A different perspective

When your loved one has been whisked away an ambulance, the game changes. Nurses Announcements Archive Article

A different perspective

When the ambulance rolled up to the ER, I could see the EMTs doing chest compressions on my dad. I remembered a guy his size who had coded when I was working on the floor- that guy did not make it. I started to shake and sob loudly. The ER nurse came over- I told her I would not interfere but I did not want to scare people in the waiting room- she said, "just give us a chance to work on him." She took me inside to the family room.

About an hour later I stood at the nurse's station and listened to ER code him for what seemed like forever. He could not keep a good heart rhythm going. I felt sure that they would quit trying to save him at any time. I could see the lack of hope on their faces. They were very kind to me but I have given that look before and I knew what it meant.

After some time he went from no rhythm to critical. He was moved up to CVICU (cardiovascular intensive care unit). After they got him settled in they let the family come back to see him. I felt bad for crying and asking 1000 questions that were politely answered. I know how busy the nurses are but I shamelessly asked everything. I could plainly see the bottom line every time I mentioned how long he was down at home and that he had to have prolonged CPR- they shocked him 10 times. They worked to keep his heart beating and tried to get rid of the PVCs and keep his blood pressure at the right spot. I just wanted to hide under the desk in the corner.

So many people told me if I needed anything to let them know- but what I needed was someone to fill the emptiness that burned from my clavicle to my stomach- an emptiness that is still there burning me alive. I have always been a proponent of having a good cry as a cathartic experience- but the cleansing will not come. Now I just have a sore face and really cloudy contacts.

My dad was on a vent and many meds to keep his heart beating, his pressure up, one for sedation, a paralytic. Later he would have to have meds to get his blood pressure down, potassium, magnesium, antibiotics. He never once woke up- I stood at his side until late in the night singing him songs, telling him that I wanted him to fight and stay alive to watch his grandchildren grow up. I thought about telling him that if he needed to die that I would understand- but I just could not say the words. One night I stayed until 5 in the morning, convinced that if I left he would go into Afib and he would die without any family at the hospital.

On day three the doctor told us that there was no brain activity and asked us what we wanted to do. There is no clever acronym for the steps to follow when you are going to take your Dad off of life support- they just tell you to take all the time you need.

Well, how much time should we take? What is proper and respectful? They are making you set the timeline for when his heart will stop and his breathing will stop and the color will leave his face. Then all you want is one more hug that is returned or one more I love you from his lips- but that is not going to happen.

When you are ready you go up to the nurse's station and tell them - just like you were at a restaurant and it is time to pay the check and clear out.

At some point, after it is over you are going to leave your father's shell in that bed waiting for the funeral home to come to pick it up. This is especially hard to do when all you really want to do is lay down on the floor and cry. You know that you are acting like a fool holding his hand and telling him that you love him. This is the last time you will see those eyebrows that look just like your own and the shoulders that used to carry the whole world for you. And then you leave the hospital, confused and empty.

It is definitely a different perspective- I hope you never have to be on this side of the bed.

I'm a Case Manager RN with 4 years of experience in PCU, Home Health.

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Losing someone you love is always traumatic, especially a parent or sibling. I lost my father and brother over 15 years ago. My father died of cancer at 63 and my brother from alcohol related complications at 42. They died within a year and a half of each other. My father died first. He was able to be at home when he died as he wished. My brother died in a VA hospital and was well cared for to the end. My mom and I went to see him a few days after he had been in the hospital which was 3 hours away. He was semicomatose at that time but we stayed with him until he died peacefully 8 hours later. It was the day after my birthday.My brother was 11 months older than I and when we were growing up he was my protector and friend.

Both experiences left me with an empty heart. Part of my family had died too soon.(Now mom and I are the only ones left in our nuclear family) Dying is a part of living, but it is still hard. Letting go is to me the hardest part. But I think that are loved ones spirit does not leave us. A friend of mine told me ( and I beleive this too) that the spirit of your loved one stays around until you are ready to let them go. They want to makek sure you are all right.

It helps to talk to other people about how you are feeling. I think taking a family member off life support would be difficult but it sounds like your dad will not recover. Be thankful for the time you have had with him and know that everything will be all right. There are still times I miss both of them and wish they were here. I try to e thankful for every day of life I have( I am a cancer survivor myself) and try to live the life your father wanted for you.

Peace will come. God bless you in this time of suffering. Your fathers trials are over. Surround yourself with the love of friends and family and grieve for your loss. I had some meltdowns especially at times I wasn't expecting them. Release the pain however you need to. Each day will become easier but the loss takes a long time to heal.

