Advice needed - withdrawing life support & how to deal - page 2
Hey everyone! I am a new grad RN and I'm working in a 25-bed MICU at a university hospital system. I LOVE my job and am done with orientation next month - WOOHOO! :) I am nervous but excited at... Read More
Sep 3, '07Occupation: ICU days Specialty: CCRN, ICU, ER, MS, WCC, PICC RN ; Joined: Aug '05; Posts: 75; Likes: 37I believe that some of us are just built for these types of positions (ER, ICU, Hospice) and that we are naturally drawn to deal with end-of-life issues. I know that there are many worse conditions than death and my job is to support a patient, should they die, throughout that process with the utmost dignity, respect and compassion. This means adequate pain relief and support of the living who inevitably are left to grieve. I take heart in knowing that sometimes the ultimate healing I can provide was given not through "saving" that patient, but through facilitating a proper end.
Sep 3, '07Joined: Dec '06; Posts: 8,249; Likes: 15,451Quote from chris_at_lucas_RNExactly--I agree when we stop feeling sad/bad at the suffering or death of our patients, we need to go do something else, at least for a while.
As a hospice nurse, I was confronted right away, not with removing of artificial supports, but with the end of one life and the changing of all the others around that life. I saw amazing transitions, and I realized that part of my strength lies in having made peace (mostly) with my own mortality and having developed a settled and comfortable belief about what happens, for me, next.
When it is helpful, I share a little (or some) of that with my clients and their families. When it is not, I just stand still and strong, and give them what I have that they can use. At the end, I can feel very good--I limited or eliminated suffering. I comforted. I made someone's day better. I gave something from deep inside myself that will be carried by someone else and passed along who knows how many times.
And I recall the advice of Carl Whitaker, a family therapist early in the development of that field, who, when asked about avoiding burnout, said, among other things, hold a baby, be good to yourself, seek out the support and ear of others, and lend your own.
And I hug my sister and my dogs a lot.
Good for you to be in this work, and even more good for you that you are thinking and feeling as you are. What a wonderful addition you are to our profession.
That was a beautiful post. Thank you for those words.
It is people like you that make our job as Hospice Nurses so rewarding.
Sep 4, '07Occupation: RN/Mother/Housekeeper/Vet/Should I go on? Specialty: 16 year(s) of experience in SICU ; Joined: Jan '02; Posts: 571; Likes: 505It does get easier, but only because you learn to deal with it better. Each nurse has her/his own way of coping. Of course it's always sad to see a life end, especially if the patient is young. I definitely have shed my share of tears!
One thing that's helped me over the years is to do my best to make sure the patient has a GOOD death: as pain free as possible, and surrounded by family, or at least, not alone. I've also realized that there are certain things I want for myself when it's my time, and I've made sure that those wishes and requests are in writing.
Death is a part of life and it deserves as much attention and caring as any other part. Use your experiences to bolster your knowledge, and next time you are caring for a dying patient, think of the ways you can make it better, for both patient and family, then DO IT.
Sep 5, '07Occupation: ICU float, medical, surgical, cardiac and neuro Specialty: 12 year(s) of experience in Travel Nursing, ICU, tele, etc ; Joined: Jun '07; Posts: 1,792; Likes: 792You are a human being and being a nurse means getting involved in the human experience, that is the way it should be. It is OK to have all the feelings that you will experience. Being a nurse does force one to look at death and dying and to come to terms with it for yourself.
You WILL develop coping strategies and an ability to detach which is necessary, I believe, for you to be an effective nurse. After awhile, not everyone's death will tear you up anymore and that is the way it should be. You have to put some boundaries around your own internal peace of mind and not let your job strip that away from you. You can still offer support and care, certainly, but you will learn to protect your own emotional well-being. We all will take our turns at grieving the losses in our own lives, it truly is not necessary for you to grieve the whole world's.
Thanks for your compassion and for your caring! :icon_hug:
Sep 6, '07Specialty: SICU/Trauma ; Joined: Feb '07; Posts: 47; Likes: 9I find it hard when death occurs in my unit no matter what they age. Everyone is someones sister, mother, father, brother or friend. I feel that it is good to cry but try to keep control, don't sob uncontrollably! But I think crying is normal when you see a grieving family and caring for that pt. you gave them a piece of yourself. I have absolutely no advice to allow this to be easier because it is not an easy part of life. Just take care of yourself and your feelings and work through it.:spin: