activities of daily living problem

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No flaming replies to this serious issue please!

I want to start a second career in medicine. Shortly I will be starting an ADN program, but I'm struggling mentally with a few things about nursing. I took a nursing assistant class as a warm up and I've just dropped it. The classwork was interesting but I just can't tolerate the clinical work were doing at the nursing home. Wiping asses, feeding demented patients who can't carry on a conversation with you, don't open their mouths for oral care, patients who have to be moved with total mechanical lifts who do nothing but lay there all day...it's horrible, just miserably depressing and unbearable awful.

My question is: Can I work as a nurse and avoid spending a lot of time on activities of daily living? Call me arrogant, but I really feel that my time (even untrained!) is too valuable to spend feeding a patient. Anyone can feed a patient, they don't need two to four years of schooling and clinical training to do it. I want to start IV's, clean wounds, give meds, educate patients, stuff that requires training. What are the best departments to work in if you don't like ADLs? ER?

Again like the others I do not see you as nurse material.. If you ask me, the best nurses are the ones that get involved with the ADLs. How are you supposed to care for a patient If you do no know what their pressure areas were like that morning or if the patient had diarrhoea or even a rash on their skin.

Barabra Windsor (Carry on films) sure has a lot to answer for, nursing is not glamorous but hey we all knew that before we chose this vocation right?

I would seriously re-think your career choice.

There are all kinds of nursing jobs. You may just find the right one for you.

Nursing is ultamately about careing for human beings. I understanding being more interested in the technical stuff. However, it is a human being that is at the center of it all. I know we are all different and I know that not every nurse loooves doing ADLs and tochy stuff.

It is some poor smuch who has been robbed of his dignity that is affording you the opportunity to poke and prod with technical expertise. That poor smuck is scared, they are embarrassed, they need compassion. Compassion includs a willingness to role up our sleeves and get dirty. It is without compassion that we pass along the dirty work to someone else. We ineffect say their human needs are not important enough for us to care about, when ever we pass on meeting these needs ourselves.

Sometimes a patient needs basic things much more than any high tec stuff.

I hope you rethink. Nursing is not for everyone.

Specializes in Everything but psych!.

In nursing school physical care is the first step. The reason for it is so that the student gets accustomed to working with people. If the student is unable to get over the discomfort of "touching" people's bodies, then nursing is definitely not the right choice. That is what happened to my hubby. It went through all the medical prerequisite classes and did very well. Once he got into clinicals. he realized that "he just wasn't comfortable touching other people that way." [As in providing physical care.] I'm sorry, but you jump through the hoops, you get what you want. And sometimes the hoops are there for a reason. It sounds like you have the interest and intelligence to be in the medical field, but just need to choose one that is not at the bedside. How about a physician's assistant? As long as you feel comfortable doing the physical assessment part on other people. [The PA way is the way my hubby should be going.] He instead became a minister and is getting his certification to become a chaplain. Go figure! :p

Specializes in HIV/AIDS, Dementia, Psych.
There are going to be times when there isn't going to be anyone but you to wipe that ass that needs wiping.

You GO Tweety!! ^5!!

I pity you...I LOVE it when I have the time to feed or bathe one of my patients. It's how we bond with them and become close. Doing these things are also a VERY important part of nursing and help you greatly when you are trying to assess different things concerning a patient. Last Sunday I was on and had the BEST time feeding one patient while having a conversation with him and the three other men at the table. Do your future patients a favor and go sit in an office behind a computer somewhere...the medical field doesn't need you.

Okay, Alicia, I just gotta ask you...who in the world is that cutie in that picture?!!:p

Specializes in Critical Care, ER.

Hi!

OK have any of the RNs who are strongly discouraging this vulnerable woman from nursing actually worked as GNAs? It is hard darned work. I made it for exactly 6 hours as a GNA once upon a time. On the other hand, I have been a paramedic and am absolutely thrilled with my nursing clinicals where of course you have some of that but not the crushing load as with nursing homes. My husband and several of our friends who have been RNs for many, many years have also reported similar stories. There simply is no comparison.

