Ignorant Stupid Patients - page 5

:angryfireWhy do the patients that do not pay for any healthcare complain and gripe the most? It irritates me when a patient is on Medicaid and expect to be treated like they are at the Ritz Hotel. ... Read More

  1. by   NursingStudent5548
    [quote=~Mi Vida Loca~;3624584] BTW the healthy options at a lot of FF places are not that healthy and the portions are very small and un-fulfilling

    Every salad at Mcdonalds has less than 400 calories. Every meal a person is allowed easily 500. As long as a person avoids the ranch and ceasar dressing. They will easily stay under 500 calories.
    These salads are $5 or less
    Alot of these salads have and entire days servings for vegetables
    They are balanced containing
    Vegetables
    Meat/Protein
    Grain
    Fat/Oil (dressing)
    Dairy

    So pair with a minute maid apple juice and there is a balanced meal!! It is healthy and it is filling. If someone considers it not filling then they are eating too large portions.
  2. by   NursingStudent5548
    Actually, the scenario in question was posted by my Boyfriend using my account. Hints why they last post he was a man on the thread.
    Also why on other postings I am 7 months pregnant!!
  3. by   ~Mi Vida Loca~RN
    Quote from NursingStudent5548
    Actually, the scenario in question was posted by my Boyfriend using my account. Hints why they last post he was a man on the thread.
    Also why on other postings I am 7 months pregnant!!

    Oh well you, I mean he, made a comment about people just assuming you, I mean he, was a female, Well it's hard to know when your sharing accounts. Silly us for not knowing that. :stone
    Last edit by ~Mi Vida Loca~RN on May 14, '09
  4. by   KatzchenLSW
    [QUOTE=NursingStudent5548;3624628]
    Quote from ~Mi Vida Loca~
    BTW the healthy options at a lot of FF places are not that healthy and the portions are very small and un-fulfilling

    Every salad at Mcdonalds has less than 400 calories. Every meal a person is allowed easily 500. As long as a person avoids the ranch and ceasar dressing. They will easily stay under 500 calories.
    These salads are $5 or less
    Alot of these salads have and entire days servings for vegetables
    They are balanced containing
    Vegetables
    Meat/Protein
    Grain
    Fat/Oil (dressing)
    Dairy

    So pair with a minute maid apple juice and there is a balanced meal!! It is healthy and it is filling. If someone considers it not filling then they are eating too large portions.
    Yep because $5 per meal is so reasonable for some one who qualifies for Medicaid
  5. by   Southern Fried RN
    Getting back to the OP and why patients do things repeatedly that are bad for them.....it frustrates me too! I think that an "I don't care attitude" comes in to play for some of them. I've had many COPDers with 2 functional alveoli come off the vent yet AGAIN then continue to smoke. I've had many diabetic and dialysis patients eating spray cheese on saltines or birthday cake snuck in from home. Some of them have actually said things like "Smoking is the only pleasurable thing I have left" or "I don't care about this non-healing wound, I'm going to die anyways so I might as well enjoy." It's sad that some of these people have just given up with a "Screw it" mentality.
  6. by   ~Mi Vida Loca~RN
    I just looked at the nutritional info on the Mc Donalds salads w/o dressing. First of all, the cheap side salad is 3.1 oz. That is NOT fulfilling, and it has LITTLE nutritional value. It's basically lettuce which is not very nutritious. Look at the calories compared to the Calories from fat on these other ones, the ones that are the size of an actual meal. Not to mention that in order to get the portion of calories you need to multiply the grams, I can't remember off hand, I believe Carbs and Protein is by 4 and Fat is by 9. To get the real amount of KiloCalories, that will give you the true amount of fat and carbs and protein from the Calories is really there, but most americans that haven't had nutrition education would just assume that since it's a salad and people say it's healthy it really is. This isn't even including the Salad Dressing, which is listed in a different section on the website. So I stand by what I said, even the "healthy" food at FF places, aren't THAT healthy. I won't even post the info for the wraps and the snack wraps are very small.

    A person would be safer buying the stuff and making a salad at home, which is what I do often and I can assure you, it's not cheap to buy the produce or the lean meats to add into it.
    Ok I just tried posting the Table here but it's not letting me, so you can see it here. Oh and BTW now that you are talking about the regular salads and not the puny little side salad, it costs more than a few items off the dollar menu.

    http://nutrition.mcdonalds.com/nutri...ion_facts.html


  7. by   rngreenhorn
    Tisk tisk... nurses crack me up...
  8. by   Saifudin
    There are a lot of "ignorant, stupid" people, not only patients, but I understand the frustration and the anger as well. It is difficult to maintain a well balanced mental attitude and approach to every patient, considering all the bio-psycho-social issues, yada, yada...., but is it true, to a certain extent.

    This patient will likely not change and she is in denial like most people with addictive disorders. Diabetics often believe they can 'treat their glucose' and do not know, care or ignore treating the disease. And, with the "american express" medical card, she can keep on in this manner. But, even w/o the card, she would just get care for free and the hospital would write it off as 'indigent care', so health care costs keep climbing.

    I agree, that if and when our health care system is reformed, much greater accountability must be put on patients in terms of preventive health care. And that includes all of us as well.

