From the files of "You can't make this up".

Specialties NP

Published

I saw an 86-year-old female patient with hx of CHF, HTN, persitent peripheral edema with cellulitis and open, weeping wounds on her legs. Her BP is usually 150 or so.

She tells me the home health nurse came to visit her for dressing change to her legs, and took her BP. The BP was 106/42, according to the vitals in the folder.

The patient tells me she felt "fine", but the nurse jumped up, ran into the kitchen and brought back a bag of potato chips and told her to "eat these". She went to the kitchen and returned with a large glass of water "drink this".

Satisfied, the nurse left.

Specializes in Hospice.
Are you really trying to claim this 86-year-old woman made this up? That's really sad.

You're the OP-your profile says pre nursing, but your other posts indicate NP experience.

I'm confused-are you being sarcastic here, or do you honestly believe everything patients tell you?

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Specializes in Cardiology nurse practitioner.
Ok, so I just totally erased my original response to you.

You're the OP-your profile says pre nursing, but your other posts indicate NP experience.

I'm confused-are you being sarcastic here, or do you honestly believe everything patients tell you?

I am a nurse practtioner. And, I have actually known this patient for almost 10 years. I was with her during her first heart cath, and I did the venous ablation on her left leg about a year ago.

The wounds are slowly improving, thanks to diligent care, multiple specialties, and her rigid compliance to everything we have tried.

With this patient, I believe everything she says. She keeps herself as healthy as she can to care for her 90-year-old sister. They are amazing.

Get back to me when you stop treating patients like dirt, and encouraging others to do the same.

Edit: I updated my profile from pre-nursing student to what I really am. But what is APRN? You would think that a nursing website would offer the correct title.

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I am a nurse practtioner. And, I have actually known this patient for almost 10 years. I was with her during her first heart cath, and I did the venous ablation on her left leg about a year ago.

The wounds are slowly improving, thanks to diligent care, multiple specialties, and her rigid compliance to everything we have tried.

With this patient, I believe everything she says. She keeps herself as healthy as she can to care for her 90-year-old sister. They are amazing.

Get back to me when you stop treating patients like dirt, and encouraging others to do the same.

Edit: I updated my profile from pre-nursing student to what I really am. But what is APRN? You would think that a nursing website would offer the correct title.

Uptight much? Don't blow a gasket. I don't think Jen's mom or Spidey's mom said anything offensive. And just because the statement was made that some patients don't tell the truth doesn't give you justification to say she treats her patients like dirt. I did take offense to that. All people can lie...patients, nurses, and even nurse practitioners.

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Uptight much? Don't blow a gasket. I don't think Jen's mom or Spidey's mom said anything offensive. And just because the statement was made that some patients don't tell the truth doesn't give you justification to say she treats her patients like dirt. I did take offense to that. All people can lie...patients, nurses, and even nurse practitioners.

Someone is mad at me?????? . . . guess I'll have to go look at page one.

Ok - I'm back . . . .

Are you really trying to claim this 86-year-old woman made this up? That's really sad.

I wasn't responding to your original scenario. If you look at what I quoted, it was from emmy27.

And I was going along the same direction as KatieMI and Jensmom.

Nothing personal against your post at all. The internet can be tricky sometimes.

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Specializes in Family Practice, Mental Health.
I am a nurse practtioner. And, I have actually known this patient for almost 10 years. I was with her during her first heart cath, and I did the venous ablation on her left leg about a year ago.

The wounds are slowly improving, thanks to diligent care, multiple specialties, and her rigid compliance to everything we have tried.

With this patient, I believe everything she says. She keeps herself as healthy as she can to care for her 90-year-old sister. They are amazing.

Get back to me when you stop treating patients like dirt, and encouraging others to do the same.

Edit: I updated my profile from pre-nursing student to what I really am. But what is APRN? You would think that a nursing website would offer the correct title.

Advanced Practice Registered Nurse

Please refer to the AACN website.

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Specializes in Emergency, ICU.

You'd think someone with 30 years of experience in nursing would know what APRN means, but anyway...

Lady presents with c/o itching and pain "down there". Take a look and see the angriest looking raw skin I've ever seen on any body part, let alone a vulva. Turns out she's been using alcohol to cleanse the area because she thought it was the most hygienic thing around. I felt so bad, she was honestly trying to do the right thing.

Educated extensively on the self cleaning powers of the female genitalia. Cultures turned up nothing serious growing and she healed in a couple of weeks. She's now educating her friends, since they all use this method (cultural).

Sent from my iPhone -- blame all errors on spellchecker 😉

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Um, as an NP aren't you considered an APRN?

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Specializes in Adult Internal Medicine.

Lets get back onto a topic we all love; the crazy things we hear:

Patient "serious concerns" about newly prescribed med.

1. It's "addicting" and "hard to get off of".

2. It causes respiratory depression.

Patient would "prefer" to "just go back on hydrocodone" which has "none of those side effects".

When told hydrocodone also has those side effects, pt responds "not for me".

When told she wouldn't get a script for narcotics, she responds "you work for me".

Reminded me of ZDoggMD's parody of Taylor Swift, "Blank Script".

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Specializes in Care Coordination, MDS, med-surg, Peds.

When questioned about her concerns regarding addiction, she responds "my best friend is on Suboxone and she is having a hard time coming off it". Best friend is apparently a heroin addictQUOTE]

While this is a true statement, for the most part....Suboxone is also used in treatment of severe unrelenting chronic pain from diseases like Rheumatoid Disease.

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Specializes in Adult Internal Medicine.

While this is a true statement, for the most part....Suboxone is also used in treatment of severe unrelenting chronic pain from diseases like Rheumatoid Disease.

I cut the story short there, but in the case the buprenorphine/naloxone was being used for opioid dependence.

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Specializes in ER, HH, CTICU, corrections, cardiology, hospice.

Pt. comes in with sky high BGL. I inquire about his diet. He tells me of eating an angel food cake, sugar free of course! How much of it, asks I, the whole thing, says he. We had a little heart to heart talk.

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Specializes in ICU, LTACH, Internal Medicine.

It was long ago and in another country.

Very proper and rather prudish LOL came to ER with multiple bleeding and infected tear-like wounds over her external genitalia. By the law of that land, it was elderly sexual assault, so investigation squad was called and was on standby while the patient was treated and questioned.

After some walk around the bush, the lady told her story. She came a while ago in women's health clinic complaining on itching "down there". Among other good advices, she was told to smear some natural yoghurt over "there". Being not so rich and very thrifty, she decided to 1) use good old-fashioned homemade sour cream, and 2) let her beloved cat lick it off lest the good stuff might be wasted otherwise. Kitty, apparently, enjoyed the thing, and, to her greatest surprise, so did the lady till one day sour cream was not fresh enough and the cat let his claws out.

When police guys were told the story, they all named the teller the worst b***** liar in human history. Yet they had to go there and recover evidence including the kitty, who had the lady' s blood under claws and the same and sour cream spilled all over the place. Lady left the hospital with the kitty but was kind of disappointed because fun was so clearly over. At least for her, that is.

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