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How did the bedtime back rub come to be associated with nurses? MANY years ago I was doing agency staffing. I got called in to a very fancy private hospital to do a shift. One of my assigned patients rang the call bell. When I went into the room she wanted her "bedtime back rub." Being young and eager to please I gave her a back rub, but the whole thing felt really icky to me. Was there a time when nurses were night time massage people?
When I was in my LPN program this was taught as part of routine care, and that wasn't that many years ago. If only we had the time to still provide these it would be excellent. A few minutes of our time can change a lot. Just feeling a human touch or a relaxing moment can mean the world to some people who do not experience it otherwise. I can see someone "creepy" enjoying it a bit too much, but so often it is those patients who are lonely or in pain who get the most from it.
I was taught a few years ago in my BSN program by some very old-school nurses that it was standard. I've massaged legs and lower backs while doing full head to toe assessments, and the patients always appreciated it. My favorite current trick is a warm blanket or heating pad on a lower back to ease up crampy muscles, and a few minutes of massage.
I definitely think more patients could use human touch, it brings back the humanity to them, and would ease off the need for medications.
This is the downside of working at private boutique hospitals, as the OP did. The clientele are very affluent, they stay forever and they expect the same level of pampering and service that
they receive at the country club.
If there was no real need for a back rub as comfort
measure or skin care intervention, I would say I can't do that. I would offer to contact the massage therapist, reiki practitioner or polarity practitioner.
I also was taught in nursing school way back when that massage was part of HS care. But I find myself way too busy to do this on a regular basis. I'll lotion and rub the back of my bed bound patients when they are turned if possible, but only for a little bit. No time to do more. Plus the CNAs are doing a lot of the HS care now. RNs are running around like chickens with their heads cut off until at least midnight-1am.
This was standard back in the 'good 'ol days' when nursing was more an art than a science. But as a profession, for good or bad, we are now science driven and the art is not quite the same. I'm sure most of the reason is that healthcare is now big business, but the nursing leaders (such as ANA) have made nursing very technical nowadays. Anyway, I'm so busy making sure nobody is crashing as the patients are much more acute than they used to be.
I also find that most patients are in the hospital for such a short time now, we don't develop relationships as we did before. And it seems that many more people are sensitive about 'their space' and being touched than they used to be.
Thankfully we have a massage therapist assigned to our service line. She does shoulders, neck, arms, lower legs and feet. She even dims the lights and uses aromatherapy while she's doing it. I really don't think I could massage a patient...she is a lifesaver!
Wish my hospital offered this as a service to the patients. Bet it makes good sense business wise too, help bring up the almighty press-gainey scores.
Farawyn
12,646 Posts
Obviously, for me, I don't find it icky. I liked a few of the posters who said the more creepy patients were always the ones wanting the massage.