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.

Specializes in LTC.

Beautifully written. I think I need a kleenex!

Specializes in nursing home.

I have been an LPN for less than 2 months and working LTC. We have 180+ beds, with 3 stations. My station has 3 halls, and I work 2 of them, one of them being rehab/medicare. It's rough for a new grad, and I feel I have just stepped out of a blender when I get off from my 7 pm-7 am shift...more like 8 am after faxing orders, etc.

I was originally going to work a hall with just regular residents and the rehab hall is really rough, and I may be switching to a regular hall on another station in a couple of weeks.

What stinks is some of my long term residents on my regular hall have really gotten attached to me, I'm their favorite, and I will miss taking care of them. I realize this is something I will have to get used to, but you really do get attached to them, esp. the ones with no family or just a couple of dusty old pictures with broken frames. It's heartbreaking sometimes, and I do like to take a few minutes to visit with them and hold their hands when I can.

That was a wonderful message and beautifully written.

Thank heavens you took the time. Good job! When you retire, please write.

Your story reminded me why 7 years ago I wanted nothing more than to be a nurse in a nursing home and make a difference. I salute the nurses who still and can do it, unfortunately I had to leave the LTC business because I could not let it go when I came home. It ate me up inside. The lazy nurses and CNAs who cared more about their own time than what they could do for a resident in giving them what you did. Just a few minutes of comfort. I tried to fight the system of understaffing, nurses and CNAs who took numerous breaks and did not do what they could have done for the residents. I worked without breaks, I tried to lead by example but it wore me out. There are some really good nurses in nursing homes but unfortunately all people hear are about the bad ones and how care is so bad. Nursing homes are the hardest job any nurse could do and I'm sure there is a special place in Heaven for those whom are able to carry on. I'm sure you received a blessing for that act and you shared it with so many others. Keep on keeping on if you can!

Specializes in LTC.

you get three day suspension for sitting on resident bed, reported by CNA who hates you because you make her do her job.

Specializes in Pediatrics, Geriatrics, LTC.

Thank you everyone! Your comments are so sweet, they inspire me to do more, and I do love my job. Snugpeach, hate to tell you, but none of my CNA's hate me. :) peace ~~namaste to you all