What patients/behaviors/illnesses/injuries do you HATE the most? - page 8

I'll start with people who say "I went to nursing school" Okay, but are you a nurse? I need my meds today. Also I can't pay for them. Moms who let their kids run wild and scream. I get that... Read More

  1. Visit  Bezoar profile page
    0
    Quote from giveface
    Honey, if the shoe fits, wear it. Lol. And, it is a statistical fact that I think 75% of borderline PD diagnoses are in fact female, possibly higher.
    According to Stanford, "The increased frequency of borderline disorders among women may also be a consequence of the greater incidence of incestuous experiences during their childhood. This is believed to occur ten times more often in women than in men, with estimates running to up to one-fourth of all women. This chronic or periodic victimization and sometimes brutalization can later result in impaired relationships and mistrust of men and excessive preoccupation with sexuality, sexual promiscuity, inhibitions, deep-seated depression and a seriously damaged self-image. "
    Borderline Personality Disorders

    So, it may be fair to say that a significant number of female borderline PD diagnoses are actually created by those crabby old men nurses seem to love caring for so much. Trained at the knee, perhaps?
  2. Visit  JZ_RN profile page
    3
    I can't stand non-distractable/orientable or controllable dementia patients. I also HATE fall risk patients who refuse to accept limitations for their own safety. I get SOOOO frustrated.

    I don't mind psych patients, but if you're going to be rude to me or try to manipulate me or refuse to follow the established limits, that's what I start hating psych patients.

    I can't stand families that act like they know what's best- if that's the case, take them home and care for them yourselves.

    Patients who whine about the cost of things like I control it but meanwhile have iphones and Louis Vuitton purses.

    I also can't stand the middle-aged woman (or man) with vague pain complaints (stomach pain or headaches usually, also often lower back pain), I've reasoned that the vague pain is just a somatic manifestation of DEPRESSION.

    SMELLY PEOPLE- SOAP AND WATER ARE CHEAP!


    Out of control kids.

    People who won't do anything for themselves

    People with no patience but who expect you to have more than enough patience for them to take forever.

    People who call and call and call and call and never stop calling

    I cant stand drug seekers. If you tell me you have pain and don't act like a whiny brat, you'll get the greatest pain control a nurse can provide. If you whine and moan and don't give me 10 seconds to do my thing, I get frustrated and am less likely to rush to help you (though I will still manage pain, I won't be watching the clock to help you or rushing to your call lights)


    Very obese people who claim it's a thyroid problem- no, I just watched you eat a big mac and wash it down with a coke. If you don't take responsibility for your health we can't help you. I know nobody is perfect but come on.
    redhead_NURSE98!, Miss Lizzie, and SHGR like this.
  3. Visit  JZ_RN profile page
    1
    Oh, anyone with bugs is just DISGUSTING.

    I can't stand angry men who think they can intimidate me either.

    I could do trachs, mucus, vomit, blood... but POOP is so ungodly disgusting to me. It's so sick and nasty!!!!
    Miss Lizzie likes this.
  4. Visit  JZ_RN profile page
    1
    Oh, also spending 45 minutes scheduling appointments, treatments, tests, etc., and the patient never even goes or whines about it afterwards. Really?

    Patients that go on and on about irrelevant issues. I honestly don't care about your sister or your car or whatever. I only want to know about your medical issue right now.

    Elderly patients with a jillion skin tears and always getting more. How hard is it to not rip off your dressings and tear open your skin?


