you love/you hate

I hate (not the patient mind you- the type of patient is what I'm referring to) scoliosis surgery patients. They are in some degree of pain/ discomfort no matter what you do, unhappy with whatever position they are in and their beds are always a mess. I love to have my patients pain-free and nice and straight in a clean, wrinkle-free bed - all fluffed and buffed. Scoli patients are just miserable that first night no matter what you do. I am frustrated by my inability to get them 100% comfortable that first night.

I love (and don't take THIS the wrong way either) supporting families in times of crisis. Helping them cope, encouraging self care. I particularly love it when I've gotten them to go off-unit and sleep - and they return in the morning refreshed and grateful for my care overnight so they could get needed rest.

One of the worst things I hate are bed sores and ulcers. Not that I can't handle the look of them so much as it terrifies me to think of the pain that the person must be experiencing. Its hard for me to treat it with a clinicalness without letting feelings and body and facial expressions get in the way. I am always so afraid of hurting them further as I'm taking care of the person I'm finding I say sorry a lot when I have to touch around it. It has to be one the worst things we nurses and CNAs have to deal with taking care of the elderly. And sometimes I hate that they are sometime unpreventable. They are not there always just on neglected cases. Sometimes they happen a lot with those that are very thin and frail. Many people that are in death process get so very thin that their skin breaks down and no matter how much you turn them and try to protect their skin it can happen.

Hi, this what exactly happen to me with ulcers, and sores of the skin.

other think that make me stay or spent more time watching a PT is when they tell me I cant breathe

and all its right .

Ostomy care.

I can handle vomit and poop everywhere.

I DREAD ostomy care.

It is the one thing in direct care that will make me gag. I've done it regularly for months for one patient in home care and held my breath the entire time. No amount of mint chewing or stuffing my nose with Vicks helped, and there was no "getting use to it".

Finally, I couldn't take it anymore and asked to be reassigned. (the joy of homecare!). Luckily, in the LTC where I am now, I haven't had to care for one yet.

Missing you I will agree to that one. I had a client for a brief time and I felt so inadequate. That I feel is something that sure I learned it a bit in CNA class and when I got the case one of our nurses gave me a refresher course. But it felt totally different when I was actually doing it. One of the times I did not seal it correctly and we had a mess felt terrible but the client was great and did not seem to mind and was understanding.

That is define a skill I feel you get better with practice and does not come easy

I don't mind doing most CNA tasks. I take pleasure in helping patients in the recovery process and in the maintenance process, and especially in the dying process.

What I don't like: Patients who treat the hospital like it's a 5 star hotel. I am not there to wipe butts when a patient is capable of wiping his or her own butt (encountered this recently). I also cannot stand staff members who like to piddle around and not do anything or tattle on everyone and get away with one or both. I also despise people creating drama intentionally to report it and make themselves look good.