I Double Dawg Dare You, Do It!

Nurses General Nursing

Published

In nursing we all do things that we look back on and we are proud of. Even though we do it we don't always acknowledge it. So I double dawg dare you, just HOW have you made a difference in a single person.

Let's face it, it is always easy to point to another and show what they have done, now I challenge you to show what YOU have done. Think long and hard about this. It could be a smile at the right time, holding someone's hand at the right time, breaking rules such as taking your mask off in OR to show your smile to a pt too fearful to undergo surgery before they are put under.

I think those of us in nursing need to respect what we have done vs. what we were unable to do. So.. what is yours?

I have a favorite. It was H. I referred to him earlier in a different thread.

H was 90+ years old and a hermit. He looked like what Jesus Christ would look like at 90+ years old... long beard, long hair, the works.

I used to try to get him to come out of him room and join in fun with other LTC pts. He refused. So I would go to his room and talk. Verrry little talking with Herbie. There, I wrote his name. He deserves nothing less.

My all time favorite thing to do was to get my old folks to tell me what life was like when they were my age. Considering I was about 25 and Herbie was about 92, we had a lot to discuss.

I would ask him questions. Example, during the holidays I would ask what a Christmas tree looked like when he was my age. He would explain that his family didn't have money. They would use food (popcorn, fruits, etc.) to decorate their tree. It was amazingly hard to get Herbie to talk, but when he did he was very interesting.

In our main building we would have a variety of trees during Christmas. I tried to cover everyone's beliefs and traditions.

One year I paid especially close attention to what Herbie explained his trees. Herbie was kind of cold, standoffish, not really wanting to elaborate on anything. It was clear he was merely annoyed at amusing me with his stories. Well, I did pay attention and I listened to exactly what he told me.

One of our trees was exactly as I pictured Herbies trees from when he was younger. Fruit and popcorn for decorations, candles for lights. Paper people cut out in place of tinsel. A hand-drawn angel to top the tree. (That was beyond my skills, had an artist patient do that one for me.)

I finally had the tree decorated JUST as I understood Herbie to describe it. It was about 10PM. I went to Herbie's room. I woke him from a deep sleep. I apologized, yet begged him to come with me. Most annoyed he did as I requested. I took him to the main building where everyone else was asleep and we had the room to ourselves. I had an employee whose ONLY job that night was to watch that ONE tree. It had live candles lighting it. ALL that employee had to do that night was to watch the candles so the tree didn't catch on fire. (Needless to say, I had a LOT of offers for that job that night!)

Hand in hand, Herbie and I walked into the main dining area where we had several trees, including HIS tree.

We sat down and he looked at that tree in awe. He just stared at that tree, I quickly realized I did a good job. It was as he described. I could easily tell just by watching Herbie.

We sat there for the longest time just watching the tree. Without moving his eyes from the tree he put his hand on mine and said, "Thank you, child."

That still makes me feel good to this day. In nursing we all get caught up in the pressures of the job. But we all do good things for people too. It might be simple or it might be elaborate. Or... it might be inbetween.

I think during a time of stress (our very jobs!) we need to focus on what we do quite well.

So, what IS it you do well? What have you done or what do you want to do to impove how you feel about your patients, or more important, how you feel about yourselves?

Com'on... I risked telling my story. The least you can do is to not leave me hanging. What have you done or what do you want to do?

Mods... I *need* this thread for reasons I'd prefer not to go into detail. Please don't move it. I need to hear from my fellow medical peers.

Well Bipley here's mine.

Mine is about a dog who came in last week--gunshot wound. The right radius and ulna were shattered near the carpal (wrist) joint. Plus she had lacerations between the rear legs from the bullet. She was hit while running away. When this pup came in, she was in shock and pain. We started our emergency treatments right away. We could not xray her until she was stable so we sent the owners on their way with the promise of a phone call as things improved or not.

We xrayed the leg and our fears were confirmed-severe open fracture, many pieces, possible dislocated carpus. We prepared some estimates before we called the owner. The dog would require surgery the least expensive was to amputate the leg from the elbow down. To save the leg would require extensive surgery including external fixation and even then we could not guarantee that the leg would be sound . Just the surgery and appliance itself would cost around $2000. This did not include aftercare. We called the clients. They opted to euthanize the dog. They just could not afford either surgery. Just the emergency care and xrays came to nearly $400.

Well last Friday we did the surgery--the external fix. surgery. The dog woke up well and the leg looked good. She was full weight bearing (5-6 steps) on Monday. Yesterday the dog went home to her owners. The owners are so joyful and happy to have their dog back--they just couldn't speak. There were tears and hugs all around. The dog got her licks in also.

