Motherhood, Death and Nursing

When I was a little girl, I always knew I wanted to be a mother. After my first child was born, I knew I wanted to be a nurse. I never knew how intimately these two experiences would impact each other. Nurses Announcements Archive Article

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Two more children came along, and I stayed home with the three of them until they all began school. I love being a mom! I was with them for every first word, first step, and first day of school. Finally the day came for me to pursue my dream of becoming a nurse. I began nursing school in the fall of 2008 and plan on graduating with my ASN in december of 2010. I felt accomplished as a parent; however there were some areas I knew I fell short in. Take death and dying for example.

I've always had a death/dying anxiety. I'm sure none of us looks forward to it, but I remember having panic attacks thinking about dying. This of course translated over into my role as a mom.

It was always so hard for me to talk to my children about death and dying. Honestly, I always tried to change the subject or make light of it. It seemed to come to a head when a pet died or was dying. I swear I did every heroic measure to save even the lowliest of goldfish. I would do anything to avoid dealing with that final outcome. The questions. The burial. The tears- I'm ashamed to say how many goldfish, hamsters, etc. I've cried over.

Well this morning my daughter's (who is 11) pet rat Lilly wasn't well. She is about 2 years old (old for a rat). She was bleeding out of her mouth and her cage was covered with blood. She was wobbly when she walked and had grown quite thin over the past few days. My daughter was beside herself, and I could feel myself going into "heroic measures" mode. Should we call a vet? CPR? Meds? 24/7 watch?

I examined Lilly and knew she was dying. She is old- she might have a tumor in her mouth or other problem common to older rodents. I was debating my plan of action when suddenly a peace came over me I can't explain. The week before, I attended a perinatal bereavement lecture. The nurse who taught shared about her own painful losses and I left understanding more about death and dying. I guess I should say I left accepting more about death and dying. I remembered her words: "sometimes dying is unavoidable- it's part of life."

I looked my daughter right in the eye and said: "Honey, Lilly is dying. She is old and sick. I don't think there is anything we can do for her to keep her alive, but we can take care of her and keep her comfortable until she dies. It's hard to understand, but dying is a normal part of life, and now is Lilly's time." this may seem like nothing to you, but for me it was huge. I had never spoken this honestly about death to any of my children.

My daughter's reaction was amazing. She wasn't anxious like she had been with other pets, but began accepting what was going to happen. She held Lilly while I washed the blood off her face a paws. We cleaned up her cage and made sure her water was nearby if she wanted it. My daughter said: "Do you think the room is too bright? Maybe it would be more comfortable for Lilly if I put the shades down." I told her we did that in nursing school for our patients and explained what "mileu" meant. We were able to leave her and go run errands with my daughter feeling fine about it.

I feel very grateful to all the nurses who have the passion not only to care for their patients, but to care for and share with their peers. Their teachings and personal experiences transcend classroom, hospital and beyond.

Specializes in Critical Care, LTAC, Post-Partum.

Wow! That is amazing! I think the first time I began to think differently about death was when a friend of mine who was a RT talked about being with some of her patients when they passed. She said it was an honor and a privilege to be with them and help them through that time. I always thought it would be a horrible experience and it was strange to hear someone talk about it otherwise. Thanks for sharing your experience with me-

Seriously moving--I actually got choked up reading your story. thank you for sharing.

What a nice post.

Death was scary for me as a new(old)nurse. Then, the power that is, placed me on a rehab/hospice wing, the last place I thought I would ever be. The first few hospice pts. overwhelmed me. Now, I feel priviledged to be a part of my pts lives, during their final chapter. For many, there is a "peace that surpasses all understanding" and it is truly a wonder to be a part of.

It has taken me 2yrs to gain the insight you have about death and comfort care.

Your right, the final outcome to life is death, but that is a hard truth to face.

You were so right on with your daughter and her pet.

If you haven't considered hospice nursing you may want to, it may be a good fit for you.:redbeathe

OMG, you are so kind to share this. Thank you. I am very much the same way..Growing up I always saw death as the most horrible and tragic thing. (And it is..) Therefore always avoiding the subject. I also never lost anyone close to me and sort of considered myself lucky for it. I knew that if I ever lost anyone I loved, it would knock me down so hard, I may never get up again. So what do I do? I go on to encourage my 4 yr old daughter to try and refrain from using the word "dead" or "die", because to me, the words cut like a knife. Should I not be afraid to tell her a gentle version of the truth?

Well, the time presented itself in February of this year. Not only did I lose someone I loved, but I lost the dearest person I could have lost to me. The only person in my life who really guided me in a decent direction. My grandmother was gone within 3 weeks of her Stage IV colon cancer diagnosis. It happened so fast, and I am still, well..you know. One day, I was designating my self as her caregiver (which she would have needed during chemo treatment), the next she was gone. ***!?