    I use to tell my patients when I was in NP practice in NY, "I can't care for you more than you care for yourself", so do you best knowing but save your real zeal and passion for a patient who can really benefit by it.
  9. by   getoverit
    I wish I had time to read all the posts but we've had a busy night and I'm just getting a chance to sit down.
    To the nursing student who believes poverty has nothing to do with health status, I think you're mistaken. Your examples may be factual when it comes to the price and nutritional content of a McDs salad, but you have to take everything into account that comprises the environment of poverty...it's not just a monetary value.
    People who don't take care of themselves do deserve healthcare, and I understand how frustrating that is sometimes. Your examples of diabetics who don't control their diabetes are classical. what about when they have a knee arthroplasty and can't recover from the anesthesia? think of the untold $$ that pile up quickly from that scenario. It usually all comes out of the same pocket (ours).
    Also, what about people who engage in criminal behavior and need health care? specifically, cocaine abusers who have AMIs. Then get admitted a few weeks later, testing positive for cocaine and elevated enzymes again. how many times is enough? Can you honestly say 3 strikes and you're out to them? In theory it sounds good, but then you have to think about the actuality of your statement.
    Just my opinion. Hope everyone has a great day!
  10. by   rngolfer53
    Quote from KY LPN to RN
    :angryfireWhy do the patients that do not pay for any healthcare complain and gripe the most? It irritates me when a patient is on Medicaid and expect to be treated like they are at the Ritz Hotel. "GRRRR"!!!! It seems like a vast majority do not want to accept responsibility for their own actions. Perhaps if they paid for some of their healthcare, they would be more willing to be compliant with their treatment plan.

    I had a pt. today post op with a BKA. She already had a previous BKA a year ago. I walk into the pt's room and the family has brought in 6 Snickers bars. Ok, your BS is 600, you just came from surgery 2 days ago, you have no legs, you weigh 600 lbs. and you are in the process of eating 6 Snicker bars at once!!! I have tried to educate the pt. and the family and I feel like I am banging my head against the wall.

    She told me, "Honey, it's ok for me to have Snickers. I know how to control my blood sugar." UMMM, NO YOU DON'T!!!! You would not be in this situation. If she was responsible for a portion of her medical bill, then I think she would be more compliant. Since there is no incentive to change, these populations continue making poor choices. It is SO frustrating!
    While I agree with the general principle that we value free things according to the price we pay, I think if a Pt isn't motivated by losing a leg, paying some money won't make a lot of difference.

    With most people, though, a good incentive program makes a lot of difference. There should be higher co-pays for instance, if this is the third time your own dog has bitten you, or you're in the hospital r/t COPD and you go outside in your gown, IV pole in tow, to puff away on a cig.
  11. by   rngolfer53
    Quote from getoverit
    Also, what about people who engage in criminal behavior and need health care? specifically, cocaine abusers who have AMIs. Then get admitted a few weeks later, testing positive for cocaine and elevated enzymes again. how many times is enough? Can you honestly say 3 strikes and you're out to them? In theory it sounds good, but then you have to think about the actuality of your statement.
    Just my opinion. Hope everyone has a great day!
    By saying "Yes" to three strikes and you're out, you free up resources that have the potential to impact another life positively. That, too, is the actuality of the statement.

    Otherwise, you're only working with half the equation.
  12. by   getoverit
    Quote from rngolfer53
    By saying "Yes" to three strikes and you're out, you free up resources that have the potential to impact another life positively. That, too, is the actuality of the statement.

    Otherwise, you're only working with half the equation.
    You may be freeing up resources that would be used to a greater positive impact. But I don't think you're working with only half the equation....because if that were true then my question for you to answer about the other half is: where would you suggest the ungrateful and unmotivated go to die?
    Because with what you propose, someone could show up at the ER with +ST change, elevated enzymes, etc...and if it was their third MI, then we'd just open the door and put them back on the street. and how would you account for people with genetic markers for cardiac disease as opposed to people with poor diets, or what if it's a mixture of both...how would you know for sure which is more of a contributing factor.
    I agree with you about an incentive program and increasing co-pays for certain things, such as cigarette smoking, chronic alcohol abuse, even doing something obviously stupid that breaks your arm. But what about when they can't pay? You're right about someone who doesn't care about losing a leg isn't going to care if you charge him more money, because he isn't going to pay anyway. How do you squeeze $$ out of them who have none to begin with? I think the answer lies in a combination of increased access to appropriate healthcare resources and a different approach toward public education.
    Last edit by getoverit on May 14, '09
  13. by   johnsboo
    Working in healthcare means working with people. People of all walks of life. People with all levels of intelligence, different environments during childhood, full range of mental health issues, and views of life in general. As nurses, we are given orders from the Dr. to follow, and certain protocols for specific situations. As nurses, we are all wired a little differently, just as our patients are. Sometimes, we just have to step back after doing all that we can do for the patient, and know we did our best for them. We know that some patients are never going to change and we just have to accept that.
    Look at it this way. How many nurses do you know that work on a Tele floor with COPD patients day in and day out, yet continue to smoke. Are they not educated in the dangers of smoking? Are they not exposed every day to the horrors of what their last days are going to look like? Yet do they continue in the same behaviors? It isn't about being stupid or just not caring. People are people. We need to go from a task oriented profession to a critical thinking profession. Things will change and perspectives will change and we will stop being quite so judgemental of others if we take a minute to realize we are all entitled to live the way we choose, wether that means poor judgement, or good choices. Consequences come with every choice. And some of our patients, no matter how much they might irritate us, they have to live day in and day out with those consequences.

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