Oh and the bill, well the hospital picked it up. The doctor felt that it was just too close to Christmas to euthanize a nice young dog who belonged to nice people.

No wonder why there's no money in vet. medicine. There is a lot of human and animal love though.

Fuzzy

Bipley, That was something that I will remember. I hope I become just as dedicated to my patients as you obviously are. I shed a tear!!!:)

Mave... thank you.

My passion is old people, I love them dearly. With all my heart I love them. We all have a favorite type of patient and I don't care what anyone says, it's true. Some adore peds, some adore adolescents. I love my old people. They teach me things I cannot possibly learn from any other. History books don't do it. My old people do.

I realize "old people" sounds crude, but it's true. They are old and you know what? There isn't a bloody thing in the world that is wrong with being old. Old = wise and most old folks are wise. I have learned perspectives, attitudes, and various lessons from my old people.

Herbie taught me the lesson of being simple and pure of heart.

Charlie taught me what it REALLY means to be happy and not worry.

Another Charlie taught me what it was really like to be a black soldier in WW2.

Andy taught me what it was like to be a cook for WW2 prisoners of war.

Antoinette taught me what it was like to be the FIRST female Alcoholics Anonymous Head of State AND to spell her name appropriately! (I hear her now, it is not AnSHonette, it is Antoinette!)

Joe taught me what it was like to be a judge during prohibition.

Martha taught me what it was like to just plain be nuts!

Greg taught me what it was like to be 21 and a quad due to a drinking and driving issue.

Marjean taught me what it was to be like a seriously mentally ill paranoid schizophrenic.

Fred and Jane taught me what it was like to be 91 and 72 and in love for the first time in their lives. (they married, that's another story)

Walter taught me that Chocolate is one of life's simple pleasures. It's okay to endulge.

You know, after thinking about the folks above, I won't be happy until I get back into LTC. I've been missing something and this is it. I want back in LTC. I wanted "out" because of stress. Losing your friends due to death on what (seemed) like a daily basis was hard. But missing out on life's lessons is harder. Maybe this is why I started this thread. I was looking for something and I think I just found it. I was the DON and that isn't necessary. I can be a staff nurse, do what I adore, and maintain my need to learn from old folks. I think being DON is what chased me away from the job to begin with.

I recall when I was 16. My aunt died in a LTC facility. Her roomie was a retired nurse (likely why I became a nurse). She used to tell me stories about when SHE was 16, She would push her father's car out of the garage and down the street and THEN she would start the car so nobody would hear. Then she and her girlfriends would drive to the local gas station and fill the tank for $0.25. Then they would drive around all night long. Her Dad was due to wake around 6AM. So she and her friend(s) would be home by 5AM. They'd turn off the car down the road, push the car home and into the garage as to not wake anyone.

Dad never knew the difference.

Kids haven't changed a bit since the 30's. They are who they are, ask any old person.

Well Bipley here's mine.

Mine is about a dog who came in last week--gunshot wound. The right radius and ulna were shattered near the carpal (wrist) joint. Plus she had lacerations between the rear legs from the bullet. She was hit while running away. When this pup came in, she was in shock and pain. We started our emergency treatments right away. We could not xray her until she was stable so we sent the owners on their way with the promise of a phone call as things improved or not.

We xrayed the leg and our fears were confirmed-severe open fracture, many pieces, possible dislocated carpus. We prepared some estimates before we called the owner. The dog would require surgery the least expensive was to amputate the leg from the elbow down. To save the leg would require extensive surgery including external fixation and even then we could not guarantee that the leg would be sound . Just the surgery and appliance itself would cost around $2000. This did not include aftercare. We called the clients. They opted to euthanize the dog. They just could not afford either surgery. Just the emergency care and xrays came to nearly $400.

Well last Friday we did the surgery--the external fix. surgery. The dog woke up well and the leg looked good. She was full weight bearing (5-6 steps) on Monday. Yesterday the dog went home to her owners. The owners are so joyful and happy to have their dog back--they just couldn't speak. There were tears and hugs all around. The dog got her licks in also.

Oh and the bill, well the hospital picked it up. The doctor felt that it was just too close to Christmas to euthanize a nice young dog who belonged to nice people.

No wonder why there's no money in vet. medicine. There is a lot of human and animal love though.

Fuzzy

Fuzzy....

