Audhd

I am. I agree with the previous poster - I find it hard to have small talk and fit in with others. I really don't know what to say or add to the conversation without sounding like that didn't come out right. I do struggle with understanding why it's generally frowned upon to call a Dr directly with questions that I feel are important. I know there was a time I was in hospital myself after an cholecystectomy and wanted to leave early. The Dr had written my discharge as promised but it ended up being crossed out. The nurse wouldn't call to find out why or respond to my request to leave. She wanted to wait for the resident to come by, which they never did. I ended up leaving AMA at 9pm (and half wondering if I might have a ?perfed intestine or something as the reason my dc was crossed out). I just don't get why nurses won't call Drs for questions or clarification on stuff. I've never had an issue (as I've always felt my questions were important or relevant) but I've def been criticized for it by other nurses.

I know patient centred care has been a big thing the health care industry has been trying to really adopt. Mainly of course in terms of decision making and care planning in particular. But another thread had me thinking about how health care is utilized in North America, specifically here in Canada. There is a lot of entitlement of Canadians and what they expect (5 star service asap) compared to the newly arrived Canadians. I work in in a busy emergency department and we often have a lot of ward patients waiting in our dept for a bed. Sometimes there really is a struggle to offer the care the patient needs when you have urgent care elsewhere that needs tending to. Priorities are always shifting. Having a lot of new immigrants to our region I can see the cultural differences in how family members assist in taking care of their loved ones and it is something, particularly with a nursing shortage and being spread thin is highly appreciated by nursing staff. I remember in nursing school learning about Chinese culture being very proactive and hands on in the care of their loved ones and would rather have family clean and tend to their own rather than a complete stranger. We had a Chinese patient with c diff, and her daughter was at the bedside assisting her mother to the commode every 5-10 mins, which was great for us because it allowed us to focus on our other patients instead of gowning and ungowning every few minutes. The other day I experienced a Caucasian Canadian wife of a husband ring the call bell every 30 minutes roughly to have the RN come and empty her husbands urinal ( My question to you lovely nurses is, what would you have done in this situation. Would you have done the same thing? We are so spread thin these days that i feel the days of Florence nightingale are far over. Nursing is becoming so medicalised and or our level of responsibility is ever increasing that we are unable as RNs to do the basic primary care a patient requires. Just to point out, we don't have care AIDS or LPNs where i work.

I am a nurse in Canada and I have found the same thing in regards to minorities and immigrants. But not to sound racially biast, the only exception to this has been for East Indian patients. Their families look down on nurses and treat them as if they are their servants. They don't lift a finger for their loved ones and expect the nurse to attend to their family members most basic need, all the while they sit and watch. Anyone experience this? I often wonder if it is because back home in India the more well to do families that can afford to migrate to North America often have had the luxury of maids back home. Not trying to generalize, just trying to make sense of something I have experienced quite a bit.