Bad Parenting equals difficult patient

[brillohead, ADN, RN]

I have a SIL who believes that telling a child "no" will damage their self-esteem.

Is it any big surprise that she raised four boys who all had problems with drugs, alcohol and the law?

[CloudySue]

When I'm chatting w my A&O college student client, I often tell her about some of the more crazy/outrageous, etc. things I see discussed on this site. She was floored by the anecdotes of clients behaving poorly with no discipline from parents. Her mom drilled it into her from the time she was very little that since she would always be in a chair and dependent on others, it was absolutely necessary that she say please and thank you for everything, and give a big thank you at the end of the shift. Her mother never let her get away with anything. This girl is such a pleasure to work for, and she's loved by everyone at the agency. Some people just know the secret: be kind and appreciative, and your nurses will do anything for you. Be jerks, and they'll run.

[Adele_Michal7, ASN, RN]

When I'm chatting w my A&O college student client' date=' I often tell her about some of the more crazy/outrageous, etc. things I see discussed on this site. She was floored by the anecdotes of clients behaving poorly with no discipline from parents. Her mom drilled it into her from the time she was very little that since she would always be in a chair and dependent on others, it was absolutely necessary that she say please and thank you for everything, and give a big thank you at the end of the shift. Her mother never let her get away with anything. This girl is such a pleasure to work for, and she's loved by everyone at the agency. Some people just know the secret: be kind and appreciative, and your nurses will do anything for you. Be jerks, and they'll run.[/quote']

That sounds so nice. Good on the mom, and the patient sounds lovely:)

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[SDALPN]

Some people just know the secret: be kind and appreciative, and your nurses will do anything for you. Be jerks, and they'll run.

That's the key right there....

[OrganizedChaos, LVN]

I worked one case, I should've ran when the off going night nurse told me the patient was a handful, I but I didn't. The patient was 6 years old, A&Ox3, incredibly active, had a gtube & trach (vent used while asleep). From the first shift on I could tell the patient would be more than a "handful" - more like a pima. The straw that broke the camels' back was when the patient gave me a black eye & locked me out of the house all in one day. But I could tell why he acted out, he had no boundaries & was never told no. The parent was a young, single mom with other rambunctious kids. I remember when she would come home from work & then go back out leaving the patient & I at home. I think the patient called the mother by her first name, not mom. It was a wreck of a case, everyone let this patient do whatever the patient wanted. I was told to be firm with the patient, but then I realized 'firm' meant parenting. Uh, no. I'm not his mother. So I left the case.