You have no idea how much I adore critters. I love them with all my heart. I'm one of those weird-o's that hasn't had a normal, typical, healthy critter... ever. I have a mentally retarded Shih Tzu (brain damage before birth) that was to have her neck broken to get her "out of the way" and a neurotic poodle (not your regular average everday neurotic poodle,) but instead a dog that was so severely abused he can't help but to be plain 'ol nuts such as being debarked in someone's kitchen sink with a steak knife to the inside of his throat.

I could not possibly love your story more than I do. There are nurses and there are nurses. YOU, are a nurse. A nurse is someone who cares enough to go out of the way and do what is necessary to improve the quality of life of another.

There is no rule that says a nurse is only limited to those that care for their fellow humans.

O.K. Fuzzy.....thought I might make it through this thread with dry eyes. All the posts about people made me smile. Yours made me cry like a baby. Wish I wasn't allergic to almost all animals - I think pets are my favorite people.

O.K. Fuzzy.....thought I might make it through this thread with dry eyes. All the posts about people made me smile. Yours made me cry like a baby. Wish I wasn't allergic to almost all animals - I think pets are my favorite people.

:::Hugging and crying:::: with Weetziebat

As a student (I hope this still counts) I had a patient who was dying from cervical cancer. She was only 40, had been married for 20 years, had two children in college, and was a popular member of her church. She had been diagnosed with cervical cancer in July and it was now October. My instructor wanted me to do an assessment and gather information about her past sexual experiences in order to determine if she had multiple sexual partners that could have contributed to her cancer. I did not do it. In fact, I did not ask her anything about her past. I told my patient she was my only patient for the day and I was there to help her in any way, shape, or form that she needed me too. Since her family was also very attentive to her needs I also allowed them to be with her while I got them juice, coffee, or snacks. I did have opportunities to speak with the patient, but I allowed her to discuss her family, we shared humorous stories, and we all got a good laugh at my clumsiness and awkwardness as a student nurse. She died about 3 weeks later.

I didn't do anything that any other nurse would have done. But that day I forgot about pleasing my instructor (which she took points off an assignment that I did on cervical cancer because I cried) and I forgot about gathering information for my correlation sheet (also points off), none of that mattered.

I think about her family and I am proud of how I handled the entire experience. I did not gain any valuable data about risk factors associated with cervical cancer(although I did find out she did not get annual pap smears and only went to the MD after feeling pressure for several months) but I learned an incredible lesson...........

hyperstudent, I can see by your actions that day that you were meant to be a nurse.:nurse:

Specializes in Critical Care.

Ok, well I will have to tell a collage.

I don't know why, but I seem to be THE nurse that ends up taking care of the docs and such as pts. I had this doctor's wife that was slowly dying and here by her side is the great doctor that can do nothing but stand a futile vigil. She was almost unaware of what was going on, except for the occasional moan that brought a dose of pain meds.

He, on the other hand, was acutely aware. So this is a tale of managing a most acutely concerned and knowledgable family member. He would give me orders to carry out, "Doc, you know I can't take orders from you, but I will relay your concern to the doc on the case."

What touched me most is that he never left her side in the month or more she was in the hospital. At that point, he was near retirement and old and in frail health himself. I saw him deteriorate more than she during that time. I was touched by what love can dictate. And I was touched that he always asked for me to take care of her.

Another pt, a doc, forced into retirement by terminal illness. All those years of helping others and not so much as a year to enjoy the fruits of that labor on himself. I was there the night he died, and what struck me most: I had always respected that doc, but never so much as I respected the legacy of his well raised children and doting wife at his bedside as he died. He didn't need to tour the world in retirement: his testament was at his side. I remember thinking that if I had this family at my bedside when I died, it would be a life well-lived.

I tell you a story about that doc. It's not important to this thread, but it's a story that sticks out. One night, I was called in after the shift started and assignments had already been made. The new nurse taking care of him managed, I don't know how, to dump his unit of blood into the the liter of saline hanging on the Y-tubing. I intervened, apologized and went to take down the unit to go get a new one. "No," he insisted, "I won't waste somebody's contribution - the blood is heavier than the saline - let it run and I'll call you when it's done so you can shut it off before the saline starts to run in --- just, don't let her (the new nurse) take care of me again, and we'll call it even, oh, and keep it between us, I don't want her to get in trouble - but you might show her a better way to prime blood tubing."

But what really amazes me most are the ones that have absolutely no chance to live - all the nurses and docs agree on that - and they surprise us anyway. Some people are just too stubborn.

If I don't see y'all before then, Merry Christmas.

~faith,

Timothy.

