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kizeemimi 2,148 Views

Joined: Oct 25, '10; Posts: 72 (22% Liked) ; Likes: 52
PCA; from US

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  • Jan 26 '14

    Quote from kizeemimi
    I am in my last semester and have been having those dreams all throughout school. In mine, I am usually running late to class for a test, naked with hairy legs, and then of course I don't recognize any of the content on the test.
    Hairy legs........OH NO!!!!

  • Apr 14 '13

    I can tell you how people allow themselves to balloon up to 500, 600, 700 lbs. and so on.

    It's called "self-medication". Not too long ago, I was well over 300 lbs. myself and headed for 400, so I can empathize very easily with the super obese. Yes, mental disorders can cause compulsive overeating; once I was treated for mine, the drive to stuff myself until I was miserable went away, and I've lost over 40 lbs without much effort. But many people NEVER discover what, literally, is eating them, and since food is the one addiction that can never be completely overcome due to the necessity of eating to live, they go on until it kills them.

    I do know how hard it is to care for such patients. Back when I was a hospital nurse, we had a frequent flyer who weighed ~ 650 lbs. and literally required 10 staff members to get OOB. Bathing him took half a dozen.......three were needed just to hold up the enormous pannus that probably went at least 250 lbs. all by itself. He was one of the nicest patients I've ever cared for; polite, respectful, totally non-demanding, only pushed his call light when he desperately needed something. He passed away at age 48, not surprisingly from CHF. The take-home lesson from taking care of him was simply this: Obese people have ears. They have feelings, too, and they know when we healthcare providers don't like them. Sometimes, they act out because they know they're disliked!

    Believe me, your basic 500+ pounder is VERY aware that a) they are dangerously obese, and b) they're not going to live long if they continue eating as much as it takes to maintain such a large body. If you yourself knew you were going to die soon, wouldn't you want to indulge what few pleasures were left to you? I know I would......and since food is often these patients' only source of satisfaction, can anyone out there understand why they may choose to continue stuffing themselves?

  • May 18 '12

    the earlier advice about investing time early on usually works. also, if appropriate, humor works wonders. i had a grouchy little old man that i was to ambulate post cardiac cath. he was so impatient that he didn't want to wait for me to put a robe on him. he said he did not care if he mooned everyone while walking. he was in a hurry to dc home post ambulation. i very calmly told him that if he walked the halls with his behind shinning then all the ladies would be throwing themselves at him and stopping him to get his phone number and that would certainly slow us down. he just grinned and said, "i reckon so." he then put on his robe without a fuss.

  • May 18 '12

    Hi Kizeemimi,

    Congrats!!!!!!!!!!!!!!! way to go.....

  • May 12 '12

    Oh, most certainly will help you as an RN. You're already way ahead of most of the planet on that score---you have great instincts that will serve you AND your patients well. =)

  • May 12 '12

    ask them about the problem and listen!...I know this sounds stupid and simple but allow me to explain...

    As a student, I worked as a CNA on a hem/onc unit. We had a patient that came to us a few times...this particular time, she was dying...slowly. All the other CNAs hated having her because she was OCD HARDCORE! Everything had to be at a certain angle, made a certain way, ect.
    One night I was talking with her and she was super doped up on pain meds and she asked if I wanted to know "how it had to be". I said yes! The tray table had to be at a 45 angle so she could see it, the cups had to be in a straight line with the writing facing her (so she knew what she was drinking) the PCA button had to be clipped to her pillow (so she could find it) the IV pump and the trash can had to be at a 45 angle (so she could know how to push the pump, and see to aim) and the foley had to not pull (duh!) Also she wanted a different wash rag for each extremity. After she told me "her secret" we understood each other and she often talked to me about her former career as a nurse! She taught me a great many lessons and I think of her family often.

    Funny night she told me that you (I) should never go into OB as a new grad. She did, and because of her OCD she had to have everything just so and at exactly the right time...and well, we all know babies don't always wait for the exact right time for the sterile field to be set up the exact right way the particular Dr wanted it by the OCD nurse (It was funnier when she told it)

    When I was a new grad and I used to get asked about a patient I found to be memorable, difficult, and/or taught me a lot, I always talked about her. <3 CK

  • May 12 '12

    Quote from BlueDevil,DNP
    I don't care what people call themselves. I could call myself an astronaut but that wouldn't make it so. There are serious problems in the world, and if I'm going spend a single moment worrying about something I can't control, it would be something that means more than a hill of beans.
    On some forum out there is an astronaut who read this and thought "dang it, now nurses are calling themselves astronauts! Do they know how much work I put in to use the title "astronaut!!" And he/she then went on to rant.