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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.
I once turned my head and allowed a family to sneak a chihuahua in to see her owner who was terminally ill. Yeah, health code regulations and all that stuff...I can honestly say it was the right thing to do. That little dog laid under her owner's covers for 4 or 5 hours, never made a sound and didn't hurt a thing. My patient was recieving pallitive care at the time...terrible pain , grieving about the things he shoulda, woulda, coulda done in his life. The spark that lit up in his eyes when his daughter pulled that little pooch out of her (rather large) handbag made it worth any trouble I may have gotten into. As it turned out, no one was ever the wiser and he died a short time later. The episode gave my patient and his daughter one last good memory of mischievous fun together. Now that's what nursing is all about!
That's probably one of the sweetest stories on this thread!
I once turned my head and allowed a family to sneak a chihuahua in to see her owner who was terminally ill. Yeah, health code regulations and all that stuff...I can honestly say it was the right thing to do. That little dog laid under her owner's covers for 4 or 5 hours, never made a sound and didn't hurt a thing. My patient was recieving pallitive care at the time...terrible pain , grieving about the things he shoulda, woulda, coulda done in his life. The spark that lit up in his eyes when his daughter pulled that little pooch out of her (rather large) handbag made it worth any trouble I may have gotten into. As it turned out, no one was ever the wiser and he died a short time later. The episode gave my patient and his daughter one last good memory of mischievous fun together. Now that's what nursing is all about!
I like that. It was probably pretty darn good for the dog too.
As an aide I took care of a lady named MeaMea she had 1 daughter 2 twin granddaughters and a grandson. Well when one of the grand-daughters got married I took her as a favor and we joked that I was her date. I was in the family photos and I took her back to the nursing home and she was back before she tired out and the daughter got to enjoy her daughters wedding.Any way to make a long story short I became a nurse moved to a different wing and when MeaMea got very very ill had a huge huge decub and was almost non verbal.When I walked in the room she said "theres my Barbara" I cried after I stepped into the hallway.A Cna said Thats so unprofessionally.I told her When I quit crying that will be un professional and time to give it up...
...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."
THIS is what nursing is all about. Dealing with ALL the needs of a patient.
I am not normally an emotional person, but I am my eyes out.
THIS is what nursing is all about. Dealing with ALL the needs of a patient.I am not normally an emotional person, but I am
my eyes out.
Agreed, all the needs.
You know, regarding Herbie from that day on we had a little different relationship. If he was annoyed at my requests for stories it didn't show quite as much.
We had a preggers cat wander on the property, the patients named her Callie Cat. Poor little thing, she was so thin yet so pregnant. I took her to the vet, got a clean bill of health and brought her back. We kind of decided since she adopted us we needed to take care of her.
We got some weight on her, got her looking really good and she had her kittens. All the kittens were amazingly healthy. They stayed in my office until they were old enough to venture throughout the care home rec room. (Funny story, my Shih Tzu would babysit when Callie Cat left the kittens for a bit, he just adored them)
After the kittens were finally old enough for us to find good homes for them I decided to try something. I put one of the kittens in a box, set the box in front of Herbie's door (he had two doors, one leading outside and one leading to the indoor hallway) and quietly walked away.
Now, Herbie may have been over 90 years old but his hearing wasn't much of a problem when the kitten started screaming in that box. Since the building was a horseshoe shape I could go to the other side and peek through the drapes and watch. He opened his door, looked around, looked down, and saw the box. Slowly he opened the box and found the kitten. He closed the box back up, left it on the doorstep and had someone come and get me.
