(Remember) Walking In the Sand?

A lesson in Stress Management 101 is learned as a burned-out LTC nurse searches for treasure in the sands of a Pacific Coast beach. As her time on medical leave grows short, she tries to collect her thoughts as well before plunging back into the fiery hell that her work life has become....and discovers that one effective self-care strategy is only an hour's drive away. Nurses Announcements Archive Article

"I Had A Life---But My Job Ate It" proclaims the bumper sticker I just put on our 13-year-old Ford. I don't usually adorn my vehicles with stickers---I've always thought they were sort of tacky---but considering all that's gone on in the past few weeks, it's quite appropriate.

I bought the sticker in a funky little gift shop, the kind that can only be found in beach towns like the one my husband and I visited yesterday. We'd gone there on strict physician's orders---my psychiatrist and I share a love of the ocean, and he'd actually written a script for me to take my husband and go to the coast for a day. (I rather like his prescriptions; the next one, he tells me, will be for a trip to Hawaii.) So, rather than protesting "I can't, we don't have the money" or "I can't, I need to work", I simply followed instructions, and off we went.

I could practically feel the stress lift from me as we drove into town and caught the first whiff of salt air. The seashore is the one place where I've always found peace....it's the place from which I draw the strength I need to face whatever I must face. It occurred to me that it had been almost two years since I'd been here; no wonder my well had run dry. And as we trudged through the soft sand toward the water, it felt as though a burden was dropping off my back and shoulders with each step.

We explored the tidepools and delighted in the wet sand, which glistened with treasures from the sea. I took pictures of some yellowish seafoam that had formed iridescent bubbles, and made a short video of our adventures with my smartphone. We held hands as we walked along, just like a young couple; we dodged seagulls and tried not to stare when a shirtless, pale-skinned, and very large older gentleman lumbered across the beach. And we talked.....not just husband-and-wife talk, but the sort of conversation that only people who have known and been comfortable with each other for many, many years can appreciate.

Eventually, he went to use the restroom and I was left alone on the shore with the magnificent Pacific Ocean before me, its endless waves roaring so loud as to drown out any self-recrimination or anxiety about not being at work. As always, I fell into a state of relaxation---and contemplation---that I've never been able to attain anyplace else on earth. Seeing the mighty ocean, in its beauty and its terror, reminded me once again of how insignificant all my little problems really are in the grand scheme of things, which offers a refreshing perspective at times when I get bogged down in the minutiae of life.

Standing on the beach, it no longer mattered that there was a stack of incident reports on my desk or that the state surveyors were due to return any day now......in fact, these issues (to say nothing of the associated stress) might as well have been a million miles away, instead of a mere hour's drive and an eighth of a tank of gas. How foolish I'd been not to do this more often....and how sad that it had taken a doctor's order to persuade me to allow myself this pleasure in the first place!

It's amazing what fresh air, exercise, and a day of pure enjoyment can do. Last night I slept better than I have in many months, and without medications to boot (I fell asleep with the sound of the ocean in my ears before I could take them). But it also made me realize that I'm not yet ready to return to work, that I need to follow my doctor's and my superiors' advice to get completely better before I attempt it.

This is not easy for me to admit. I've always been someone who keeps going long after others have given up on a bad situation and walked away, and for only the second time in my life, I reached the point where I couldn't do it anymore. Seven years ago, I flamed out in a spectacular burst of emotional fireworks and walked out on my hospital job, never to return again; to say the least, I don't care to repeat that performance, especially not at my age and in the middle of a job shortage.

Bottom line, I have to practice what I'm forever preaching to others about self-care. I need to remember walking in the sand and allowing the fear and anxiety to roll off my back. I also need to keep in mind that I have only this one life, and when it's over I am NOT going to wish I'd spent more time at work, thinking about work, or stressing about work.

Thanks, Doc.

This is so much like de ja vous, I could have written this (if I could write like you)!! Personally,I went through 2 major meltdowns over 10 years and really never recovered well after the last one. My aha moment was provided by my physician as well when she advised early retirement for me last year before I developed a major stress related illness other than major depression. It has been quite a learning curve for me this past year as a retiree, adjusting to "was a nurse"" as opposed to "is a nurse", but I would do it all again in order to be well. I agree that no one ever approached death saying I wish I had worked longer. I have no regrets about my career, but it does tear you apart after a while!!

