Nursing Home Blues

Making my after dinner rounds at the nursing home, I'm rushing down the hall hoping everyone is asleep. I have notes to write, order to transcribe, doctors to call, appointments to make. Please let it stay quiet tonight. At the last door, about to turn and head back to the desk I hear sniffling, quiet barely there weeping, a child-like voice in the darkened room, "I wanna go home". Nurses Announcements Archive Article

I peek into the night-light lit darkness and she sees me; The plaintive voice whispers, the old wrinkled hand reaches for me. I step in and reach for her fingers brushing the tips with mine. Sitting up slowly She pats the bed next to her moves an inch or two to make room tries to smile asking me to sit and stay. I bend to hear her better, her roommate is snoring lightly. Soft, paper thin, blue veins on the back of her shriveled hand I trace with my index finger...so soft. Whimpering with great heaves of shuddering old lady breath in my left ear. I have so much work to do, so many patients, so many medications to give, so many old people to check on.

"Please" she's begging now, grabbing my hand tighter, lifts my chin with her other hand, forcing me to see her watery blue-gray eyes.

"Im-a-wanna-go home" Italian, 'no-speak-a-the-englaise'.

And me, no speak-a-the Italiano.

But, this conversation needs no words. I can tell from the voice, almost a keening, the barely concealed sobs, the deep deep down hurt- confusion and unspeakable sadness, it's universal-I wanna go home.

They all wanna go home-think they're going home, talk about going home. Someone's coming to get them tomorrow, later next week, in June, at Christmas. Their husband, their wife, son, parents, granddaughter, coming to take them home. Only they aren't. Ever. Not today, not later, not next year.

This lady, this forgotten human being lives in a nursing home and she's got the blues-got'em bad tonight. It's about 90 degrees in her room, yet she's cold. I sit on the edge of her bed- a major infraction, and sigh.

She points to pictures on the wall. "Me-momma, me-poppa, me baby" she wants me to know she has loved ones, was once a loved-member of a family, part of something.

Tears wind their slow journey following the wrinkles on her cheeks, get caught in the crease at the corner of her mouth, and finally drip off her chin, land on my younger smoother hand and dry there. I rub her hand as she cries, pat her back, smooth her thin strands of hair and touch her face. She grabs me around the neck pulls me in close for a hug, crying.

She smells like powder, I croon some sounds tut-tutting, and shushing her as I would a small hurt child. That's who's crying, the little lost sad girl inside this ancient body. "It's okay shussssh" ,I whisper, We love you, we take care of you". It isn't hard work-but it's powerfully sad. I feel my heart beating against her old old chest, I hear a distant painful cry down the hall and I have to go. I kiss her lined face, she presses my tear stained hand to her disappearing lips and gasps her good-night. She pats her heart and pats my chest where my heart is. We are friends. I am her family. I am her nurse. Buona Sera bella.

Thank you for sharing. That was beautiful:)

Specializes in critical care.

You write very well.

We are her friends, and family, and she will not be forgotten, beautiful. So often just spending 2 minutes with residents just to listen to them can make the difference in the time they have, and you feel you can make a difference.

This is quite beautiful, thank you for sharing it. Beautifully written. Compassionate.

Specializes in Geriatrics, Geriatric Psych, Med/Surg.

Bless you my darling ~ you have found the right career and the right setting. They need us, more than most know. We are their family. I started my nursing career in a "nursing home" (now skilled nursing facilities). When I was in school 15 years ago my instructor told me that this would be my niche ~ she was right. Through the years I have been everything from my first position as a midnight charge nurse to the Administrator of my own facility. I have since had cancer, but am ready to return ~ this time as a Director of Assisted Living.

Many nurses think you don't use "skills" in a NH ~ how little they know. You use skills from caths to IVs, draw blood, and do surgical preps, tube feeding, NG tubes, trachs, etc. Most of all you excel in people skills. To comfort like you did, to help someone with Alzheimers actually take a bath when they are terrified of water, to coax someone who refuses to eat and is losing weight to actually eat. We even see people who are tube feeders progress until they are no longer tube feeders, people who are bed bound to finally gain enough courage and strength to use a wheelchair, leave their room, and socialize. Why? Because we care enough to be there for them when no one else is, because we love them, and because they become part of our family.

I used to think about nurses in a hospital with "six" patients and what a breeze that would be. I worked in hospitals both as a nurse and a nurse manager. Their six patients are definately a handful with blood transfusions, IVs, chest tubes, etc. and you run all day long ~ but their patients come and go and the caring and connections do not get to grow. We, even with a patieint load of 20+ have that added bonus. We can also survive in a hospital environment if needed, however, I have seen many hospital nurses who cannot make it in a NH environment.

You are a loving person,a phenominal writer, and from the sounds of it a great nurse. Please keep up the great work.

Specializes in LTC, Agency, HHC.

As I sit here and read this, little 'ole me, an LPN getting ready to start classes for my BSN, feeling sorry for myself because "All I am is a puny LPN working in a nursing home" and how tired I am of pushing pills and dealing with management that could care less and am constantly yelled at by families and residents because we are short staffed, their beds don't get made, they don't get their shower today. You can't say you are short staffed. The 27 year old DON should have never gotten that position "temporarily" going from new grad RN to DON in a matter of months, no matter if she "aced" the corporate interview and sleeps with her staff whether they are married or not. People tell me I am doomed to a career in LTC because I have been there for so long. (5 years.) However, I come to the end of my shift and I can go home to my family and sleep in my own bed, take my shower on my time, eat when I want, what I want. My bank account is sometimes overdrawn, but I can almost always walk on my own 2 feet and drive my car to the Olive Garden. Or have a nice dinner out with my hubby. How we forget and wallow in our own self pity without seeing the "bigger" picture.

Very well written! And thanks for reminding me of the true reason I went into nursing in the first place. To care for people. No matter where, or who, they may be.

Specializes in Telemetry/Stepdown, Government Nursing.

LPNs are very valuable. Don't ever let anyone you feel "puny".:)

Specializes in geriatrics/long term care.

Your story is truly inspiring. Have worked most of my career in long term care and have had many moments of deep reward, such as this one, that "make it all worth it". There is no substitute for caring for someone on their bad days, and good. When theyre sick(on antibiotics for bilateral lower lobe infiltrate), or well (running over your toes in their wheelchair in their haste to get to the bathroom). Never forget that you ARE thier family. I know it sounds cliche, but the people that you live with every day, that care about you and take care of you, no matter what, are your family. It may not be the family you want, but isnt that life. You never get to pick your family... but you love them anyway. Read this story often. Especially on the days when you wonder why you ever wanted to do what it is that nurses do. I know I will.

Specializes in Med/Surg,Peds,Long term.

Fine example of the many rewarding interactions that are happening in the best nursing homes, and best is defined by the nurse patient interactions. These fill the heart and soul, providing the bonus pay day! What I love about being a nurse.

Specializes in school RN, CNA Instructor, M/S.

Your story is beautifully written and it made me remember my days as a CNA instructor and getting to know the residents of the skilled nursing facility I used for clinicals. It felt like a real home. the staff and residents had a very unique relationship and I loved working there. Families come in evey shape and size and you never know when you will come across a new member of yours!!!

[color=#000]is a moving story,

which undoubtedly comes to feelings

internal any human being

thank you very much for sharing.escuchar

leer fonéticamente

Specializes in Oncology&Homecare.

I loved this article but I have also loved all the responses to it. It makes me proud to belong a profession that has such caring and dedicated professionals. In spite of all of difficulties of our job, we still have a big heart for the only thing that matters - the patient.:redbeathe