Pamilia Im pretty certain that the OP did not tell the patient to save time and put a gun to her head and get it over with however I disagree with your thoughts for the most part. Patients need to be held accountable for their actions and health issues. I agree that patients need to be treated with respect and not ridiculed however I seriously doubt the OP belittled the patient. I do hope she did some teaching regarding fluid intake, disease process, treatment which I would imagine the patient has had numerous times in the past however the patient chooses to ignore her responsibilities and chooses to do as she pleases instead of owning her own part in her treatment. So many patients feel that they can do as they please and then have the nurse or the doctor "fix" it and make things better and they fail to own the fact that it is their actions that matter most when it comes to managing their disease.
I understand that diseases occur and alot are not preventable however most are manageable with proper medication, diet, exercise and lifestyle changes. Alot of patients that suffer from chronic illness and sometimes even those that suffer acute illness seem to have developed the idea that they will do what they want to do and then have someone else fix it then they get mad when their condition worsens and attempt to blame the medical field for not treating them properly. Until patients are held accountable for their actions in their own healthcare treatment we will continue to have the patients who feel they have done no wrong and its all the medical personnel's fault their disease worsened.
Im not saying do not respect patients but they need to know their responsibilities....I am not cold hearted and I do not lack compassion I just chose not to allow my patients to do as they please and not take responsibility for their actions.
You are responsibile for your actions as a nurse and you are held accountable for any outcomes that happen due to those actions....what if you did something you knew caused harm but your manager didnt want to come off as lacking compassion for you and therefore did not make you own your actions..what would happen at that point? Its the same principle...we are all responsibile for what we do and what outcome occurs.
If you chose to treat your patient without holding them accountable and just allowing them to do as they please and let you deal with the consequences then are you really doing your patients good or harm?