Go with God. The universe provides what you need.

Specializes in Peds Homecare.

Wow, I have no witty, educated things to say, just words from one aching heart to another. I lost my big sister 2 years ago this past February, she too was on life support and vented and finally was allowed to go in peace. It still hurts, and special days or moments still bring tears as if it just happened. People try to tell you it gets easier, and maybe sometimes it is. But last week, Claudia's daughter had her first baby. My sister longed for grandchildren, and often kidded me to say she was borrowing mine until she had some. When I heard the news that little Liam was born, I lost it. Tears streamed down my cheeks, and I sobbed. I hope you find peace soon, I keep trying. Just know that I will think of you, your family, and your dad in my prayers. When a family member is lying in that bed you forget all about being a nurse. Hugs to you. PM me anytime you might want to talk.:)

I have recently been on that side. I lived with my grandma for 5 yrs when a month ago we called the ambulance because she was in respiratory distress. While that issue was resolved, other issues came to head, and she ended up in ICU. Until that point I had resolved that her health problems could be fixed. Well, after that trip to ICU, where she had an NG anchored, restraints placed, and told no she couldn't have anything to eat (when asking for something to eat would end up being some of her final words) I realized I had to have that talk with my dad. The talk I hate to give to families. That talk.

I don't know how I did it; I don't remember the words. I just remember him calling back and saying that she was now a DNR and told the doctors to make her comfortable. I told them to take off the restraints, take out the NG, remove the monitors, and to transfer her to my floor, where I knew that if we couldn't be there (it was just my dad and I) that I knew she would be taken care of. I knew she would not have anymore pain and would have respect. And that was the hardest part. Oh, the waiting was hard. In the beginning when she opened her eyes with the strongest desire to be able to talk but the inability.... I just knew she wanted to tell me those last few things... funeral stuff, bill stuff, etc. I told her it was okay, we had it all figured out, and she could just rest now. She died the next day.

I think the reason I'm tearing up, reading this, is because I have and will again, be on that side of the bed............I can feel your emotion right through the screen....Here's to healing......:kiss

Specializes in Mental Health and Pediatrics.

Thank you all for sharing your stories. It is traumatic to be on both sides of the bed. I lost my brother five years ago, my mother exactly a year and three days later and then my dad recently. There is nothing, and I mean nothing harder than watching the strongest man you ever knew waste away in that hospital bed. A country music song came out right about the same time as he was dying called "You can let go now daddy" and I took some words of advice from it b/c the nurse did say he was hanging on for me. I crawled up in his bed with him and I told him it was ok to let go and I would be ok. But it was the hardest thing I ever had to do. I never ever wanted to let go. But I didn't want to see him suffer either..and he wasn't himself anymore, and I knew full well he never wanted to go on like that. I stayed in that bed with him until his last breath and they had to pull me away. But his trials are over now and I must go on with mine. He had a great life and gave me the best life I could ask for that I never appreciated enough while he was here. All he ever have and all I ever will be I owe to my daddy. I am ok most of the time. But I am the only one left now. My parents and sibling are gone and so are all but a few distant relatives. My stomach is often burning and my heart aching. But time goes on and some days are good and some days you fall apart when you least expect it. Sometimes a smell or a look reminds you of a lost loved one. I had a beautiful dream the other day. I was sleeping on the couch and the doorbell rang and I wondered who the heck it could be. It was my dad at the door..the entire dream was just him coming in and hugging me and wrapping me so tight in his arms..that's all. But somehow, I believe that he knew I needed a hug from my daddy and I got one. I woke up crying but wishing I hadn't woke from that dream. Peace comes in ways we don't expect sometimes..

Specializes in psych nursing/certified Parish Nurse.

a humble thank you for these "real life" experiences and sharing... to remember that each patient dying is someone's loved one... even though we know not who that is.

my Catholic faith has been so helpful with my own experiences of death--the "Communion of Saints" is all around and accessible... my mother smiles at me from heaven during the hard times--right next to the Sorrowful Mother (mary as she stood beneath the cross of Christ, etc). This kind of communication doesn't just end when "the spirit knows we don't need them anymore"--because we ALWAYS need them! "Not scientific"--hey, there, what in the world are you calling "not scientific"? Perhaps you do not read enough quantum physics, or something... we are ALL part of each other--right down to sharing our molecules and atoms continually... when we think we are so "knowledgeable" we have not adequately addressed our own vulnerabilities and continuity with each other.

