Is it just me or............?

Nurses Relations

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I've been noticing something lately, noticing it going on a lot recently. Maybe its just the pool of pt's coming to my specific hospital or something, IDK.

We all know pt's over react to certain (usually the wrong) things. "OMG, my mashed potatoes are cold" meanwhile their saturating is like 72% and they don't want to hear about putting their oxygen back on until you've heated up those potatoes.

On my unit, the "thing" to over react to seems to be sleep. Now, I understand having an upset sleeping schedule is disturbing beyond belief.........heck, I work nights. But lately, I've had a slew of patients who act like a bad night's sleep is going to land them in the ICU or something. Literally, they are panicked and crying as though a limb was just amputated. They want double and triple dose sleep aids until they are sleeping, regardless of the risks.

I try to tell them "Maybe its not really a medical problem at all, might just be U R not tired". I bite my tongue and thing to myself "Yeah, you lay in bed all day telling the staff to get this and do that..........so why would you be tired? I wasn't aware being waited on was such hard work that it should provide you a good nights sleep."

Last night I literally had a woman go into a full blown panic attack that almost lead to me calling the rapid response team. What stressed her so? Her blood was not done and she wanted to go to sleep........it was going to keep her up and she'd never sleep and then the world tilts on it's axis causing great shifts in the climate (or so she acted/though) and killing millions............................(tongue in cheek).

What gives with the...............poor cooping mechanisms? Seems to be a bad nights sleep just meant you didn't sleep well.

As someone who suffers from insomnia over long periods of time, I only wish I could get instant gratification once every six months. I could not believe how rested I felt, although in pain, when I regained consciousness after being under general anesthesia for surgery.

I'm also an insomniac, prone to long periods of not getting any sleep, and suffer from night terrors and night paralysis when I do sleep, so I'm pretty obsessed with the idea of getting a good night's sleep. I just woke up a little while ago from a night full of nightmares...well, at least I got eight hours of them.

Although I can tolerate not getting any if I know that it's only going to be for a few days, and that I'm not going to have to get up and do anything, the idea of not being able to sleep makes me lose all sense of reason...especially if I'm sleep deprived to begin with.

I also remember being under general anesthesia one time and waking up feeling like I had had the best sleep of my life.

I've worked with patients like that and can see that they are way too fraught about the sleep issue, especially the ones who don't get out of bed all day and then wonder why they can't sleep, but I can also identify just a little bit.

Specializes in PACU, OR.

Don't know about patients with that problem-most of mine are sleeping anyway :lol2: but I have a couple of staff members who can't function without at least eight or nine hours sleep. In bed at 9pm!!!? Good grief!

Specializes in Home Care.

I remind myself that I'm the one who's not sick and in the hospital or LTC and I'm the one that gets to go home at the end of my shift.

I became a pro at ignoring whining when I was married and raising 2 boys :rolleyes:

Specializes in Medical.
Oh, BTW............"she"......................is a HE.......................:eek:
Oh, is that what that blue astrological symbol for Mars is for by your name, Eric? ;)

I'm totally with you on the "If I don't sleep, I'll die" patient - I feel like snapping at them "Try not having had any sleep and having to look after people. You know, some of the staff have to look after you, half a dozen other patients, run the ward, then go home and care for their families, all on less sleep that you've had, and that doesn't count the several naps the day staff tell me you've had." Also - it's not surprising you're having trouble sleeping: you're in a strange environemnt, you're unwell, there are odd noises, you have people coming in at all hours to do things to you and/or other patients in the room, and you haven't done anything all day to make your body tired. Make an effort to stay awake during the day tomorrow, and tomorrow night may be better. In any case, you won't die if you're still awake at 2AM.

Specializes in Psych, Med/Surg, LTC.

I see it, too. I am not talking about the true insomniacs. I mean the ones that can't seem to handle 2-3 nights of poor or interrupted sleep. What do they really expect? If you are sick enough to be in a hospital, you need to be monitored during the night. ;) They complain about the bed, the pillows, the noise, the lights- yes, I get it. But many times, it is only for a few days and then you will have your own comfy bed/pillows back in your quiet dark room with no one bothering you. Do we really need to be giving Ambien along with Ativan and Percocet so someone can have a good night sleep, AFTER they took a 3 hour nap in the afternoon?

