What would you say to this shocking patient statement? - page 5

Obese female in her forties admitted from the ED for asthma, allergy list a mile long, takes medication for anxiety, depression, fibromyalgia, migraines, chronic back pain, etc. Has packed her comfy... Read More

  1. Visit  SCruzRN profile page
    0
    Hi Blue Devil,

    I believe that as nurses we are educators. This patient's attitude provides and excellent teaching opportunity. While you personally would not initially say anything verbally, your look of displeasure is a strong non-verbal communication. From the description of this patient I gather she would not remain quiet after receiving your non-verbal communication. No doubt she would have engaged you in a discussion. I am curious how you would have responded. Perhaps she would have said something like, "What is that look for?" What is your response?
  2. Visit  nursienice17 profile page
    1
    I think your answer was perfect.
    TJ'sMOM likes this.
  3. Visit  TheCommuter profile page
    3
    In my honest opinion, if a patient is obsessing about the racial-ethnic background or skin color of the healthcare providers, then (s)he is well enough to go home.
    TJ'sMOM, cienurse, and VivaLasViejas like this.
  4. Visit  BKB1955 profile page
    1
    Frist of all you are there to tend to people, i suppose you have heard worse.
    I am obese and not by choice and i have had to put up with nurses like you you.. My thyroid died many years ago not my choice but it happens. I dont abuse the medical system in anyway shape or form.the woman you were tending to is a bigot..... You can't change her mind but dont stick me in her group ...
    tewdles likes this.
  5. Visit  guess1207 profile page
    2
    Ok here it goes... The fact that the pt. is presenting with Asthma (although she had time to pack luxuries) is just her way of getting a "bed"... leaving AMA from another hospital was just her way of getting more attention... I believe she prob. didn't have a gripe with her 2 MD's, she was just stalling for a way to get tx. longer... I've seen this scenerio alot before... c/o breathing difficulties... get admitted... get some steriods... gain more weight... blame it on the meds... but in the mean time, no effort shown to reduce weight and improve health... Treatment is treatment. doesn't matter who prescribes it... or what ehtnicity... where not talking bypass surgery here... Oh n the dx. of fibromyalgia... Prednisone is used for what?... HMMMM? She knows what she's doing... She'll be back!
    TJ'sMOM and kgill1204 like this.
  6. Visit  kgill1204 profile page
    1
    And to make matter worse many of these professional patients don't have insurance and abuse the system and we wonder why health care cost keeps rising....
    TJ'sMOM likes this.
  7. Visit  SweetPEI profile page
    1
    Quote from That Guy
    I wonder what her insurance has to say about leaving AMA due to race of the doctor....
    Usually with AMA, you pay out of pocket. Insurance doesn't have to cover your stay if you leave against doctor's advice. In my facility, we have tons of people who end up with huge bills because of that
    simonemesina likes this.
  8. Visit  Glenna, LPN profile page
    0
    I'm not sure how all I would react if this were to happen to me. I too, also felt that you handled it rather well. In the other hand, I am half filipino so my skin tone is darker, and I was born here in Oregon. I'm thinking this pt. wouldn't like me taking care of them at all. Which reminds me of this one time I went to take care of a pt. and they wouldn't allow me to touch them while giving care...not until I answered the question.... "Are you mexican?" no...I'm not...oh...okay...and then I was allowed to give my care. Wow. WOW!!
  9. Visit  sunnyskies9 profile page
    1
    I would have just given her the facts. "Well sorry to tell you... 90% of the hospitalists here are foreign born as well as all but one of the pulmonologists affiliated with this hospital. I will be here to assist you if you are thinking about leaving AMA but no matter which doctor you have we are all here to give you the best possible care and get you home healthy again.
    Kathiegolden likes this.
  10. Visit  red2003xlt profile page
    0
    Tell her she gets a foreign doctor cause she's got cheap insurance.
  11. Visit  peggy2624 profile page
    0
    I had a patient one time who refused her brown anestheiologist who was a legally naturalized citizen (as I am)....i asked her if her feelings were toward all immigrants or just those with brown skin and accents because I came here to America just as he did....I just blend in better. Then I asked to change assignments too....
  12. Visit  tewdles profile page
    2
    Quote from aboucherrn
    Obese female in her forties admitted from the ED for asthma, allergy list a mile long, takes medication for anxiety, depression, fibromyalgia, migraines, chronic back pain, etc. Has packed her comfy jammies, memory foam pillow, iPad, laptop, and cell phone, and before she has even entered the room she needs the facility WiFi password and a pass to the cafeteria because she hasn't eaten all day.

    This is just me venting and trying not to sound too judgmental. This actually happens all the time and I am used to "professional patients". I just wanted to paint a metal image for what this patient said while I was admitting her.

    I learned she had recently been admitted to a nearby facility for the same diagnosis but left AMA. I asked why she had left AMA and she said she didn't like her doctor. I said sometimes that is the case and she could have requested a new doctor. She said she did that, and didn't like the new doctor either. I asked why and she said "They had brown skin and heavy Indian accents. I am an American, and if I go to a hospital in America, I demand to have an American doctor".

    I had no idea how to respond, so I just said "It is your right to be comfortable with your doctor", then finished the admission assessment. I have been a floor nurse long enough that very little shocks me, but WOW.

    How would you have responded to that statement? What other shocking things have patients said that you didn't know how to respond?
    I, personally, don't believe this requires any response...so you did fine.

    Bigotry rarely justifies a response, in my view.

    What I would caution is your view of these "professional patients". It sounds as if you are beginning to classify patients based upon some factors other than their individual care needs. Remember that we are charged with providing "unconditional" regard for our patients as nursing professionals. Your comments about this patient suggests that your regard may not be unconditional...may in fact be affected by the patient weight, health status (multiple chronic diseases and pain issues), and personal choices (hospital admission prep).

    Good luck.
    sckimrn and Esme12 like this.
  13. Visit  Sparrowhawk profile page
    2
    All of America (Except hte Native Indingenious Americans) Are immigrants.

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