Right out of nursing school, I had the privilege and honor of taking care of a gentleman who came in to have a carotid endarderectomy(sp.). While on the table, he stroked and never woke up again. When the family decided to do comfort care only, he was put on my med surg wing. I took care of him every night I worked for 2-1/2 weeks. This family taught me what the meaning of family really is. This man must have adored his family because you could tell that the family adored him and their mother. They would not let Mrs. stay at night. The boys took turns staying with him because they thought it was their duty. In the morning somebody would go get mama and bring her to the hospital and take her home in the evening. My first night with them, I was wearing a lab jacket with angels all over it. The first thing out of one of the son's mouth was "Daddy loves angels,too." I soon got the nickname Angel because of a lab jacket. I managed to wear that jacket almost every night.

The night before he died, we all knew the time was close, all the boys stayed with him and took turns sitting by the bed holding his hand. The next morning as I was about to leave work, his wife came to me and asked that I join the family in prayer. So we all stood around his bed while another family member prayed. His daughter started singing Amazing Grace as he died. Of course, I cried with the rest of the family and the doctors.

It is truly amazing how one person or family can touch you in a way that never leaves. The family bought all the staff angel ornaments for Christmas and had each one individually wrapped and delivered to the hospital. I didn't hang mine on a Christmas tree. I hung it on the corner of my dresser so I could look at it every day. Everytime I looked at that ornament (until my ex broke it) I would tear up. Everytime I see an angel I think of them and know

Specializes in Mental Health, & Internal Mmed.

okay here is mine....i am a fairly new nurse (since April) and I work in LTC. Kinda ironic that I chose that line of work due to the fact that i grew up with one grandparent and lost him way too early for my liking....

My resident was Raymond...he was 89 years old, did not talk much but loved milk and cookies...my first day on the job, at lunchtime, he grabbed me by the arm and said 'help me I think I am falling in love with you..', I laughed and said 'arent i too young for you?' he got mad and said 'gd b****'......from that day forward I would always tell him that I loved him too....he reminded me alot of my grandfather...had a lot of the same demeanors and such...I really took to him in a big way.

In August Raymond developed aspriration pneumonia during the week and was sent to the hosp...when I came to work that weekend, I was very upset that he was not there....called the hosp several times a day to check on him....not until the charge nurse there told me that he was sitting up, drinking milk, singing 'How great thou art' and cussing like a sailor....did i know that he would be okay....so i thought. Seemed like every week something else would happen to him and when i would come in on the weekends, he would be in such bad shape.

One saturday morning, during report, I was told that Raymond was gonna die very soon. He had been out to the hosp again the day before, and they basically had said there was nothing more they could do for him. He was refusing all meds, not eating and just was not himself. The doc called and gave me an order for liquid morphine to be started that day. I called his sister in Fla and she told me that she had just left him the day before, and that she knew it was time for ray to go home...so I prepared myself to deal with that. He struggled all day, fought like I had never seen him fight before, and seemed to just be waiting for something before he would let go and go with the lord...

Finally after dinnertime, I went to him and asked what he was waiting for...he said 'betty'..his sister. So I went and got the cordless phone and called her. I put the phone to his ear and she talked to him for several minutes...she finally in the end told him it was okay for him to go and that she would see him again another day... I had to go outside...never before had I been around and heard someone tell someone else that it was okay to die....and not raymond, I was not ready for him to go. But he did...after about 45 minutes after he got off the phone...he was gone. and he looked so peaceful...no more pain, or struggling I was so happy for him.

His sisters biggest fear was that he would be in his room alone when he died, she said that he had been alone a lot of his life and she did not want him to die alone, well i took care of that, i got my cna's together and told them to rotate being with him. that at no time did i want him to be alone...and they did such an awsome job......in fact when he finally went, there was 5 cna's and me with him.... I called his sister and let her know and she called and sent the funeral home to collect him.

the next day i was working and looked across the room and there was his sister and her husband, they had to travel from fla to dalton ga for his funeral, but even though they knew that he was picked up by the funeral home, she came to the ltc first....she walked across the room, asked who was with him and I told her. Then we hugged each other and cried. we went together to his room and she picked out what of his property she wanted and donated the rest.

that was in august, to this day she still calls every couple of weeks to talk. said that even though raymond had such a hard life when he was younger, it was good to know that people other than her took the time out of their day to care for him, to spoil him ( i used to bake him cookies) and to just love him when she could not be there.

this will be our first christmas without him....bet i get a call this weekend.

Specializes in Pediatrics.
Well Bipley here's mine.