And the people that flip out saying mom will not get better b/c their toast is cold or their ice water isn't cold enough (and you can see there is still ice in it!) drive me nuts.

Specializes in Med/Surg, Geriatric, Hospice.

I've noticed that many patients tend to think the hospital is a spa and act quite spoiled over things that really are not pertinent to their immediate well being. I've seen it MANY times, I'll find a patient in some sort of serious distress and their main concern is the need colder water, need the bathroom, want their pillow fluffed, or the call bell is tangled with the o2 tubing.. etc. I'm like, Wait a minute.. your pulse is in the 140, resps 36 per min.. your heart sounds are crap and you want colder water?! Sure, lemme get right on that, when I get back you'll probably be coding by then!

It's so crazy to me!

Specializes in Psych ICU, addictions.
Do we really need to be giving Ambien along with Ativan and Percocet so someone can have a good night sleep, AFTER they took a 3 hour nap in the afternoon?

And the best part is that they will look you straight in the eye and swear to God that they haven't gotten any rest today. Even though they were snoring loud enough during that nap--and the night before--to wake the dead :lol2:

Specializes in Med/Surg, Acute Rehab.
now come on...........do i have to explain the difference between insomnia and someone missing one nights sleep here? please, before i lose a lot of respect for you, tell me you are kidding and don't think that even through 9 degrees of separation this post is related/directed at you.

:jester: ohhh, lol.........you are kidding.....right?.......i hope so.

"you're so vein, you probably think this thread is about you............doooon't yooouuuu, dooooon't yoooooou?"

erik,

love your posts and your sense of humor. but i have to tell you that as a member of the grammar police, it's "you're so vain" not vein!!! unless, of course, you were using a pun, maybe??? just messing with you.

"are you really a nurse?" that response really ticked me off, but someone already responded to that poster!

do people on this board not see all the other posts by its members? then they wouldn't ask such a question unless they good reason to do so.

maybe your post was over her head.

Adopting good sleep hygiene habits over the long run is a form of delayed gratification with results that are not so instant.

Even if someone does have good sleep habits, being in the hospital can disrupt them.

I don't think this always requires medical intervention, but I can see how that might be the best course of action at times.

When I was in the hospital, I slept for about two hours total over three days. I pretty much always sleep well at home, but I just could not sleep in the hospital. By the time I got home, I was actually hallucinating a little. I didn't want any sleep meds because I had to take care of my newborn, but I can empathize.

As for the patients who nap all day and then complain: hilarious! ;)

OP, it sounds like you've had some really frustrating patients driving you up the wall lately. Maybe the stars will align and you'll get a break soon. :)

Specializes in Psych, Med/Surg, LTC.

I do very much feel for new moms though, who can't sleep. They can't just make up the sleep when they go home, since they have to get up a lot with their newborn. That really stinks. I am not saying to medicate them to sleep, but it would be nice to be a bit more considerate of their sleep when they are sleeping, since it is so hard to make up when they go home, especially if they have other kids. There is no napping when the baby naps if there are other kids involved.

Specializes in Primary Care Nursing.

I get annoyed with those patients who demand a prn sedative because they can't sleep. Why not trying reading a book, watching a bit of TV, or playing a crossword puzzle. Who says it always has to be about pharmaceuticals? Our population is over-medicated as it is, there's a little round pill to fix everything. When did we become so dependent on quick fixes?

Specializes in M/S, Travel Nursing, Pulmonary.
erik,

love your posts and your sense of humor. but i have to tell you that as a member of the grammar police, it's "you're so vain" not vein!!! unless, of course, you were using a pun, maybe??? just messing with you.

"are you really a nurse?" that response really ticked me off, but someone already responded to that poster!

do people on this board not see all the other posts by its members? then they wouldn't ask such a question unless they good reason to do so.

maybe your post was over her head.

:jester: yes, it is a pun. don't you get it?

<_>

>_>

:o it was a bad spelling day.

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