Please give yourself a chance by shadowing an RN for a day before leaving nursing! Never let anyone else judge what is best for you and please don't base your decision on GNA work in a nursing home.

And before everyone jumps on the "well you're just in nursing school bandwagon", my husband has been working ER for 10 yrs and our friends have over 100 yrs of experienced combined between them. Not a single one kept a GNA job for more than a week. It takes a true saint to keep that job.

Lexi

Specializes in HIV/AIDS, Dementia, Psych.

peggysue~That's Dave Matthews from Dave Matthews Band!! My FAVORITE :D

Specializes in Psych, Med/Surg, Home Health, Oncology.

PLEASE!!

Forget the thought of being a Nurse--NOW!!

Tho activities of daily living may seem like nothing to you & you don't want to WASTE your time with them--they are the very basis

of everything we do as far as I am concerned!

You ABSOLUTELY have made me so ANGRY with these comments!!

If you can't do the basics, I don't want you doing anything!!

I have met too many of your type in this field-- both as colleagues and when I was a patient!!I remember the Nurse who on Post-Op day 1, s/p total hip replacement would not give me a bedpan, because she just couldn't stoop so low!! So just make the patient wait an hour!!

well, that is not nursing---Nursing is caring for the total patient--

from the tiny needs to the most sophisticated!!

If you can't do that, then maybe you should get out now!!

This may seem harsh--but better now!

Ho Ho Ho

Excuse me while I have a belly laugh after reading these responses.....

Many Questions: There isn't a nurse alive who hasn't asked these same exact questions.

These smug and superior replies......ho ho ho

it is called "nurses eating their young".....

a very common syndrome.

Experienced nurses embrace the "I know it all " attitude.....

Feel they can advise who should and should not enter the

profession

Specializes in Critical Care, ER.

Note to Mary...

Have YOU ever worked AS A GNA in a NURSING HOME?

If yes, I guess you are entitled to your opinion.

If no, your advice is not sound and your anger not legitimate. ADLs in a nursing are sooo overwhleming you have no idea.

Again, Manyquestions, yes there are some ADLs in nursing but they comprise a far smaller percentage of your duties. You will have help to move pts in hospitals (haven't seen a mechanical lift yet) and in some areas (such as peds where family centered care is starting to take hold) you may have family members help. The worst I have EVER heard of in a non- MED/SURG setting (you do get them there which is why I wouldn't touch med/surg with a 10 foot pole) is *at most* 1-2 total care pts in ICU (again, worst case scenario.

Please please don't listen to these cranky people! Please give nursing a chance one on one before you make up your mind!

Specializes in Critical Care, ER.
Originally posted by passing thru

Ho Ho Ho

Excuse me while I have a belly laugh after reading these responses.....

Many Questions: There isn't a nurse alive who hasn't asked these same exact questions.

These smug and superior replies......ho ho ho

it is called "nurses eating their young".....

a very common syndrome.

Experienced nurses embrace the "I know it all " attitude.....

Feel they can advise who should and should not enter the

profession

THANK YOU passing thru!

Many Questions: Carry on with your studies. Hopefully you will

meet some supportive teachers and co-students.

There isn't a nurse anywhere who hasn't ask herself your same exact questions and expressed the same repulsion at

cleaning up soiled patients.

Everyone wonders at the futility of it for those patients who "are not at home."

In the hospital, aides do the vast majority of daily hygiene.

Hospitals do recognize that R.N.'s are trained, educated, AND PAID to do more complex tasks,..........those very jobs you mentioned.

Don't give up on it. I have not cleaned a soiled patient in at least 2-3 years, do not do oral care, etc. We have adequate staff--nurse aides, patient care techs, etc., who do all that....

I do the kinds of things you said you want to do.

Don't pass on a good career because of superior/judgemental

opinions written here.

If they were honest, they would tell you that they too, said

eeeeeeeeeeeeWWWWWWWWWWWWWWWWw!!!!

and thought

"I can't handle this!!!!!" more than once !!!!

Don't let negativity affect your life decisions !

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