We NEED to do this crying/laughing/screaming together! The mystical elements of life--now so denigrated and downplayed (mostly because there is no "pigeon-holing" that can be done with them!)--and accessed by the "shamans" and "medicine people" of the earliest history of humankind... as well as the most-highly spiritual of all ages... is alive and well--and growing in intensity in people from all walks of life!

when we can each respect the journey each is on--then we will be well on our way to the equitable world for which we all hope so much. Bless you, keep the faith--however you interpret or know that!

thank you, Mom, for your beautiful spirituality--and your attempts to reconcile what was, at the time, not reconcilable--your prayers meant it could be healed with enough time! I count on your prayers of intercession from heaven, too! we all do

If I could have sent more than one "kudos" I would have!

a humble thank you for these "real life" experiences and sharing... to remember that each patient dying is someone's loved one... even though we know not who that is.

my Catholic faith has been so helpful with my own experiences of death--the "Communion of Saints" is all around and accessible... my mother smiles at me from heaven during the hard times--right next to the Sorrowful Mother (mary as she stood beneath the cross of Christ, etc). This kind of communication doesn't just end when "the spirit knows we don't need them anymore"--because we ALWAYS need them! "Not scientific"--hey, there, what in the world are you calling "not scientific"? Perhaps you do not read enough quantum physics, or something... we are ALL part of each other--right down to sharing our molecules and atoms continually... when we think we are so "knowledgeable" we have not adequately addressed our own vulnerabilities and continuity with each other.

We NEED to do this crying/laughing/screaming together! The mystical elements of life--now so denigrated and downplayed (mostly because there is no "pigeon-holing" that can be done with them!)--and accessed by the "shamans" and "medicine people" of the earliest history of humankind... as well as the most-highly spiritual of all ages... is alive and well--and growing in intensity in people from all walks of life!

when we can each respect the journey each is on--then we will be well on our way to the equitable world for which we all hope so much. Bless you, keep the faith--however you interpret or know that!

thank you, Mom, for your beautiful spirituality--and your attempts to reconcile what was, at the time, not reconcilable--your prayers meant it could be healed with enough time! I count on your prayers of intercession from heaven, too! we all do

I think we'll all be on that side of the bed at least once in our lives. I'm so sorry for your loss, and I hope you find peace soon.

As I read your letter I am sobbing and remembering this nightmare...when my mom died. The pain and the emptiness that burned so hard. The longing for that last hug 'that is returned'. And the wondering, if we just left her on the vent would she have recovered? Would she have lived. The helplessness of being a nurse but almost 'forgetting' what it all means as the person that you love so dearly slips away from us forever. I remember wanting to just hide under the desk too. Almost wishing it away. No power. No power to save her. No power to will my eyes to stop crying or to will the godaweful pain in my chest to go away for one blessed minute so I could think of a way to save her. I needed to tell her oh so much! And I did in the hours awaiting that final aweful decision to take her off the vent. But with no response.

I'm sorry for your loss and your pain. May God be with you.

I think that putting into words how you feel is the first step in healing!!! The hole is always there! You do learn to live with it, and I do believe it makes you a better nurse! We all are part of the human race, and we are all daughters and sons! One day we have to face this time, and it is not easy.....

The comfort I find, is that in the memory, and speaking of my father, he lives again....and so is never truly gone! He can no longer be hurt...and is waiting for me! We will, and you will meet again!!! Take it one day at a time, sometimes I bring that down to 15 minutes at a time....anyone can hang in for 15 minutes, and then re-evaluate..... Good Luck!

Specializes in orto/neuro; LTC, rehab-inpt. med/surg.

Wow, reading these comments has been heartwrenching...I don't know if this will get read or not, but i have to say it. I took care of my mom, along with hospice for the last 3 months. She was a nurse and took care of people all her life. I, one out of 6 kids she had, was the only one to follow in her footsteps, so I guess that's why i was the one to be with her at the end. I was going through a hell of my own doin--being addicted to cocaine, and will never forgive myself for the time i spent away from her-killing myself.... Mom i love you and you will always be with me in my thoughts and dreams. She never gave up and never felt sorry for herself! I had to go on living and get myself straightened out for her!! I have been in recovery for 5 yrs, and it's never easy! I was in the ks nurse assistance program and recommend anyone in the addiction phase, i know you're out there!, to face the demons, ask for help and get better!! so you can go on and take care of people!! Alot of addicts are nurses, because we give so much of ourselves to others, in so many ways!! wow, i meant to just talk about my mom, but there must be a reason all this other stuff came out! If you need help, ask for it NOW!!! God bless you!!:nurse::yeah::yeah::yeah: