What would you say to this shocking patient statement? - page 6

by aboucherrn

14,485 Views | 93 Comments

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,... Read More


  1. 0
    Patients did not always act like thisand for the most part, their behavior is to be blamed on theentire medical community.
  2. 3
    Hard to reply but I'll try, judgement comes in all shapes and colors as does patients(obviously) Personally I think you may have engaged her way too much by even asking why she left another facility. We're all nurses here so the main reason was probably no matter what color the doctors skin was or his accent he/ she probably told her her condition/behavior was unacceptable, wouldn't fill her narc RX. I have had many professional patients thruout my career,I've also witnessed MD's who lay it on the line for patients, just know as nurses we may not be afforded the same luxury of speaking our mind as an MD is. I'm for the look myself trust me my eyes speak volumes about what my head says. Patients like this one are experts at manipulation and are a giant thorn in a nuses side. The underlying disease is mental more than physical. A good doc would not only speak his/her mind but make a mental health referal. If you are confident in your assessment involve the MD in a care confrence and make the suggestion. If not chalk it up to it takes all kinds and come to the forums where we all have our nightmare clients nobody will hold it against you for saying what we all think of these types of patients. she'll continue to make her rounds until someone confronts her and even then who knows......
    TJ'sMOM, jadelpn, and kgill1204 like this.
  3. 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?
  4. 1
    I think your answer was perfect.
    TJ'sMOM likes this.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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!!


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