"Nursing homes" giving nurses a bad rap

Nurses General Nursing

Published

Hi,

Im a nursing student and I'm putting my 2 cents in. I think if the public had a better idea of what nurses do, they would support us and not only insist upon but demand better patient care. Too many dont realize that the nurses are the ones on the front line and advocating for the patient. Too many people have only encountered nurses when they had their tonsills taken out or when someone in their family needed a C-Section. When my family or my friends families think of nurses, they think of "nursing" homes.

You know, I'm sure each and every one of you know what I'm talking about. You walk in and are almost knocked over by the smell of urine. You walk down the hall to your loved one's room and try not to look at the pitifull old people lined up and down the hall with their heads hung over, waiting for their morning meds. "It will make them more comfortable" is the reason for this soon to be dead parade. You find your loved one totally incoherent and with unexplained bruises and you wonder what happend to your grandpa(ma) that was so full of life just a month ago.

Your family may of put them there in good faith, believing that after a temporary family mishap, your loved one would come to live within the family once again or you may assume that this is the place for your loved one to live out his or her golden years (and give you a much needed rest). Unfortunately, your grandpa(ma) only lives a few months after being admitted and you can't understand why. Also your grandparents of your freinds that are in similar "homes" end up only living a few months as well. Soon the community begins to talk and you realize that, this is how nursing homes work. Once someone is admitted, they drug them untill they lose their will to live and just die. It's really a wharehouse for old people waiting to die to make room for the next wave of old people. They must make a half way decent profit as their turn around time is usually 3-4 months at most.

So when most mid-westerners (at least the ones I have come into contact with) think about nurses, they think about "nurs"ing homes and how it only takes a minimal amount of effort to oversee a group of old people and give out meds.

Thanks CatLady.... I agree all of the other points were explained very well. It made me happy to know that I was not just the only lover of the older people. It made me happy to hear all of the positive reply's... maybe we will make a difference!!!!!

I have been an RN for 27 years in various specialty areas, including the "cushie" Substance Abuse Tx. center (I am a VA nurse). My last 12 years in geriatrics has been the absolute best part of my career, and I NEVER regret the move. I am 9 credits away from MSN-my thesis will focus on the need for more exposure and education regarding the needs of our aging population so that nurses just MIGHT have the desire to enter the field of gerontological nursing first, rather than the "sexy" ERs, etc. I really hope you take the time during your education to really LOOK at long term care, and what REALLY goes on there. The elderly population of this country- who by the way are NOT using nursing homes, but rather maintaining functional dependence quite well, thank you!!!-need caring, commited caregivers. In light of your current perception and attitude, perhaps this is a field you do not have the stamina-or "heart" for.

Thank you for you responses, geriatric nurses of the world! (Or at least this discussion group!!!)

RE: Nursing Home Patients....I work in an ER and I can tell you that Nursing Home patients are some of my most complicated and time consuming patients. What should be and usually is a simple problem for most of the population is LIFE THREATENING to them. They have trouble communicating what type of symptoms they are having....maybe I should have stopped with the fact that some have trouble communicating!!!! While these patients can be my most frustrating at times, they are also the ones who are most likely to thank me, hug me, kiss my hand, pat me on the back or just be appreciative in general (something that can NOT be said of a lot of the rest of the population). :rolleyes: Personally, they do tend to try my patience level to the limit and that is why I like working in the ER where I have limited contact. The Nursing Home environment is as clean as the staff has the ability/time and personeel to keep it clean which can be said for any unit in a hospital or in a doctor's office. I know that there are many times that there is a nasty smell and noises coming from the ER, especially at Gastroenteritis times, with GI Bleeds, Overdoses.....etc. I do appreciate that there are gifted nurses who enjoy working in the Nursing Home environment and strive to make it the best that they can for the patients and their families that wish to be involved.:D

If your loved ones nursing home smelled like urine when you walked in the door,if they continued to have bruises of unknown origin,If they appeared to have been drugged to the point where they no longer appeared to have the will to live, why did you keep them there?

