO GO PEE!!

    This is that little lovely women who wants to take her pills one... at... a.. time. Very..... slowly......... so .........she .........won't........choke. And has about 10 pills to take!!
    Lol, I had a few elderly women patients that used to take their meds like this in nursing school and they were so freakin' sweet otherwise that I felt bad for being impatient..

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