UOTE=VivaLasViejas;7286923]"I Had A Life---But My Job Ate It" proclaims the bumper sticker I just put on our 13-year-old Ford. I don't usually adorn my vehicles with stickers---I've always thought they were sort of tacky---but considering all that's gone on in the past few weeks, it's quite appropriate.

I bought the sticker in a funky little gift shop, the kind that can only be found in beach towns like the one my husband and I visited yesterday. We'd gone there on strict physician's orders---my psychiatrist and I share a love of the ocean, and he'd actually written a script for me to take my husband and go to the coast for a day. (I rather like his prescriptions; the next one, he tells me, will be for a trip to Hawaii.) So, rather than protesting "I can't, we don't have the money" or "I can't, I need to work", I simply followed instructions, and off we went.

I could practically feel the stress lift from me as we drove into town and caught the first whiff of salt air. The seashore is the one place where I've always found peace....it's the place from which I draw the strength I need to face whatever I must face. It occurred to me that it had been almost two years since I'd been here; no wonder my well had run dry. And as we trudged through the soft sand toward the water, it felt as though a burden was dropping off my back and shoulders with each step.

We explored the tidepools and delighted in the wet sand, which glistened with treasures from the sea. I took pictures of some yellowish seafoam that had formed iridescent bubbles, and made a short video of our adventures with my smartphone. We held hands as we walked along, just like a young couple; we dodged seagulls and tried not to stare when a shirtless, pale-skinned, and very large older gentleman lumbered across the beach. And we talked.....not just husband-and-wife talk, but the sort of conversation that only people who have known and been comfortable with each other for many, many years can appreciate.

Eventually, he went to use the restroom and I was left alone on the shore with the magnificent Pacific Ocean before me, its endless waves roaring so loud as to drown out any self-recrimination or anxiety about not being at work. As always, I fell into a state of relaxation---and contemplation---that I've never been able to attain anyplace else on earth. Seeing the mighty ocean, in its beauty and its terror, reminded me once again of how insignificant all my little problems really are in the grand scheme of things, which offers a refreshing perspective at times when I get bogged down in the minutiae of life.

Standing on the beach, it no longer mattered that there was a stack of incident reports on my desk or that the state surveyors were due to return any day now......in fact, these issues (to say nothing of the associated stress) might as well have been a million miles away, instead of a mere hour's drive and an eighth of a tank of gas. How foolish I'd been not to do this more often....and how sad that it had taken a doctor's order to persuade me to allow myself this pleasure in the first place!

It's amazing what fresh air, exercise, and a day of pure enjoyment can do. Last night I slept better than I have in many months, and without medications to boot (I fell asleep with the sound of the ocean in my ears before I could take them). But it also made me realize that I'm not yet ready to return to work, that I need to follow my doctor's and my superiors' advice to get completely better before I attempt it.

This is not easy for me to admit. I've always been someone who keeps going long after others have given up on a bad situation and walked away, and for only the second time in my life, I reached the point where I couldn't do it anymore. Seven years ago, I flamed out in a spectacular burst of emotional fireworks and walked out on my hospital job, never to return again; to say the least, I don't care to repeat that performance, especially not at my age and in the middle of a job shortage.

Bottom line, I have to practice what I'm forever preaching to others about self-care. I need to remember walking in the sand and allowing the fear and anxiety to roll off my back. I also need to keep in mind that I have only this one life, and when it's over I am NOT going to wish I'd spent more time at work, thinking about work, or stressing about work.

Thanks, Doc.

Specializes in LTC, assisted living, med-surg, psych.

Yes, my doc is after me to consider a job change to something a little less frenetic, a little less stressful. I'm not sure where in nursing this job exists, but I can imagine I'll want to look around some before I decide whether or not to leave.

A friend of mine who's an associate department manager in our local psych facility wants me to come work with her (oh, the irony of a bipolar nurse working on a behavioral health unit!) and I could probably land the position in no time. But my heart is with my current position, and I actually want to stay there and see if I can't figure out a way to live with it. I've never stuck with the same job longer than 2 1/2 years, and I just passed that mark last week......so a fair amount of pride is riding on this.

But I won't let myself get to this point again. The episode scared the living daylights out of me, and I'm not eager to experience another. If I get even CLOSE to losing it again, I'm out of there. In the meantime, however, I'm going to keep my eyes---and my options---open!