Mine is about a dog who came in last week--gunshot wound. The right radius and ulna were shattered near the carpal (wrist) joint. Plus she had lacerations between the rear legs from the bullet. She was hit while running away. When this pup came in, she was in shock and pain. We started our emergency treatments right away. We could not xray her until she was stable so we sent the owners on their way with the promise of a phone call as things improved or not.

We xrayed the leg and our fears were confirmed-severe open fracture, many pieces, possible dislocated carpus. We prepared some estimates before we called the owner. The dog would require surgery the least expensive was to amputate the leg from the elbow down. To save the leg would require extensive surgery including external fixation and even then we could not guarantee that the leg would be sound . Just the surgery and appliance itself would cost around $2000. This did not include aftercare. We called the clients. They opted to euthanize the dog. They just could not afford either surgery. Just the emergency care and xrays came to nearly $400.

Well last Friday we did the surgery--the external fix. surgery. The dog woke up well and the leg looked good. She was full weight bearing (5-6 steps) on Monday. Yesterday the dog went home to her owners. The owners are so joyful and happy to have their dog back--they just couldn't speak. There were tears and hugs all around. The dog got her licks in also.

Oh and the bill, well the hospital picked it up. The doctor felt that it was just too close to Christmas to euthanize a nice young dog who belonged to nice people.

No wonder why there's no money in vet. medicine. There is a lot of human and animal love though.

Fuzzy

Fuzzy... your story made my cry. What a wonderful thing for you all to do. I was picturing this as my dog and know there is nothing better that you could have done for these people. When I was younger, our vets were like this for our family sometimes. Vet medicine and the people who do it, are wonderful and amazing. Thank you for doing what you do.

I don't want this thread to die so I thought of another story.

F & J. They were "friends" at the LTC facility. F was 91 and he was dearly in love with J who was a mere 72. J really wanted to get married but F was fearful that his SS payments would be cut, and they would.

My asst and I came up with a suggestion. We sat them down and had a talk. I explained that I had a friend who was a minister, he just moved here to Arizona from California and still didn't have an AZ license. What if... what if they were married by a minister who wasn't licensed to marry people in this state but that way they would be married in the eyes of God but not in the eyes of the State of Arizona?

They were both thrilled. They didn't have to sneak around and live in sin anymore. LOL

Together we all planned the wedding. J wanted her wedding in a nice park. F didn't care. J wanted lots of flowers, F didn't care. J wanted a nice ring, F didn't care. Pretty much J, my asst, and I made the wedding plans. Dick, my asst paid for the ring, I paid for the flowers, the dress, the minister, etc. My boss paid for the entertainment and reception costs.

Finally the day comes. My minister friend was there and honored to do the ceremony. It really was quite nice. After the ceremony while people were sitting and talking we were decorating the car.

On the windshield we wrote: 91 and still going strong! Of course we had the traditional cans and assorted noise makers. We finally drove back to the care home and on the way there was road construction. There was a policeman watching traffic and such and it was priceless to watch. He glanced at the car, looked away and quickly took a double take. We were at a stop light so he had a bit of time. He finally stood back, stood at attention, and saluted the bride and groom. I thought F would stroke out right then and there. A POLICEMAN saluted HIM! HIM!!! He was thrilled. He couldn't have been more proud. About a block away we were suddenly pulled over where the policeman (different guy, clearly called by the saluting policeman) mentioned that we had some serious noise-makers on that car and he was going to have to see the license. The wedding license that is. It was priceless, couldn't have asked for anything better for F or J. Of course, I had to quietly explain that there was no license, if it would'a been done legally their SS would be cut. But if he wanted to see the Marriage certificate, we could provide that.

The policeman winked at me and in a firm voice stated, "I'm going to need to see this marriage certificate!"

F pulled it out, showed it to the officer, and this guy did the same thing as the other guy. First he carefully examined the certificate. Then he stood back, stood at attention, and saluted the bride and groom. He wished them many more years of joy and let us go.

Once back and the care home F couldn't talk about anything else. He was thrilled. TWO policemen saluted HIM! Could everyone believe it? He talked about nothing else. J wasn't thrilled, she felt he should be more excited about being married vs. being saluted.

F ended up having to take a nap before we could continue the wedding reception but after he finally woke up we had a party. Had entertainment and the works. It was really a great deal of fun.

I took care of a cute little boy, whose favorite song was "Rosanna". He would sit in his bed and hum it or just start singing it out loud. I used to sing it with him, when I was doing his treatments, vitals, etc.,

He went home and several months later, I was in the grocery store, and I noticed a little boy pointing at me. All of a sudden, he started singing "Rosanna" and laughing.

I finally recognized who the child was. Til this day, I always get a smile on my face, whenever I hear that song.

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