    Families that are in denial or bring their drama into an already difficult situation.
    Miss Lizzie likes this.
  5. Visit  Candyn profile page
    1
    I love grumpy old men yet when you get to know them. They are hilarious too.I have borderline personality patient. Did not get to chart anything and ended up staying 2 hours after. Really do not mind but then what irritates me is when I think back what I did for the whole shift that I stayed very busy...nothing beside brushing hair, bathing and scratching.Another type of patient I hate is the ones who cry out loud why this happened to me, yet they are positive for every kind of drugs and alcohol you can think of. Patients need to know we test for drugs and alcohol.
    Miss Lizzie likes this.
  6. Visit  JZ_RN profile page
    1
    Speaking of "crying out loud" I HATE patients who scream when there's no one in the room and they want attention or some trivial thing, they scream "HELP ME" (I honestly want to punch people who scream HELP ME when it's not life and death or injury that's happening) and they just want something stupid or they are lonely and want attention. Makes everyone uncomfortable and on edge and I don't like to go in there because it encourages bad behavior. I want to ask them, are you 5 years old? If not then stop acting like it. And, ever hear of the boy who cried wolf?
    Miss Lizzie likes this.
  7. Visit  DeLanaHarvickWannabe profile page
    3
    Quote from wish_me_luck
    I am a psych patient myself and I read these threads and hear first hand some of the stuff nurses say about psych patients and I think to myself, I pay people to be talked about and treated bad? Victoria, I have had the same experience as you. I think some people think psych is just an easy/low risk job compared to med surg (I am not saying every psych nurse but there are some). It's just as serious because you run the risk of the patient killing themselves (it has happened before on psych units).
    I have a mental health history myself; however, I am not adept as a psych nurse. I for sure don't HATE psych patients, but therapeutic communication exhausts me. I'd rather give you a fluid bolus to fix you. All nursing has a psychiatric component but I just know I am not the nurse you want if the primary diagnosis is psychiatric in nature. Maybe it is because of my psych history, I don't know.

    Anyway, plenty of nurses adore psych nursing. My boyfriend works exclusively with the psych population and loves it. I could never do what he does...likewise he couldn't be calm in an emergency like a code blue.
  8. Visit  giveface profile page
    1
    Quote from Bezoar
    According to Stanford, "The increased frequency of borderline disorders among women may also be a consequence of the greater incidence of incestuous experiences during their childhood. This is believed to occur ten times more often in women than in men, with estimates running to up to one-fourth of all women. This chronic or periodic victimization and sometimes brutalization can later result in impaired relationships and mistrust of men and excessive preoccupation with sexuality, sexual promiscuity, inhibitions, deep-seated depression and a seriously damaged self-image. "
    Borderline Personality Disorders

    So, it may be fair to say that a significant number of female borderline PD diagnoses are actually created by those crabby old men nurses seem to love caring for so much. Trained at the knee, perhaps?
    I've worked with both female and male borderline PDs. Some of the females have been abused, but same are highly intelligent and in my opinion strongly embrace "the sick role" and don't seem to be willing to function outside hospital even though in my professional assessment they are quite capable of doing same. They spend the bulk of their inpatient time monitoring/being critical of the nursing staff and dictating the terms of their psychotropic scripts to their psychiatrists.

    From a nursing or patient management perspective a bordeline pd patient can definitely give you a shift you won't soon forget.
    Last edit by giveface on Sep 5, '12
    Miss Lizzie likes this.
  9. Visit  Ruby Vee profile page
    6
    Quote from wish_me_luck
    Victoria, I have to agree. It seems most hate psych patients here. I am not saying that they aren't difficult at times but I have heard some horrible stuff said about patients who have a psych dx and aren't doing anything to the nurse at all (not on AN but on med surg floors and in my psych class). Plus, you have to consider that they do have something mentally wrong with them hence their behavior (I am not saying every behavior is excusable but you have to admit that part of their "acting out" is the psych illness; I am speaking of a true psych pt not someone looking for quick disability). I want to know the nurses' excuse for such poor behavior.

    I am a psych patient myself and I read these threads and hear first hand some of the stuff nurses say about psych patients and I think to myself, I pay people to be talked about and treated bad? Victoria, I have had the same experience as you. I think some people think psych is just an easy/low risk job compared to med surg (I am not saying every psych nurse but there are some). It's just as serious because you run the risk of the patient killing themselves (it has happened before on psych units).

    I believe the stats for suicide in Borderline Personality Disorder is 1 in 10. That's completed suicide, the others have suicide attempts. I thought I would put that down because it seems that that is the one illness everyone keeps pointing out that they don't like in psych. It's not all attention seeking; it's a serious psych illness.
    Quote from DeLanaHarvickWannabe
    I have a mental health history myself; however, I am not adept as a psych nurse. I for sure don't HATE psych patients, but therapeutic communication exhausts me. I'd rather give you a fluid bolus to fix you. All nursing has a psychiatric component but I just know I am not the nurse you want if the primary diagnosis is psychiatric in nature. Maybe it is because of my psych history, I don't know.

