Re: How to deal with death of toddler death on picu..
How awful for you! You had no time to even come to grips with the diagnosis and then he was gone. I feel for you and your family.
Every person will cope with this part of the job differently. As a previous poster said, when it stops affecting you to see a child die, then perhaps you're in the wrong job. That being said, it is still possible to care and grieve but maintain your own mental health. A lot of factors come into play for me in this kind of situation. I think about the child's illness and prognosis; if death was inevitable, it's a bit easier to deal with a quick end to suffering. The families I have the greatest empathy for are the ones who have watched us repeatedly pull the child back from the brink over weeks or months, only to lose in the end. I think about what the child's life would be like if we kept them breathing for weeks, but in order to do that we had to keep them comatose and paralyzed. Is that living? For the child or the family? I think about what survival will mean to the family. Will all their lives be forever changed? How will they cope with those changes? Will the family end up broken? At the risk of sounding callous, there really are worse outcomes than death.
Recently our unit was hit with two events that hit us all really hard. First, the 7 year old stepson of one of my favourite coworkers stroked on the ward and then died in our unit. I cared for this boy and his family for only one night before he passed away, but I hope I was able to provide comfort. Then, the day of this child's funeral, one of our nurses was found dead in his bed. A more freindly and easy-going peson you could not find anywhere. His death will affect us all for some time to come.
How do we as a unit deal with all these stressors? Our chaplain has set up a weekly opportunity for us to come together and share our feelings. She calls it "Reflections with Ruth" and there are times when it's very well attended. It's very soothing to have our emotions supported and validated. She will also speak to people individually if that's needed. She and I have talked many times, usually at night when there is a death watch on, about channelling our emotions and maintaining our humanity.
nd deb, you're in my thoughts and my shoulder is always there.
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