Updated: Published
What would you say to patients?
On 10/16/2021 at 2:33 PM, Emergent said:"Maybe if you lost 200 lbs you'd see a dramatic change in your 2 page laundry list of problems, eh?"
And stopped smoking, and stopped doing...a whole list of bad habits
I recently made myself a shirt that says "I'm not a *****, I'm a teller of unpopular truths" (no stars included on shirt) ?My coworkers thought it was hysterical and truthful
OK, my turn (don't flame me)! What I so badly want to say to the 'Nurse Career Coaches', 'Nurse Strategists', and 'Nurse Influencers'. Me; "Really, you worked six months after obtaining your RN before marrying a wealthy husband and moving to your expensive home in a gated, exclusive community. Now, with your wealth and privilege, having not cared for a patient in many years, you want to impress your country club friends (and everyone else ) by giving the false impression that you continue to "work as a nurse" and offer "career counseling to other nurses"". I call BS to 95% of these phonies. They haven't dealt with a Code Brown, been mandated to work and extra shift, or lived the grind of a career nurse in years. Same for most academecians. Those who can't or won't, trying to tell those who can and do....
"Yes, I'm sure you miss your wife. But your lips are blue, your oxygen saturation is south of 80% and you're having all sorts of ectopy. Hang up the danged phone and put your BiPAP back on!"
"I'm not here to pose for your pictures -- put the danged phone down so you can take your pills."
"I'm sorry your phone is wet, but I was not the person who dropped it into your bedpan. You had it in your hand when we put you on the bedpan, and you were texting when we left the room to give you some privacy."
And . . . are you sensing a theme here? "If you're scrolling through Tiktok, laughing at videos while you eat prodigious amounts of candy, your pain is not 20/10. How about you give me a real number between 1 and 10? And put down the danged phone so we can talk about how we might control that pain. IV Dilaudid is not an option."
And to the ClinTech who spends entire shifts on her phone: "Put down the freakin' phone and help me with this Code Brown." Oh wait -- maybe I did say that.
#1-To the patient who continuously arrives to treatment with a 7-12kg gain, but denies excess fluid/sodium intake: yes, I bet you got that fluid in the shower via osmosis!
#2-To the patient who continues to arrive well over dry weight (like the pt above), but denies that it's causing edema, hypertension or respiratory issues: just what do you think is causing that, genius?
#3-To the patients that regularly miss treatments and complain because of fluid gains, edema, breathing problems, and hypertension but deny that the missing treatments caused it: refer to #2 answer
#4-continuing the above behaviors will shorten your life, you will die much sooner, rather than later. Oh wait, I have said it, more times than I could ever count
11 hours ago, Hoosier_RN said:#1-To the patient who continuously arrives to treatment with a 7-12kg gain, but denies excess fluid/sodium intake: yes, I bet you got that fluid in the shower via osmosis!
#2-To the patient who continues to arrive well over dry weight (like the pt above), but denies that it's causing edema, hypertension or respiratory issues: just what do you think is causing that, genius?
#3-To the patients that regularly miss treatments and complain because of fluid gains, edema, breathing problems, and hypertension but deny that the missing treatments caused it: refer to #2 answer
#4-continuing the above behaviors will shorten your life, you will die much sooner, rather than later. Oh wait, I have said it, more times than I could ever count
I'm not even quite two years in to the dialysis world and I'm jaded, LOL! I am already at the point where I start the education on the excess fluid gain by "here comes the lecture that I am pretty sure you will ignore..." which is almost always answered by "I watch my fluids, I don't drink anything, etc. etc. etc" which I am pretty sure I respond to with an eye roll if I could only see my own facial expressions.
1 hour ago, kbrn2002 said:I'm not even quite two years in to the dialysis world and I'm jaded, LOL! I am already at the point where I start the education on the excess fluid gain by "here comes the lecture that I am pretty sure you will ignore..." which is almost always answered by "I watch my fluids, I don't drink anything, etc. etc. etc" which I am pretty sure I respond to with an eye roll if I could only see my own facial expressions.
Most of the guilty patients can give "the lecture", as they call it, better than any nurse in any clinic. One lady, when she calls in and we start to provide education, states "save it, I know the whole book, inside and out", and even provides the talking points. Nursing + entertainment at its finest...
On 10/26/2021 at 12:32 PM, NutmeggeRN said:Why do you think that just because your child is in high school, you do not need to supply me with medication orders, seizure action plans, allergy action plans...really???????? What changed??? GRRRR
Those parents are probably the same ones who know they’re allergic to shrimp, so they take a swig of Benadryl then get the Admiral’s Feast at Red Lobster because they thought Benadryl would prevent the reaction.
dianah, ASN
8 Articles; 4,724 Posts
Quote attributed to Winston Churchill (source debatable):
“Tact is the ability to tell someone to go to hell in such a way that they look forward to the trip.”
Another related quote that has developed (again, source debatable):
"Diplomacy is the art of telling people to go to hell in such a way that they ask for directions."