How much Verbal Abuse should a nurse take from a PATIENT? - page 4

I have just started a new home health care case. My client is a well to do person and treats the other nurses and myself like DIRT... Constant verbal abuse is a norm from this client. We have... Read More

  1. by   caroladybelle
    AmyERNurse,

    Slight correction - yes, "Cracker" is now a derogatory term for white people - However, the origin is not necessarily about overseers.

    In north and central Florida, where farming, cattle ranching, and raising of horses were once staples of the local economies, the cowboys/ranchers would "crack" their whips over the head of cattle/horses (for history of this term, see articles about Polk County, Florida history) - as most of the "crackers" were working class whites - a "cracker" is a working class person.

    As the granddaughter and great granddaughter of crackers, I salute you - just don't call me a Yank. (just kidding)
  2. by   l.rae
    i got called a f***ing fat lesbian bi+ch last night by a drunk who was handcuffed to his cart.....all because he wanted a drink of water. my co-worker said "why do you look upset" i said " hey, i'm not fat am i?" lol do you think he got a drink of water??????? he did manage to flip the cart over onto it's side while still handcuffed to it...finally got an order for vitamin a and vitamin h im....i walked in with the syringe, he says "whats that?" i say "your drink of water" lr
    Last edit by l.rae on May 31, '02
  3. by   micro
    please forgive me all......
    but just to post my opinion........
    when we choose to nurse and care and be so close to people this closely.......
    we place ourselves so closely to them.....that we are going to exposed to verbosity and verbal emotions and verbal onslaughts............more than less.......
    if this is TOO MUCH OF A PROBLEM FOR YOU......maybe think about time to take time off or change what you do......

    cause
    "When you care so deeply and so closely to another human being.....in the midst of their suffering and fear......you are their nearest target..............and I say.......get over it.......or get out....."

    that is why you can not be a NURSE 24/7 or "even care" all the time.........

    because when you are the nurse you must take it all'''

    maybe just an idealist..........

    anyway micro and out
  4. by   jme
    scrupulously document everything said or done by this patient. notify your superior--in writing--that you refuse to continue care for this patient. and last, if a patient ever laid a hand on me, i would report him to the police and file battery charges. if he threatened me, i'd file threat charges. you DO NOT have to tolerate this sort of garbage.
  5. by   patadney
    Dear Blissisbeth,Do not take abuse. Do call police if attacked, as for verbal abuse,take away a privilege. On the Psych unit,we can take away smoke breaks,etc. Look at what he enjoys and tell him he will not get candy or cigarette or whatever if he is abusive. Be calm and firm. Present yourself as helping him to learn to control himself,etc. Always smile and be courteous. He may be afraid of dying-they often are and they are right! They will die.
  6. by   Aussienurse2
    We had a resident who became VERY physically violent( he decked me and I'm six feet two inches and well, I'm not a size ten!! ) It turned out that the quack who admitted him had written down the wrong dose on two meds. Once the problem of his meds was resolved he was gentle as a lamb. Other than that I'd just refuse to go to him without an escort.
  7. by   fab4fan
    No way do I accept that abuse of any kind is part of my job as a nurse.

    When I worked in hospice, I had a pt that grabbed my breast, and when I jumped up to get away, he grabbed my crotch. When I told my supervisor, she LAUGHED!! I told her I did not see how it was funny in any way.

    As someone else noted, these people sign agreements when they request homecare services; if they can't abide by something as simple as treating the nurse with respect, then they forfeit the right to receive that care.

    This is just another reason why nurses continue to leave. We need to start caring for each other the way we care about our pts.
    :spin:
  8. by   Estella
    I'm in total agreement with all who have said "You don't have to take it!!!"

    An "Assignment Against Objection" form may do wonders if you are ever assigned a patient with a history of abusing nurses, among other things. If your agency/unit doesn't have them, just look them up on the internet.

    I do have a question about the patient. Is he/she under any social services/disability/etc. benefits where if recovery occurs, employment must follow? Many of our "Frequent flyers" in our hospital are known to have relapses of their disease just when their benefits are being "threatened" by health. some openly admit, "Well, I was being told I better find a job, and it seemed much easier to stop using my inhalers and start smoking again...."

    Just a thought...
  9. by   Youda
    Yes, I'd document factually. Then, I'd call the doctor and see about maybe getting a routine dose of about 500mg Thorazine IM qd. Well, OK, maybe the doctor wouldn't order that. Just a thought.
  10. by   shygirl
    I work in LTC and I am abused verbally and sometimes physically almost every day! I document...So and so hit, slapped, called ----, writer during med pass or cares. If all shifts document this kind of abuse, MD is alerted and meds are adjusted.
    Shygirl
  11. by   researchrabbit
    Psych nurse here...

    If the problem is language only, your patient may be having verbal tics like Tourette's. (pulling other people's hair isn't a Tourette's symptom though!!!)
  12. by   CMERN
    Originally posted by micro
    please forgive me all......
    but just to post my opinion........
    when we choose to nurse and care and be so close to people this closely.......
    we place ourselves so closely to them.....that we are going to exposed to verbosity and verbal emotions and verbal onslaughts............more than less.......
    if this is TOO MUCH OF A PROBLEM FOR YOU......maybe think about time to take time off or change what you do......

    cause
    "When you care so deeply and so closely to another human being.....in the midst of their suffering and fear......you are their nearest target..............and I say.......get over it.......or get out....."

    that is why you can not be a NURSE 24/7 or "even care" all the time.........

    because when you are the nurse you must take it all'''

    maybe just an idealist..........

    anyway micro and out

    I agree that we are closest to the pt in the most intense of times... I agree and can LUMP IT ... I accredit their behavior to the pts reaction to stress.... but... Due to the fact that in order for me the NURSE to be able to continue caring for these poor unfortunate people in their time of need..I DRAW THE LINE at physical abuse..I WILL document...I will NOT tolerate it...I will keep myself safe. Vitamin A and Vitamin H work wonders in relieving stress for patients and Mental health consults some times clear things up when no medical prob. exist... I will state to the parient exactly what I will not tolerate, and with a caring attitude. I will NOT take it ALL.. Just as I wear gloves for I know I am at risk for bodily fluid exposures... I will obtain restraint or seclusion orders for the patient who endangers himself or OTHERS. still love my pts...ALL of them :kiss
  13. by   OBNURSEHEATHER
    originally posted by l.rae
    i got called a f***ing fat lesbian bi+ch last night by a drunk who was handcuffed to his cart.....all because he wanted a drink of water. my co-worker said "why do you look upset" i said " hey, i'm not fat am i?" lol
    :chuckle hilarious!

    but seriously, i became a nurse to be there for people when they needed help, not to be their punching bags. treating someone that is there to help you in such a manner is unacceptable in my opinion.

    heather

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How much Verbal Abuse should a nurse take from a PATIENT?