Yesterday I took care of a 96 year old man who was approaching hospice and scared. He was throughout his life able to control events, his work and his scope of responsibilities of which he had many. He began to who signs of delirium at risk of pulling chest tube, 3 way foley and central line. Haldol 5 mg IVP had little effect. Assuming pain, 4 mg of morphine was given with slight sedation. Finally Ativan 2 mg reduced his fear. We had to use wrist restraints only briefly and his family came and we found a personal sitter.
You could see this man's legendary accomplishments in his face and his attempts to make sense of his next journey called on my many years of caring and knowledge to help him. I was able to embrace this complex situation and help reduce his fear and terror. It was not easy, seeing him struggle and it called upon our compassion and skills.
That's why I became a nurse. One person helped.