In a long term care facility, the staff is sometimes the only family that resident has.Ours is a throwaway society and sadly enough many of these long term rsidents have been disposed. I can remember many days when the staff at one facility I worked at would bring in bags full of goodies and clothing for the residents that they themselves had payed for. Do you know how much a cna or housekeeper at a nursing home makes?

I no longer work in long term care, but in the happy world of med/surg. In the nursing home, we did not chemically(you have been mislead) or physically retrain. That has been one of the hardest hurdles to overcome in the hospital.

It takes a very special,patient and caring person to work in long term care. It dosn't sound likes it's for you.

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Everything Y'all said!

I want to add my specialty is ortho. The majority of our patients were older folks with total joint replacements and hip repairs.

I love the older folks. They have such a lot to show us. How to maintain composure, how to show respect. How to show us where we will be in our later years.

I agree that Alzheimers can be so terrible. My grandmother had it, and my mother has it. Grandmama talked to Granddaddy all the time.......it never occurred to her he had passed away 20 years before...it made her happy. She died while my father (her son) was listening to her and Granddaddy converse......WOW.

I can tell you that all nursing homes are not the same. Sometimes there are terrible ones. Those patients are so sad to see. Sometimes though their condition was such BEFORE they entered the home, and they will improve by being in a controlled situation.

My own mother-in-law has just taken up residence in a facility. Her son (my brother-in-law) is 65 years old and has a severe progressive neurological disease.....He was trying to care for her alone and wasn't able to. His health is as bad as hers, maybe worse......I tried as much as I could, but I don't live there and it was very hard..... By getting her to the facility, it has literally saved her life.....and HIS. She is very happy. She goes to the lunch room and for the first time in many months feeds herself, goes to the beauty shop there and has folks her own age to visit with. And I credit the NURSES, techs and aides there for this miracle. Like I said I LOVE older people!!!:)

Thank you nurses for all your replies.... I really hope the author of this whole mess can see the love all of you have for these special older people... It is wonderful to hear the special stories of how nurses really make a difference........

WOW, M2B...as the others have said....you have a lot to learn... I feel so sorry for you, and, even more sorry for your residents, should you find it necessary to work in long term care in the future. I've been a geriatric nurse for almost 10 years, and yes...it's frustrating sometimes...yes, it's hard work...but, omg, it's so rewarding. I have been given the privilege of caring for people who have lived life to it's fullest...who have done things like survived the Depression, fought for MY freedom in at LEAST one war, reared children, lost husbands/wives, lived, loved, learned... and I care. I care more than I am able to sometimes. I cry when one of my residents passes away. I smile when a great-granddaughter or grandson is brought for a visit. I laugh when they are entertained by something. I sit quietly by when they are ill, after all that can be done, or is wanted, is done. I hold their hand as they leave this mortal coil. I weep with families who wish they had one more day with her. I clean up, I dress up, I feed, I hug. M2B...learn well from the above posts...you too will be in care one day.

I agree with all of the above replys to the original poster. Having worked in long term care throughout college and after I graduated, it is hard also for me not to take your post personally. I loved working in the nursing home it was some of the most rewarding work I have done. It is never easy to work in a nursing home emotionally or physically, but is very rewarding in the thanks you receive from residents especially when someone is able to go home after many months of hard work in therapy and on the floor or when a resident who has been depressed begins to smile more and interact with their peers. There are many different types of residents in nursing homes and you have to work tremendously hard to help them with their needs while stll maintaing a smiling face, but it is rewarding to go home at the end of the day and know that you have made a difference even if is not glamourous but to help a patient maintain their dignity no matter how small when they find themselves at a dependent stage in their life is very rewarding. Even though I do not work in long term care, I now work in a med/surg unit, I still know that I have been lucky to start out my career in long term care and yes I chose long term care straight out of college rather than working in acute care and am still glad I made that choice because of the multitude of different types of patients I worked with in the long term care setting and the many things I learened working there. I hope you will at least open your eyes and your heart and maybe volunteer in a nursing home to get to know what it is really like and hope you can see that it can be a wonderful area of nursing. Good luck

Holy Cow! You are so uneducated, not just about nursing but about aging, needs for physical activity and socialization, and the difference between something being bad for patient care versus uncomfortable for you to look at.

