Dingy Barney

Nurses General Nursing

Published

Attachment to inanimate object, say a toy, is cute and acceptable to a certain degree especially among hospitalized children who are in a great deal of stress. Cuddling a teddy bear is comforting and soothing, but when do parents need to consult a psychologist or a counselor for their child who just couldn't let anybody take away her precious rag doll?

I have a patient, 5 year-old Sally*, who came in with Dengue H fever. The case is on its critical stage (6 units of platelet concentrate is ordered to be transfused ASAP) with all the classic symptoms on surface, and I understand how difficult it must be for the mom to see her child go through all those agonizing blood extractions. And then I noticed Barney, sooooo dirty and dingy (yikes!:barf02: can't imagine the smell)

also tucked in the sheets with the patient. Sally has that Barney since age 1, which according to the mother, her daughter couldn't sleep without it and it goes with her practically anywhere, in the school, church, birthday parties, park, etc. The child does not allow even her mom to take the stuffed toy for laundry and the family used all means to bargain but to no avail. She would throw tantrums and one time when her father forced her to let go of the toy she got sick and didn't eat. They just gave up. I learned later on with the phlebotomist that each and every blood extractions, he has to "draw blood" from barney first so that Sally would cooperate. :eek: Yes seemingly harmless, but totally abnormal behavior.

She's a sweet little child, angelic even. But when asked about Barney, she just said defensively not to mind her and leave Barney alone.

If you are the parent, what would you do? Being the nurse, to what extent can you offer help with parenting concerns like this?

Nursing is a patient per patient challenge. :doh:

* Nmae changed to protect patient privacy.

Specializes in ER.

When you wash him he'll smell different so you'll need a cover story. Maybe Barney needs surgery and stitches, or maybe he'll get a rash and need special soap. I don't know, but washing him while she's sleeping will be found out!

Handwashing him in a basin sounds like a good project for her some afternoon, then a nice fuzzy towel and a blowdryer.

Specializes in CCU MICU Rapid Response.

If you try to wash him, it may forever alter or eliminate his *special smell*.. which may forever alter or eliminate his favor... I wouldnt even go there... Ivanna

Specializes in psychiatric nursing, med/surg adult care.

She passed away last night.

Sally*, that sweet little child with dingy Barney :crying2: developed massive UGIB. Her platelet count dropped from 51 to 22 in just a matter of 6 hours. She was trasferred to PICU, coded twice and died 9 hours after transfer.

The mother blames those staff who took over because they got rid of barney while Sally was already unresponsive after the 1st code. They placed the toy in the patient's belongings box.

She was even waiving goodbye at us on her ride down to the intensive care unit. Last time I saw her, she was smiling although irritated with the discomfort of her nasogastric tube. :o

Why do angels on earth have to go to heaven too soon? :cry:

Pardon me, I just feel compelled to post this one in memory of her.

The joys and pains of nursing.

This aspect of my job is what I hate most, dealing with myself every after a patient dies.

Surely, I will get by.

Sigh, what other profession gets one to grieve more often than by being a nurse?

:sniff:

Thank you guys for commenting. I am learning a lot from your posts.

:redbeathetatara

* Name changed to protect patient privacy.

Specializes in NICU.

I'm sorry, Tatara. It's a hard job we have chosen, sometimes. Hugs to you and her family.

Hiker

i'm so sorry, tat.:icon_hug:

her barney is now flawless and pure again.

leslie

:cry: i'm sorry, tatara. she had a hard life for the short time she was here. thank you for taking excellent care of her. thank you so very much for taking care of the sick little ones, something i would be useless at. ((tatara))
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