Post Arrival Gait Disturbance Syndrome(PAGDS)

[patrice meursault]

I came up with this one a few months ago while sitting in triage.

From the triage desk, I can see out into the parking lot. I can see people getting out of their vehicles. It is soooo funny to see folks walking (briskly) without a limp until they come through the ER doors, then they begin to walk with a pronounced limp.

Thus, they are Nursing Diagnosed w/ PAGDS!

[eriksoln, BSN, RN]

I came up with this one a few months ago while sitting in triage.

From the triage desk, I can see out into the parking lot. I can see people getting out of their vehicles. It is soooo funny to see folks walking (briskly) without a limp until they come through the ER doors, then they begin to walk with a pronounced limp.

Thus, they are Nursing Diagnosed w/ PAGDS!

Yeah. And it continues up on the units too. Can't count how many times I've gotten in report that a pt. "walked" into the ER, was OOB to BR without assist all day, but upon arriving to the unit, they can't get from the stretcher to the bed. And thus begins "Can you hand me my phone" and "Pour my water for me" and "Fix my blinds" and "Straighten out the covers for me". Then, two days later they are D/C'd and they practically skip while walking with the family leaving.

[emtb2rn, BSN, RN, EMT-B]

I document what I see through the glass in the triage under "comments". You do it, I chart it.

[patrice meursault]

Yeah. And it continues up on the units too. Can't count how many times I've gotten in report that a pt. "walked" into the ER, was OOB to BR without assist all day, but upon arriving to the unit, they can't get from the stretcher to the bed. And thus begins "Can you hand me my phone" and "Pour my water for me" and "Fix my blinds" and "Straighten out the covers for me". Then, two days later they are D/C'd and they practically skip while walking with the family leaving.

We can call this "Post Admission Dependency Syndrome" (PADS) or "Post Admission Helplessness Syndrome" (PAHS)

[eriksoln, BSN, RN]

We can call this "Post Admission Dependency Syndrome" (PADS) or "Post Admission Helplessness Syndrome" (PAHS)

I prefer "Knowledge Defect, In Need of Serious Ball Bat Therapy".

[GHGoonette, BSN, RN]

This "phenomenon" is not restricted to patients. Do you have those staff members who come limping on duty, complaining about how sore their backs/feet/knees are? So brave, so determined not to let their colleagues down. Needless to say, they make their way to the doctor during the course of the day and are booked off sick. I've occasionally been lucky enough to spot these individuals strolling through malls on their leisurely way home, or heading for the bus stop with a sprightly spring in their step...

Then there are the ones who sniffle and snotter all day at work, or groundwork, so when they call in sick the next day, everyone is fully aware of how very ill they were. Two days later, their official leave/time off starts, and they're already at the holiday resort....

[ayla2004, ASN, RN]

We can call this "Post Admission Dependency Syndrome" (PADS) or "Post Admission Helplessness Syndrome" (PAHS)

i call it PIP syndrome (patient in pyjamas)

[dthfytr, ADN, LPN, RN, EMT-B, EMT-I]

The same only different, after the nice policeman applies the Siamese friendship bracelets, suddenly the prisna needs medical care. We called it PIS, Pre Incarceration Syndrome. They usually try to suck up to the staff hoping to avoid the gray bar hotel, but most of the time they come off as a misjustice of carriage.

[Hagabel]

Yeah. And it continues up on the units too. Can't count how many times I've gotten in report that a pt. "walked" into the ER, was OOB to BR without assist all day, but upon arriving to the unit, they can't get from the stretcher to the bed. And thus begins "Can you hand me my phone" and "Pour my water for me" and "Fix my blinds" and "Straighten out the covers for me". Then, two days later they are D/C'd and they practically skip while walking with the family leaving.

We call it PLP..Parking Lot Paralysis..:)

[Altra, BSN, RN]

The same only different, after the nice policeman applies the Siamese friendship bracelets, suddenly the prisna needs medical care. We called it PIS, Pre Incarceration Syndrome. They usually try to suck up to the staff hoping to avoid the gray bar hotel, but most of the time they come off as a misjustice of carriage.

Application of handcuffs is the primary etiology of Incarceritis.

[Lunah, MSN, RN]

This discussion had me rollin'! The one thing I love about this forum is that it shows me that, no matter where the ED in question is, we all see much of the same thing.

[dthfytr, ADN, LPN, RN, EMT-B, EMT-I]

Watch police go have the prisna go through the series of hand and arm motions before finally applying the siamese friendship bracelets, in your mind play the Macarena. It fits perfectly, so much so that in El Paso we called it the Incarcerana.