Being a cna has helped to make some sense of it, but then again it hasn't. Death and griving are so tricky and the only thing that is really getting me through right now is knowing she is no longer suffering. I keep thinking there will eventually be a moment when I can be at peace with it, but I don't know. Plus there's so many questions (for me) surrounding it (how long she really knew, her pride, etc.) I know they say that time is really the only thing that heals this but geez. I just want my Nana.

Thanks so much for your post and for letting me vent. Hope no one takes any offense. I certainly meant none.

Happy Easter!

Thank you for sharing. I too have cried through many an animal's death and funeral. This one I will share with you.

My son Aaron had a pet rat (Thumper) when he was 8-9 years old. Every day he spent hours playing with it. It rode around the house on his shoulder. He made mazes out of shoes and toys for his dear Thumper.

When Thumper died, Aaron buried him in the front yard under a dogwood tree, and found a flat rock to mark his grave. On the rock Aaron wrote with a marker:

'Thumper.

Born an ordinary rat.

Died a beloved member of the family."

Specializes in Renal; NICU.

I'm here at 2300, should be sleeping for work tomorrow, but no. I'm reading (and crying:crying2:) about death and pet funerals and the sweetest thing I've read in a long time. Thumper & Lilly were truly lucky, to have such good people in their lives.

My very wise neighbor brought her 4 yr old grandson to my Dad's viewing.

This little boy would stand at the fence, call my dad and wave to "come over, Mr Ricey, come over". My dad would go over and talk to him, not child talk, but grown-up. Jamie was quiet but very smart about a lot of stuff. Sometimes my dad would give him candy or gum, but mostly was just his fence-friend.

When Daddy died suddenly, Jamie was told he wouldn't be coming to the fence anymore, and he insisted on being taken to the funeral home (first time) and wouldn't take no for an answer.

Once there, as his grandmother held him up to see my dad, someone standing nearby said my dad was sleeping. Jamie very matter-of-factly said, "He's not sleeping; he died and went to live with Jesus. Bye, Mr Ricey (waving), I'll see you later".

Ahh, the sweet, innocent wisdom of little children. Listen to them; they will teach you well.:redpinkhe

Never underestimate their ability to understand. They are less afraid of what they understand, also. But then, aren't we all?

In the time I've been a nurse, I've seen people right before and right after they died(I'm in the ER), but never actually SAW the moment of death until recently.

A pt came into the ER with chest pains, but conscious and a/o. He was nervous, so I asked him what he liked to do to help take his mind off it. Just as he started to answer, he looked through me for a moment, then his eyes suddenly rolled back, his mouth fell open and he slumped backwards on the gurney. I called a code blue, but he was GONE. I swear it looked like the light in his eyes went away. It happened so fast that I don't think he had a chance to be afraid.

He was in his 40's and had a wife and kids.

I tell myself he didn't die alone at least, but the image haunts me to this day. We can ALL go like that, so every day is a treasure.

Specializes in Renal; NICU.

You said he didn't die alone? So his wife wasn't there? Did she ask you what he said at the end? It reminds me of the following:

Back in the long ago when I was a candy-striper, my elderly neighbor with chest pain had been admitted to my floor.

He was a genuinely sweet and Christian man whom I really liked. As he was being admitted, I went in to say hello. The RN left the room when she finished, and I stayed on, chatting with him about how good his garden was looking and catching up on his family.

After making sure he was comfortable and had everything within reach (my candy-striper duty), I turned to leave the room. When I got to the door, the admitting RN and another ran past me back into the room, dragging the crash cart. When I turned back around, my neighbor was ashen, eyes were rolled back, and he was gone!!! His telemetry had sent them running even as he said his last words to me.

When his daughter found out that I was the last one with him, she begged me to come over and talk to his wife and give all the details. I did, actually went twice, and it was something special to her as they were a couple who had hardly ever been apart for a night. She was disabled and ill, so she did not go to the hosp with him; knowing men, I'm sure he told her, "Oh, sweetie, it's just a little chest pain".

Alas, no, but in some small way, I may have helped her to know he did not suffer and was smiling about his garden.

Specializes in Critical Care, LTAC, Post-Partum.

Candy- Thanks for sharing your personal story. I'm learning with death and dying there are no absolutes or rules to go by. Everyone moves through it in their own way and we need to accept that about one another. No offense taken- this should be a safe place to share and vent.

Specializes in Critical Care, LTAC, Post-Partum.

Tiddle- thanks for sharing. I have an 8 year old son now, and isn't it amazing how children can simplify life?

Specializes in Critical Care, LTAC, Post-Partum.

nitenite- WOW! The things we see as nurses really give us more opportunity than others to live our lives to the fullest! Thanks for sharing your story.