Compassion Fatigue - page 2

article from advance for nurses. how long before cf becomes a legit medical diagnosis? :idea:... Read More

  1. by   elthia
    I had a horrible pt....who could have beat his cancer if he was just compliant, he assaulted me and several other staff,disconnected himself from chemo, threw urinals and food trays.

    When he died, he died screaming "the black was coming out of the shadows to come and get him." We had to hold him down and give him IM ativan and haldol, because he had no IV access because he kept no showing for his appointments to get his IVAD placed, and he was an impossible stick. The MD didn't want him to have a PICC r/t his injection drug use, and he and his death was a quite sudden thing...he just quit showing up for outpatient chemo and labs. Showed up with pnuemonia and tumor lysis syndrome and acute renal failure that was too advanced too do anything about.

    After he died, the call light in his room malfunctioned for days...until a CNA who was a lay preacher blessed that room.
  2. by   anotherone
    anyone else feel that there is a big stigma attached to this? or am i the only one? i think it was discussed in school in about 5 minutes and i have seen compassion fatigue mentioned here. sometimes i feel like i am in a battlefield at work.......................... no offense to those who have been in a real battlefield.
  3. by   Rodoon
    Boy, this post rang some bells for me. I agree it's been swept under the rug because nurses are afraid to tarnish their halos by admitting we don't like some of our patients. You stomped that cliche!

    Viva, you sound like you've gone that extra..hundred miles to answer your call of duty. Nurses are human and your feelings are normal. Hopefully, you get a breather or even better...a miracle.
  4. by   elthia
    I have often reached the point where I don't know if I can go on, I see pt's abusing their LVAD's and their transplanted organs whilst others languish and die while waiting for the chance to just have an LVAD or make it to transplant but are to sick to survive the operation.

    Then one of the survivors who hasn't abused or neglected his chance comes in for a "tune up" and hugs me, and says "you were my nurse, and I just wanted to say hi" and for in small way it recharges me. Just that one small act refills my entire soul.

    Just the other night a pt was confused, and I was in her room every 30 minutes, frequent bed changes, up to the bathroom, frequent pain meds, interventions, adjusting pillows, thermostat, blankets, IV anti-arryhthmics, NG tube flushes, you name it. Then right before my shift was over she "fired" me. She said I was a cold hearted soul-less beast, and then went and complained to the charge nurse and the entire surgical team about me, and said I acted like I didn't want to take care of her. Because I wouldn't let her have water.

    However the room next to her, who often had to wait on my "services" because I was always next door, told me "why is it that the best nurses are always on night shift when I am asleep? Are you back tonight, you are my favorite nurse."
  5. by   Dezy
    Quote from country mom
    The Nurses' Serenity Prayer (adapted from the AA Serenity Prayer)
    God grant me the serenity to accept the patients that I cannot heal.
    Courage to heal the ones I can,
    and the wisdom to know the difference.

    I think the serenity prayer is great to go by when you feel like this. I'm glad I read this post because I was feeling in a foul mood until I saw this and thought about it.

    God, grant me the serenity to accept the things I cannot change,
    Courage to change the things I can,
    And wisdom to know the difference.

    Reminds me to not feel so horrible about certain stuff. I almost instantly feel better when I hear and remember to deal with a situation differently. :heartbeat
  6. by   aznurse1
    I think any support we can receive as nurses is important. Whether it comes from the hospitals or not, it is recognizing an important element of what happens to nurses. As nurses, we are traumatized by the awful things that we see everyday. Seeing death and dying over and over again... Seeing relatives not coping or grieving in their own unique, often dysfunctional, ways. I think we need the support and grief work. I believe it should be readily available to us with no stigma attached.