I went to Herbie's room and asked what I could do for him. He kept pointing to the door and said that someone left a baby cat on his doorstep. Wide eyed and surprised, I asked if he was sure. He became frustrated and told me of COURSE he was SURE! There is a baby cat outside his doorstep! Then he wanted to know what I was going to do about it. In my mind I was thinking, "Nothing." I opened the door, opened the box and exclaimed, "There is a KITTEN in this box!" LOL
He was pretty frustrated by this point and explained that is what he was trying to TELL me!!!! He wanted to know what I was going to do about it. I explained that I was really busy and honestly... I just didn't have time to do anything. I didn't know what to tell him. Perhaps that evening when I got off work I'd figure something out but in the meantime, I had patients to care for.
Now he was angry. He explained to me that it's a good thing I work with retired folks because I don't know the first thing about babies~ ~He explained that something that little can get a chill. They will die if they get a chill. I repeated to him that I was buried that day, the best I could do was to find an appropriate place for the kitten when I got off work. I shrugged my shoulders, said I was quite sure the kitten would be fine for a few hours.
I left to run back around to the other side of the horseshoe building so I could watch him and after about 10 minutes he finally opened the door to the screaming kitten and brought the box in his room. I couldn't see anything anymore. I waited a couple of hours and went to check on Herbie and here he is taking a nap with the kitten sound asleep on his chest. The kitten was wrapped in a face towel and both were sound asleep.
From that point on that kitten belonged to Herbie. He claims he never named it but I suspect he did and he simply wouldn't admit it. They sat on the porch for hours just rocking in the chair, watching traffic go by.
BTW... having pets in a care facility is possible, you just need to get a variance (sp?) from the licensing authority. We had Simone the doberman, Callie Cat, some fish, birds, and I brought my two dogs to work with my daily. DHS only permits so many before they call it a zoo instead of a LTC facility.
I Love this thread...of course, I am also sitting here with my cheeks that are wet with tears, but I adore these stories, nonetheless.
So..for mine. One of the first times I *knew* I'd made a difference to a patient was during nursing school. I was doing my ICU rotation and felt pretty overwhelmed. My patient was an ARDS pt that was being extubated that day. She was in restraints and was fighting the tube so badly- they'd stopped medicating her as well for sedation. Being the cautious nursing student that I was, I stayed by her bedside the entire shift, watching her vitals and all, but more for the support.
After consulting for about the fifth time with my instructor and the nurse I was orienting with, only to be assured that yes, the pt was fine- she was simply bucking the vent and would be extubated as soon as RT came around, I stood helplessly next to the bed as my pt thrashed about. My patient was an elderly black woman and I noticed she had a Bible next to her bed, no doubt brought in by her kind daughter. I took her hand at that point and said, "Ma'am do you pray?" and she nodded yes, then continued to move about, wild-eyed. I did the only thing I felt moved to do, and I held her hand, closed my eyes, and started to pray out loud for her. It was almost instantly that she began to calm down and when the time came shortly thereafter for her to be extubated, I continued to hold her hand. I'll never forget though that first thing she said, in her raspy, dry voice after they pulled the tube out- She looked straight at me and said "thank you".
I knew exactly what she meant. I drove home happy that day. Stressed but certain that I had done exactly what was needed for that patient.
You guys are right you know- it's about *all* of the patients needs, not just the numbers that we get so adept at interpreting.
I worked LTC a long time ago, but your stories bring to mind a young man I took care of. He was in his 20s, had severe CP, difficulty speaking, was a total care fellow in a WC, but all there mentally. It was hard for him to go out much. The local high school would give us free admission to rodeo competitions, but the folks had to be able to walk from the van over slightly rough ground to the stands. He really wanted to go, but there wasn't WC access, and the activity director had all she could do to drive the ambulatory folks there and watch over them. So I went along, in my full whites and white shoes, and carried him piggy back over to the stands and sat there to hold him up. He loved it! Then one girl said she could have a ride on her horse, if I could get him up there. So I boosted him up, another person walked on one side and I walked on the off side. The girl leading the horse wasn't paying attention to how much space she needed for us on the sides, and walked me right into a car. It was let go, or, well I just went up the bumper and over the car and jumped down and never let go of him. I got as much applause as some of the riders LOL.