    Anyway, plenty of nurses adore psych nursing. My boyfriend works exclusively with the psych population and loves it. I could never do what he does...likewise he couldn't be calm in an emergency like a code blue.
    Venting about a patient population you dislike, either on allnurses.com or in the break room of your job, is not "poor behavior". If it upsets you so much to read the vents, please don't. None of them are directed at you personally, and patients with a mental health issue are very frustrating to many of us. Most of us who are not psych nurses do not feel as though we know enough to deal with the issue therapeutically -- other than making sure the psych meds don't get held unnecessarily -- and we have neither the time nor the patience for therapeutic communication. And, as DeLanaHarvicWannabe posted, therapeutic communication is exhausting. Especially when at the same time you're doing it, or attempting to do it, you're also trying to stop bleeding, fix airway issues, replace the IV the patient has just pulled out or clean up poop.

    Some nurses, as DeLana pointed out, love psych nursing. Those nurses are usually found on psych units. So if you're hospitalized for a psychiatric issue, you're probably not paying "for someone to talk about you and treat you bad." And if you're hospitalized for a non-psychiatric issue, please bear in mind that the nurses you encounter will not BE psych nurses and attempt to modulate your behavior appropriately.
  10. Visit  VictoriaGayle profile page
    1
    I can't stand having a resident with a urostomy (sp?) that refuses to take showers.
    Quote from DeLanaHarvickWannabe
    I have a mental health history myself; however, I am not adept as a psych nurse. I for sure don't HATE psych patients, but therapeutic communication exhausts me. I'd rather give you a fluid bolus to fix you. All nursing has a psychiatric component but I just know I am not the nurse you want if the primary diagnosis is psychiatric in nature. Maybe it is because of my psych history, I don't know.

    Anyway, plenty of nurses adore psych nursing. My boyfriend works exclusively with the psych population and loves it. I could never do what he does...likewise he couldn't be calm in an emergency like a code blue.
    It's nice to get this kind of perspective. I try my best to be an "easy" patient whether it is for physical or psych care. Now I know what type of behaviors to avoid.

    I can definately see how psych work could be emotionally draining on someone who doesnt specialize in it, expecially after reading your post. The symptoms aren't visible or obvious all the time and it must be frustating for someone who likes to help others to not be able to "fix" the problem. And like I said I am well aware of how annoying we can be.
    DeLanaHarvickWannabe likes this.
  11. Visit  FLICURN profile page
    1
    [Mine would have to be, the dementia patient who is still able to walk, but not safely, who will get up every couple minutes and set off the alarm. Sit down, I will say. Other people will say, just take him for a walk, he just wants a little exercise. Sure and then after his walk, he will continue to stand up and try to walk on his own again. Soooo frustrating.
    ]

    Just had this pt yesterday, but to make it more fun she spoke NOOOOOO English.Creole only. Well except the word NO! She understood that when we all yelled it as she was trying to getup on all 4's and climb over her side rails.
    2 doses of Haldol, 1 dose of Ativan, and 3 phone calls to the doctor she won herself a nice set of restraints.
    JZ_RN likes this.
  12. Visit  Kitsha88 profile page
    4
    Pt visitors and family members who seem to think that their needs and desires are just as important as those of my other pts. As if their friend or family member being admitted automatically makes them an add-on to the pt and entitles them to extra perks. I can't believe I have to tell people "No, I cannot give your father his insulin even if he forgot his at home because he is not a patient". Or the family member who seems to think I'm not busy enough and also should play the role of their personal waitress/servant, because they cannot be bothered to leave their family member for 1 minute in order to get their own cup of coffee.

    I definitely do not mind trying to make pts and visitors comfortable when time permits, but it can be quite frustrating when I'm really being stretched and attending to important needs and people make ridiculous demands.
  13. Visit  serenidad2004 profile page
    0
    Quote from emt... rn student
    Any sort of dental trauma, not sure why but it really gets to me!
    Oh I agree!!! My daughter was hit in the face with a stick 3 days before her 10th birthday... 4 pushed in front teeth a fracture jaw and an emergency dental surgeon visit.... i can deal with just about anything.... but any trauma in the mouth makes me want to run and hide

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