In your opinion, is there an area of nursing where you actually help people? I mean, I know you can help people in any area, but I feel like most nursing jobs you help maybe 30% of the patients and the rest are noncompliant, drug seeking, crazy. . .and yes, I know these people need help too but I don't feel like I can do anything in the hospital.
I'm so tired and burnt out.
I lost my temper with a patient earlier this week - an A&O pt who was being a complete jerk, verbally abusive, manipulative. And I am so mad that I allowed this patient to get under my skin (although in my defense, this patient also made the nursing supervisor, two case managers and a patient advocate very angry too lol)
I feel like I work my ass off, but nothing changes, the same patients come in over and over with the same problems (SOB, acute back pain, chest pain, CHF exacerbation, AMS) Education goes in one ear and out the other. The patients don't take their meds, don't see their doctors, then come in and demand IV pain meds, benzos, cheeseburgers and coffee NOW and what do you mean I can't go smoke a cigarette and NO I don't want SCDs on or IV fluids and STOP DRAWING MY BLOOD and I want a private room NOW. We get old, very sick demented patients from nursing homes who honestly should be DNRs but instead we stick them and poke them and tie them down and fill them with ABX and eventually put in pegs and do random tests and surgeries and they linger and languish and eventually die.
I love the days I feel like I make a difference - they are so far and few between. I wish there was more of them.
Thanks for letting me rant. And I am serious about wanting opinions about areas of nursing where I could actually make a difference.
Nov 28, '12
My surgical floor takes the liver and kidney transplants. Tons of teaching, and these patients are almost always eager to learn (and compliant w/ meds, treatments. etc).
Last edit by MInurse.st on Nov 28, '12
: Reason: Typo
I work palliative. Love it. Lots of care for the pt, education for the family and support for both. I feel like I can help the pt have the most symptom free and dignified death and help support the family though a difficult time.
I also worked LTC and felt like I really helped them, just by taking a little extra time. I personally like providing care and getting to know my pts.
Last edit by Daisy_08 on Nov 28, '12
Nov 28, '12
by BrandonLPN, LPN
Well, *all* nurses actually help people, of course. And *all* patients need a good nurse. In fact, I'd go as far as to say it's those pain-in-the butt, non-compliant, manipulative med seekers who need a good nurse the most.
Let's be honest, it's easy to "feel good" about taking care of some cute little 6 year old with an acute, curable condition. God forbid your taking care of some middle aged guy who's a hot mess of various uncurable chronic conditions and co-morbidities. Not so much a "feel good" patient. Never mind that that represents most of our pt population.
And sometimes it seems like we're preconditioned to believe that the only "real" nurse is the nurse who's
out there saving theworld and somehow curing everyone. And the only "real" patient" is the innocent ingenue who's faultlessly stricken with some calamity. And we swoop in to the rescue. They get better and they go home. Everyone's a hero. Yay team.
I don't know about you, but I don't see scenarios that play out this way
too often. Like elkpark said, I think you might have a hard time finding what you're looking for.
I'm reminded of that Edgar Allen Poe poem about the knight who
wasted his life looking for a city of gold that never existed:
And as his strength failed him at length
He met a pilgrim shadow
"Shadow", said he, "Where can it be- this land of Eldorado?"
"Over the mountains of the Moon, down the valley of the shadow."
"Ride, boldly ride," the shade replied- "If you seek for Eldorado."
Last edit by BrandonLPN on Nov 28, '12
@MEDCHICA Thank you for making that post. I'm a nursing student in my early twenties. When I was in my early teens I was diagnosed as bipolar with psychotic symptoms and required multiple hospitalizations. I didn't understand my illness and hated taking my meds. Its wasn't till I started seeing a clinical nurse specialist/Nurse Practitioner who sounds a lot like you that I was able to turn around my life. It was her affection and concern that finally helped me get my life together and inspired me to become a nurse. The point of this post is just to say THANK YOU. I know your patients don't always voice their thankfulness but you are an amazing person for the work you do
Last edit by green&uninformed on Nov 28, '12
: Reason: grammer