I Love this thread...of course, I am also sitting here with my cheeks that are wet with tears, but I adore these stories, nonetheless.So..for mine. One of the first times I *knew* I'd made a difference to a patient was during nursing school. I was doing my ICU rotation and felt pretty overwhelmed. My patient was an ARDS pt that was being extubated that day. She was in restraints and was fighting the tube so badly- they'd stopped medicating her as well for sedation. Being the cautious nursing student that I was, I stayed by her bedside the entire shift, watching her vitals and all, but more for the support.
After consulting for about the fifth time with my instructor and the nurse I was orienting with, only to be assured that yes, the pt was fine- she was simply bucking the vent and would be extubated as soon as RT came around, I stood helplessly next to the bed as my pt thrashed about. My patient was an elderly black woman and I noticed she had a Bible next to her bed, no doubt brought in by her kind daughter. I took her hand at that point and said, "Ma'am do you pray?" and she nodded yes, then continued to move about, wild-eyed. I did the only thing I felt moved to do, and I held her hand, closed my eyes, and started to pray out loud for her. It was almost instantly that she began to calm down and when the time came shortly thereafter for her to be extubated, I continued to hold her hand. I'll never forget though that first thing she said, in her raspy, dry voice after they pulled the tube out- She looked straight at me and said "thank you".
I knew exactly what she meant. I drove home happy that day. Stressed but certain that I had done exactly what was needed for that patient.
You guys are right you know- it's about *all* of the patients needs, not just the numbers that we get so adept at interpreting.
Thank you for this story. It really shows one of the things that nursing is all about. I hope I make the same type of difference in my patients as you made in yours. God bless you.
HI there, just love reading these stories, anyway here's mine. I worked as a district nurse [ similar to your home nurse I guess] here in england and 1 of my patients was Colin a 42yr old terminally ill man..He was a lovely, gentle man who never had a cross word to say and faced his impending death with great courage and dignity .During my time looking after him I found out his passion was that he loved anything to do with tigers,[ toys, photos,tshirts etc,] anyway as we got him pain controlled on a syringe pump he was getting very frail and unable to drive, his wife couldn't drive either .There was a warehouse opening that advertised all sorts of stuff inc huge stuffed toys of different animals. I had been to take a look and saw lots of tigers, some were very realistic. Colin had always wanted to visit and see real ones, but has his health deteriorated realised this wasn't going to happen. I visited him every day and we became friends as well as patient / nurse. On this particular day I said that I was coming back after work to take him and his family out for a ride [ he didn't know where, but his family did ]. After settling him in the car etc, we drove to this warehouse, I had arranged for a wheelchair to take him around especially to the display of large stuffed toys. Well, the look on his face was priceless when he saw all these big cats arranged like they were in the forest . The manager of the store came over [ I had previously asked if it was OK to bring Colin in a wheelchair ] and presented him with the cutest looking 'tiger cub' . We drove back with Colin cuddling his tiger.
From that day on he always had his cuddly toy with him, and when he died a couple of weeks later, the family put his tiger into the coffin with him.
Nowadays every time I see a toy tiger I think of Colin and remember the happy times we shared and how priveleged I feel to have known him and be a small part of his life .
RN30241
9 Posts
I once turned my head and allowed a family to sneak a chihuahua in to see her owner who was terminally ill. Yeah, health code regulations and all that stuff...I can honestly say it was the right thing to do. That little dog laid under her owner's covers for 4 or 5 hours, never made a sound and didn't hurt a thing. My patient was recieving pallitive care at the time...terrible pain , grieving about the things he shoulda, woulda, coulda done in his life. The spark that lit up in his eyes when his daughter pulled that little pooch out of her (rather large) handbag made it worth any trouble I may have gotten into. As it turned out, no one was ever the wiser and he died a short time later. The episode gave my patient and his daughter one last good memory of mischievous fun together. Now that's what nursing is all about!