I'm not a RN yet, but worked for a little over year in a nursing home as an activities assistant. Those people cannot get out of their rooms on their own sometimes....and many of them LOVE getting out in the hallway so that they have something to do other than sit in their room. Many of them wish that young people such as yourself would stop and chat or just say hello. Have you ever said hello to one of these "pitiful" people, as you call them?

And by the way, I ran 2-3 activities every day for my residents, visited bed-bound patients daily, and coordinated trips out to eat, or visits from groups like Girl Scouts and elementary schools. I busted my butt to try to never let a person go an entire day without some type of social activity. And those people lined up in th hallway are sometimes waiting to be taken to the morning activity. Since I had to transport most of them myself I was pretty happy when the nursing staff would already have them out of bed, dressed and ready to go.

And by the way, a place where people with terminal illnesses can go to die in dignity is called a HOSPICE, not a nursing home. :mad:

I am surprised that this thread has 177 views and only 16 posts!!!

I reread this first post to a non-nurse to see what she thought of it and she said that to her it seems like the author is upset and does not like what she sees as the "midwestern" view of nursing homes. Maybe in her area that is how "she thinks" that people view nursing homes and she is upset about it.

I am now not sure. I hope in my heart that the author is just disgusted with how "others" view nursing homes and not how she does.

But we have not heard form her so I don't know.

Just a thought....don't get mad at me.......

:confused: This is my first time responding to a post that has been made actually this is the first time at this site..I read your post regarding your nursing home experience as a student and your views and summary of a nursing home and I can relate to how you felt....Cause I too like you went threw the same feeling and discontent for the nursing home atmosphere and quallity of care that I viewed...I have worked in geriatrics in a nursing home setting as a LPN for the last 6 years and to be honest I have mixed emotions....Quality of care varies of course with the establishment that you are working in but most of all with the workers that are providing that care, and I have seen the kindest people and then not the so kind people and wonder to myself what are the unkind people doing here? I find the accountability in the nursing home is very low on the totem pole. Even though it is the "most" or one of the top regulated health care facilities monitored threw our goverment systems I dont now how secure that makes me feel....My point being it needs work the monitoring. Nursing homes are understaffed even with the great regualtions that are put on nursing homes theyre required staffing is appauling and unrealistic to think that the elderly can truely have "quality care" I work in a high standard nursing home all private pay..and let me tell you I hear that we are overstaffed according to the state reg's and I consider that we still are understaffed...I like my job but let me tell you administration is the biggest problem. it all comes down to the mighty buck....I love the residents and enjoy my work but let me remind all the the nurses that previously spoke there is abuse in nursing homes I have witnessed it and reported it many times....so lets stop pretending that everyone is kind because no matter where you go there are people who will take advantage of those who cannot protect themselves...So I consider it my job to protect them to the best of my abilities ...dont get me wrong you have the other people on the flip side as well ...In any aspect of life where there are people that are vulnerable you always have people who will take advantage of that and it would be ignorant not to realize that. there are many other reasons for sustaining tissue tears...bruises....broken bones...and for depression and it is always easier to blame the resident for them being clumsy that is like wearing blinders. not to say that it is always because of another person but I think being ruff with residents, not taking time with proper transfers of residents, being short staffed or just plain being abusive happens quite frequently and is responsible for many of the injuries sustained by the elderly...I also dont think you can group all nurses into one category there are some compassionate nurses and some not! There are some that do over medicate residents with prns just to make there shift "quieter" and some that dont...and we all know who we are!

