How to deal with death of toddler death on picu.. - page 4
by nd deb 14,795 Views | 37 Comments
I am just wondering how the nurses that work on picu deal with a death or impending death of a toddler. 2 wks ago my 2 1/2 yr old son had gotten an ear infection and then 2 days later he had gotten admitted to the hospital and... Read More
- 0Oct 21, '07 by RainDreamerI'm so sorry to hear about this, you and your family will be in my thoughts and prayers.
Just wanted to say I think it's an incredibly unselish and loving thing you did by not allowing him to suffer, I can't even imagine how hard that is, but you're strong for doing it and it shows you loved him very much. God bless you.
- 1Oct 21, '07 by justme1972Quote from nd debThat was a very, very difficult and courageous choice that you made. I cannot imagine the strength that it took.It was an awful experience. I wouldn't wish it on anyone. He died of clots and hemorraging, swelling in the brain. The neurologist told us that there was nothing they could do to help that. They also found that he wasn't getting any blood circulation above his eyes so he was pretty much brain dead. We had him pulled off the vent and I held him in my arms. The 2 drs he had told us that he will get worse before he got better. He never pulled out of it, just kept going downhill. He was spared the pain and agony of treatment. From what I have read on this cancer it is very hard to treat and the prognosis isn't that great. Just hard to believe that he happen to be the lucky rare one to get it. It is one of those things that you would have never thought would happen to you.
- 0May 20, '08 by ELLE_BORNi'm sorry sorry for your loss then has been my fear of going into nursing is the death of a child, one of my own little ones or the loss of a patient. my heart goes out to you and your angel baby:wshgrt:. i think you have to decide for yourself if you want to go into the picu or not i admire everyone who does this work they are angels themselves i know i wouldn't have tthe strenght personaly i'm in tears just reading this post. good luck an god bless!!
- 3May 20, '08 by gal220RNLet me tell you the story of Daisy. Daisy was admitted 2 days before Christmas, with a history of fever, lethargy and some impressive bruising and petechiae. On CBC, she had WBC >100K with majority blasts- ALL. She was admitted to our unit, alert but puny. She was spunky enough to draw pictures for the staff and to dress in her 'fancy' PJ's. Daisy's appearance did not reflect the rapid and deadly changes taking place in her fragile body. At noon, her tumor lysis labs were normal. We were superhydrating her, giving Rasburicase, and preparing for pheresis ASAP. Within four hours, a dramatic change took place. Daisy became agitated and unconsolable, crying with belly and leg pain. Labs revealed the truth- her uric acid was off the chart, her renal function was deteriorating rapidly and the potassium and phosphorous were critical. We emergently intubated her and started CVVH within 1 hour- a feat, I can tell you. We were all hopeful we could stop the cascase of tumor lysis, but the arrythmias we prayed not to see began to skip across our monitor. Sinus tach, PVC's, V tach- We did everything to bring her K down, but we could not. As VFib and its subsequent shocks and meds were delivered, I knew. She was not going to survive.
We had a child who was drawing 12 hours ago and now- she was dead. I cried more with this family than I have ever cried with anyone else. Unabated tears and profuse professions of sorrow went on for hours. I knew we did all the right things clincally, and our patient died.
This happend over two years ago, and I can now recall the details without feeling the intense pain of the past. Daisy has become part of my history. Her story inspires me to continue to do the right thing, every single time.
I encourage you to continue to talk about your feelings with friends. Journal about your feelings. Take special care of yourself when these bad things happen. Allow yourself to spend a day in bed watching movies and eating popcorn. Don't be surprised if you find yourself very tired or moody without knowing why, even several days after a sad event happens. Reflect on your month and note stressful events. The results don't often show themselves immediately. If all else fails, find a great professional counselor to dump on.
Press on, dear friend. You can survive, if you determine to care for yourself well while caring for others. And for pete's sake- watch an episode of SNL and laugh your *** off- my therapy of preference every time.
- 0Jun 3, '08 by mabell52I am sorry for your loss.
I will never forget a comment that was made to me 2 days after I was accepted into a nursing program. You see I watch my son get hit by a car. I was frozen and didn't know what to do. When he finally cried, I became unfroze and later told my MD about my experience. He told me that I would be a fine nurse. What happened to me was I was a MOM first. Though I did not experience a loss at that time, I was able to remember those words when I experience something "close to home".
As PICU nurses, we learn to grieve in our own way. Continue on in your schooling unless it becomes overwhelmingly difficult for you. Many nurses have had an experience as you have and have used that experience to grow and become great nurses. Some have not. You just need to be able to identify when it is not.
See a grief counselor, a minister, or join a support group. Suggestions I am sure you have already heard.
- 0Jun 22, '08 by Jo DirtThis makes me so sad for you and your little boy. I am a mother as well and I think you are incredibly strong and brave in being able to even talk about it.
I do not believe I have the mental and emotional strength to work with dying children. Old people dying, I can deal with that. I can come home from my shift after an old person has died and function. I do not believe this would be the case if it was a child.
- 2Jun 26, '08 by gal220RNMotor Mama:
You know, I think it really depends on the situation. Trauma is much harder to deal with because of the suddeness and violence involved. Often there is not an opportunity for closure for families. Abuse is also terrible. There is nothing worse than seeing a child die alone, because their parent is in jail. I have seen my friends pick up a dying child and place them in their lap at the time life support is withdrawn or a code is called, just so they will not die in a strange bed, but in the arms of a loving person.
Prolonged illness and suffering is different. Sometimes, death is such a blessing. There is time to say good bye.
We each do what we have to in course of a day.