Some years ago working as an RN at a very large and rather old fashionned psychiatric hospital, on a long stay psychogeriatric ward, I was sent to search for a patient overdue from one of her many walks. She was prone to be late on accasions but because she was "quite old and a frail" and the weather was getting cooler in the evenings now, someone would pop out and just help her along. I eventually found her walking back from the direction of the hospital church carrying (as was usual) her two plastic shopping bags with her few possessions in. She greeted me with a smile and as we both walked back to the ward together she told me she had just paid for her cigarettes and tobacco.
I had not been on this ward for very long but had been at the hospital for about five years working in locked wards and security at the other end of the vast complex. This lady was known by everybody on the grounds and the staff as the "bag lady". She was a 'bipolar' fairly well stabilised and in her early eighties.
I asked her how much did you pay for your cigarettes and she replied without any hesitation, "just one **** thats all!" I did not dare to ask her what she paid for the tobacco.
When we got to the ward the female deputy charge nurse welcomed her and took her for a shower and to get ready for the evening meal. Up to this point I had not mentioned the content of the conversation with our "bag lady".
Later that evening I asked the deputy what did "bag lady" mean when I asked what had she paid for her cigarettes, only to be answered that she always paid for her cigarettes and tobacco at the church, or in summer outside the back of the church, by doing certain favours for some of the other patients in the hospital - the older men!
(Going all the way was a whole packet of smokes and doing other things was by negotiation!)
I was informed that as she said, "She was doing it usually in church so it was all OK!"
I only became in total shock on the subject following a request on the following sunday from one of the staff - "if you are going up to the church to escort the patients to the service please would you check with the vicar if any of "bag lady's" knickers were there as she was getting very low on underwear again!
I am not so dumb now! That was very many years ago and I often wonder what became of the "bag lady" and her suppliers!
Crazy? But the truth.
Mister Chris
Nursing News