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
VivaLasViejas said:
when it's over I am NOT going to wish I'd spent more time at work, thinking about work, or stressing about work.

Thanks, Doc.

Nope you're not. (((Viva))) My turn, next week, althooo my ocean is miles apart from your ocean lol

xo

Quote

Yes, my doc is after me to consider a job change to something a little less frenetic, a little less stressful. I'm not sure where in nursing this job exists

I don't think it does exist in nursing. (Unless maybe one has some advanced degree/education/qualification.)

Specializes in LTC, CPR instructor, First aid instructor..

This is one phenominally written article Marla. It has a wealth of wisdom in it. I hope you win.

Specializes in Labor & Delivery, Med-surg.

I left a job once for panic attacks (related to menopause) and I've never looked back. I love my current job. No further panic attacks!

Specializes in LTC, assisted living, med-surg, psych.
I left a job once for panic attacks (related to menopause) and I've never looked back. I love my current job. No further panic attacks!

Well, I've been through that wonderful part of womanhood for a number of years (thank God!) so I can't even blame this on "the change". My doctor is recommending that I switch to a lower-stress job, although where that's to be found is anybody's guess. I'm going back next week, so we'll see if I really can continue or not; I don't suppose I can go through the rest of my career on anxiolytics, but for now I need them. I tried going without for a couple of days and started getting wound up even at home, so I'm not 100% back to normal yet, but it's either go back to work and be stressed about work, or stay at home and be stressed about not making any money. :wacky:

Specializes in Labor & Delivery, Med-surg.

The woman who runs our facility is on antianxiolytics all the time, even when she had a lower stress job. Anxiety is just something she lives with, but she does a fabulous job in spite of it.

Specializes in LTC, assisted living, med-surg, psych.
judybsn said:
The woman who runs our facility is on antianxiolytics all the time, even when she had a lower stress job. Anxiety is just something she lives with, but she does a fabulous job in spite of it.

I wish I were confident enough in my abilities to claim the same, but this episode has shaken me up pretty badly and I'm very much aware of my vulnerability now that all the cards will be on the table. My doctor wasn't sure that I should go back to work even now, 2 1/2 weeks later, but I told him that I'm more anxious about losing pay every day that I'm out, and since we switched to a stronger antianxiety med I figured I should be OK after the first day or so.

So he wrote a work-release letter for me and outlined the accommodations he was recommending that I be given for my bipolar disorder and anxiety. Now those words are on paper in stark black and white, and now everyone from the business office manager to the top brass will know something really is wrong with me. That is not comforting. But at least there is documentation proving that I'm being treated and I'm doing what I can to get back to my usual level of functioning, so in the event that I'm termed I can at least draw unemployment benefits, to say nothing of calling on the ADA to back me up.

I'm just sorry to even have to think about these angles. It all sounds so cutthroat, and I'm not that way at all. If ANY of this were my fault, I'd just take whatever karma dishes out and slink off into the sunset; but I didn't ask to be given this challenge. All I wanted was to stay at this job until the end of my career and give 100% every day, even if all I had to give was 100% of 75%. Maybe I still can. And while I'm still nervous about going in on Monday, I'm actually looking forward to seeing my residents again and using the new systems put in place while I was away. :yes:

Specializes in Alzheimer's, Geriatrics, Chem. Dep..

You are making tremendous inroads for those of us with bipolar, and giving a lot of us hope and courage. :) Well, speakin for myself of course ;)

Specializes in ER RN for 22 years, 4 years Risk and 4 years LTC.

This could have been me writing this article! I'm a Risk Manager and educator in LTC....the beach is my place to relax....does wonders. Its so hard though to totally relax and let go. As RM, I'm truly not ever ' not on call'. So some of my mind is always on work. I'm either thinking of what happened or what could happen. We are also in our survey window...such fun. We have a great facility, but you just never know. Whish there was a FB support page for this! Thx for the article!

Specializes in LTC, assisted living, med-surg, psych.
kbrn63 said:
This could have been me writing this article! I'm a Risk Manager and educator in LTC....the beach is my place to relax....does wonders. Its so hard though to totally relax and let go. As RM, I'm truly not ever ' not on call'. So some of my mind is always on work. I'm either thinking of what happened or what could happen. We are also in our survey window...such fun. We have a great facility, but you just never know. Whish there was a FB support page for this! Thx for the article!

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