Older, overweight, and drug addicted patients

Nurses General Nursing

Published

I would be willing to bet by the title that the reader here will think this is a rant, but it is quite the opposite. This came about because the longer I spend here on AN, and the longer I work in a hospital, the more my heart breaks to see how some of our patients are treated.

I am grateful for older patients:

Some may say it is time to let them go, to stop trying, and give up. If the patient and family do not want to stop, I want to be the nurse that agrees to keep fighting with them.

I am grateful for overweight patients:

When they are brought to tears by embarrassment, when they spend day after day listening to snide remarks by the staff and turn angry when they have had enough of health care providers complaining about them, I want to be the nurse to give them some dignity.

I am grateful for drug-addicted patients:

Some don't want to quit, and won't. Some want to quit, and can't. When others see a "junky" or a person who could never amount to anything, I want to be the nurse to see potential in the human being trapped inside an addict's body.

I didn't become a nurse to take care of only the patients I deemed worthy of my care. I became a nurse to help people. All people. I'm not here to judge them, and I am lucky to have a job. If it weren't for these patients, imagine how much worse the nursing job market would be. I am lucky to be able to help people who need it most, and make a living doing it.

On a side-note, I am also grateful for all of the wonderful, fantastic, and talented nurses!

My feelings exactly but, be very careful if this is truly what you are because you are at risk. You are at risk for burn-out. The patients will love you, but your co-workers and management may look at your practise from a different perception than you have. When you nurse with your heart, when you do get hurt, and when your wings are clipped it takes a very very long time to heal. Wear some type of armour over the heart on your sleeve, just a word or two of advice from someone who believes like you and has for the over 20 years she has nursed.

True dat. I've not got anywhere near that level of experience in this line of work, but I've seen burn out first hand - not pretty. Still, it's comforting to know that this older, obese & drug addicted (relax - it's caffeine...) brand-new CNA has at least a fighting chance of getting someone kind, caring, non-judgemental & compassionate to take care of him, should he end up in one of those beds (mitered corners, nice toe pleat if you please - and put the blasted call button where I can get at it, willya?!?) dealing with the excesses of a moderately long life.

I've said it before and I'll say it again - "Heart of gold; hide of a Rhinoceros". Ya need both.

Peace,

----- Dave

Sounds like you like to ENABLE people! I understand not being judgemental but eventually you have to step back and evaluate a situation as to not waste resources.

Also, everyone keeps mentioning how its job security to have these patients. Which is kind of true. However, most of these people aren't paying their bills, or we are paying their bills. Think morbidly obese (probably not employed), drug addict (probably not employed). So it is actually quite expensive on our behalf (the hospital's behalf) to care for them. So we might actually have better working conditions if all we took care of were the elective surgeries, and acute problems, which are usually people with insurance. These people would pay their bills (or insurance would anyway), they would be healthier (in a perfect world if we quit becoming obese), so our work load would be less and the hospital's reimbursement might be better.

Oh and by no means am I saying we should not care for the addicted/old/obese patients. I'm just thinking if all of a sudden we did not have addicted/obese patients anymore because we all learned how to take care of ourselves and learned how to cope without drugs I think we would still need nurses and probably get paid better, and have better staffing ratios! Hospitals lose money on medicare/medicaid/non insured patients.

I think it should be said that did not post this in an effort to be self-righteous, it was more a speaking of my mind for my own benefit. I am grateful for these patients, I understand not everyone is, and I wouldn't want to force my opinions on those who aren't.

And yes, I have injured my back, been slapped, punched, kicked, bit, and spit on. And yes, some days I know the burn-out is just around the corner. As much as we try, sometimes we fail to provide the care we want to.

Just a thought.

I am already getting 'old'. And I am somewhat overweight - but not morbidly. No drugs yet!

So be kind to me when I am admitted to your unit.

I....wish I could have the same compassion as you, I wish I do. I have such caregiver fatigue it's not even funny. Some of my patients are drug addicts just using entitlement systems (Medicare B/Medicaid/The Facility's own funding) to get their fix which angers me to no end. Older patients I don't really have a problem with, everyone gets old. Overweight patients, I don't like it when they say they don't eat and I see empty plates and cans of ensure which they aren't allowed to have in their garbage can.

Seriously MS Contin 200MG BID and Morphine IR 30MG Q4 hours? It doesn't help whenever I see the patient he is always writing in pain but yet when I do rounds I see the patient moving around like NOTHING happened.

Specializes in Chemo.

i tend to think we all get a little syndical attitude towards the patients we see. i think of it as a natural instinct to protect ourselves from going crazy. do not get me wrong i will advocate for a healthy 20 year old as much as the old, obese, dmii and so on patient. in nursing we see many tragic, great, sad, uplifting, shocking, happy, and, horrible events, we cannot do this day in and day out without being affected by those patients, venting in one way or another is healthy. ( this is not meant as an excuse to be mean towards patents)

Specializes in Critical Care.
I think it should be said that did not post this in an effort to be self-righteous, it was more a speaking of my mind for my own benefit. I am grateful for these patients, I understand not everyone is, and I wouldn't want to force my opinions on those who aren't.

And yes, I have injured my back, been slapped, punched, kicked, bit, and spit on. And yes, some days I know the burn-out is just around the corner. As much as we try, sometimes we fail to provide the care we want to.

Just a thought.

It worries and scares me for you that you are grateful for patient's that have already injured you and keep on injuring you! We are on the front lines and it is dangerous and we have to protect ourselves and be careful. That you feel the need to welcome these patients who have already injured you and put you at risk scares me. We have to protect ourselves! We have to advocate for safe working conditions including lift equipment, security, adequate staff etc.

If any of us end up serioiusly injured, the hospital will just get rid of us and hire a new "warm body" with a RN license to take our place. I've been a nurse long enough that I've seen too many healthcare staff seriously injured and disabled and let go! The hospitals don't find a new job for you to stay safe! They don't care! Light duty is for their benefit, not ours! Many places will only offer you light duty if you have a work related injury and then if you try to transfer to safe job after being injured they block the transfer! Light duty is to ensure that you aren't getting paid to sit around and do nothing. I've overheard human resource personnel gossipping and slandering a coworker who was severely injured and claims topped one million, someone 18 years old. Years later I ran into her at the store and she was still disabled was going on her third neck surgery and still in pain!

We have to be aware of the dangers and do everything we can to protect ourselves! It can mean waiting till you have enough staff to turn a patient, calling for security and restraining a patient and giving ativan or haldol if need be! Protect ourselves financially by having own occupation disability, emergency savings. Consider getting out of bedside nursing before being injured, if it's possible. But that is not a realistic option for everyone!

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