At first I became very upset at your post, then I felt pity that you have such limited knowledge, yet choose to speak so harshly about things which you obviously do not understand. I hope once you become a nurse, you will not make snap decisions without first assessing and gaining all the facts, it could cost someone their life!!!!! Things are not always what they seem and you do have much to learn. I am a LTC nurse and I do this proudly. I cannot tell you the amount of joy my job gives to me and I in return, pray daily that I provide joy to the lives of those I care for. What you fail to understand is that we work under very difficult circumstances and make sacrifices daily so that the people we care for receive the care and love they deserve. I frequently work 10 hour days with no break from my unit. If I get the chance to eat, it's while I am doing my mounds of paperwork that the state requires. Personally, I'd much rather be out on the unit, holding hands, bringing smiles, and offering that little extra attention that many of my residents need. I sit by countless beds of those that are dying, holding their hands and praying I am there when they die, so they do not have to leave this world alone. I have prayed many prayers that the end will come quickly and painlessly. I have cried many tears with families, as they all understand that their family has become our family. It seems to me that you are repulsed by the elderly but please keep in mind, you are not old yet, you know not what your future holds. These are individuals, not items to be discarded. None of these people would have chosen to become this way. When I look into the eyes of my residents, I look beyond their contracted limbs, their drooling mouths, their inability to feed themselves, or toilet themselves. What I see is a person that at one time, held a job, raised a family, lived life to it's fullest and due to circumstances beyond their control, it was all taken away, leaving many of them with only memories, and some without even those to look back on. And not everyone comes into a facility to die, but to get better, so they can go home and continue to live. We provide extensive therapy, we help them learn to walk again after a CVA, we help them relearn the things that you may take for granted, like washing their faces and brushing their teeth. We give them every oppurtunity to continue to live their lives but if they cannot, then we care for them, lovingly and devotedly, until their time to move into the next life comes. Then we are there to help them die with dignity. I hope you have read all the posts here, for they were written by people that know what they are talking about. At times, medications are necessary. Would you rather we let them live in a nightmare that they cannot awaken from. Often times dementia and Alzheimer's place these folks into a never ending nightmare, from which they cannot awaken. My own grandmother was an Alzheimer's resident. I watched her cry and plead with God to take her home. She was constantly screaming and crying, trying to protect the children that were in danger. This came from years of devoted service and care to handicapped children. Now, in her dementia, they were in danger and it was her job to help them but she could not and she was terrified for them. She was constantly screaming for someone to help her protect them. Should we have stood by and let her live this nightmare day in and day out, or should we have given her the medication that let her mind rest???? What would you have done? Many times residents are drugged up, but it's only until we find the right medication to ease their situations. Then we titrate the drugs to the least needed amount to provide the best quality of life. As for folks being lined up in wheelchairs.....should we leave them in their beds to become infested with bedsores and get pnuemonia and die, or should we try to help them maintain the quality of their skin integrity, promote mental stimulation and let them see another human being, instead of being hidden away and alone. These are human beings, not monsters and they should not be hidden as though they are freaks of nature. Yes my dear, you have much to learn, most of which is compassion. Do not speak harshly of what I do until you walk in my shoes. Try caring for residents without enough staff. Try watching your staff work like dogs to provide mininal care and feeling guilty because they couldn't sit by a bedside and hold a hand. Yes there are times when the smell of urine and feces hangs in the air. We do not work in a flower shop!! Does it always smell pleasant in the home of someone with a baby. It's nature, what goes in must come out and as a nurse you had better learn to deal with these smells because they are there, no matter what filed you work in, unless you sit behind a desk all day. Please learn to look beyond the illness and see the person, you are looking at someone who has been where you are, but never thought it would happen to them. And always remember, "There but for the grace of God, go I."

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