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LoveMyRNlife

LoveMyRNlife

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  1. LoveMyRNlife

    "ASKholes"

    This made me laugh out loud!! I am only allowed to buy one specific type of toilet paper for my hubby’s delicate tush! If I buy another plush brand on sale he will promptly go out and purchase “his brand”
  2. LoveMyRNlife

    Nurses Week Giveaways - WIN Up To $4,000! Nurses Week 2018

    An HD cath pulled out and the room looks like a scene from the movie Carrie!
  3. LoveMyRNlife

    February 2018 Caption Contest - Win $100!

    Clearly the fecal management system was an EPIC fail!!
  4. I would recommend that you re-read the thread. Not one response that I read expects the patient to follow exactly what is recommended by the physician. We all recognize that people have choices. The problem with some people is that they do not recognize the consequences of their choices and want to blame the entire healthcare team. We are not in the business of forcing people to take care of themselves, we can only educate. It is not disrespectful of the RN or MD to tell the pt with COPD,CHF,DM, and CKD, on their 5th admission in a year, that they may want to start following the diet recommended and stop smoking. The pt has every right not to follow the recommendations but then do not complain endlessly that you feel like crap because it is the MDs fault for not "fixing you". Again, this is not the OPs question/thought so I will not hijack the thread anymore. Sorry you or your family member had such a negative experience. I work with excellent people that love what we do most days and would never treat people in the manner you have described.
  5. I just wanted to address a few of your statements. Where I work, the male and female RNs and PCAs take great care to respect a patient's privacy and dignity. I am not sure where you had such a negative experience but I would think that is not the norm. A few things you stated are easy fixes. We do not provide scrub pants for patients. If they want their backside covered you simply put another gown on backwards and it is like a robe. Secondly, on my unit we deal with a lot of incontinent patients and we do not want wet underwear or pants up against their skin which would allow skin breakdown. We quite frankly have the opposite problem with some patients where I work. We have people completely capable of wiping their own behind, pulling up their blankets, reaching for a cup, etc that become completely child like when they become an inpatient. Expecting an A & O patient to perform their own ADLs is not a lack of care on the staff but helping the patient to maintain independence if they expect to return back home instead of an ECF. These are not the issues the OP is addressing.
  6. I reread my post and wanted to clarify what I was trying to say. I think if we educate the patient, we provide the resources for the patients to successfully manage their illness/condition, and they continue to be readmitted, then you must question what is the payoff for them? Could it be as simple as the Hilton experience? Could it be that they enjoy feeling superior over the staff by requesting everything under the sun? Maybe that is the only time they feel they have some control over their life. There has to be some kind of payoff for the patient that is greater to them than taking care of themselves. Again, I am speaking from my personal experiences but there usually is an end goal for the behavior whether it is rational to us or not. One example is a chronic COPD admitted 3 Times in 2 months. I took care of her and listened to her talk on the phone for hours describing how she is on death's door. She wasn't.
  7. One can actually stop smoking without the gum, patches, etc by weaning down just as you would a medication. My facility has free programs for smoking, new mothers, and several others. A lot of our patient population on my floor, HD, COPD, wounds do not take care of themselves by continuing to smoke, A1Cs through the roof, fail to go to the wound clinic, miss HD appointments and then get admitted d/t their non-compliance. Each admission you see them declining. I believe some of our patients purposely do not take care of themselves so that we can. Some are all alone and like the company of the staff and to be waited on. Some really enjoy the victim mentality to get attention. Some are just flat out lazy and some just think that their body won't give out. I was not talking about heroin addicts but those patients that come in because they can't urinate, and then we give them IV dilaudid for their chronic back pain. I agree with you that if we quit giving in to unreasonable demands that it would at least cause the patient to have to reflect on their behavior. Your description of being in the hospital sounds bad with uncomfortable beds, lab draws, etc ( I agree) but for some of the people I take care of I believe it must be better than what they have at home. I have taken care of a few patients that were very attention seeking even to their own detriment. I am not talking about patients with a psych diagnosis although their behavior could warrant one.
  8. I have read through the thread and I agree with KatieMI. I feel as though Susie2310 feels there is bias towards the lower economic population. I just want to point out a few things. 1) It costs nothing to say please,thank-you, excuse me, or you are welcome. 2) It costs nothing to quit smoking 3) If you come from home alone, do not ask me to do your ADLs or pull your blanket up if you are capable 4) the zero pain scale is ridiculous. We have people getting their foot amputated d/t there uncontrolled DM and are expecting NO pain. Unrealistic unless we want to completely snow them. I had a patient with an A1C of 12.1, a smoker, and his wife expected us to give him every pain medication possible on the hour or less for a diabetic wound. This was an A & O x4 man that had a stage 3 wound on his coccyx because he couldn't turn himself d/t being plowed and she refused to let us do it. Meanwhile she blamed us and the previous hospital for his demise. On top of that she ripped the wound vac off and refused to let the nurse put a dressing on it. The police were almost called because she kept disappearing after the discharge papers were given. 5) I understand people that do not have money for some of the meds prescribed, but again, stopping smoking costs nothing. We even offer many free wellness programs to assist anyone that wants to stop. So why should the hospital have to pay for someone that destroys themselves? 5) When I grew up people were responsible for their own actions. You mention that patients have the right to self-destruct or die by being non-compliant, which I agree with, but I believe the issue people have with that is when it costs someone else money. I personally listen to all my patients about their conditions and requests and I will advocate for them. We as nurses ( on Med-surg) have broad knowledge but patients with chronic issues can usually help me give them better care because they know what works best for them. I also give patients information in writing if the MD changes their treatment and explain the rationale. Many appreciate that because they are stressed during a hospital stay and they do not remember everything they are told. I could be wrong but I believe the majority of posters in this thread are referring to those patients that are basically killing themselves and expect us to help. I also want to say that none of this is said with anger towards you or what you commented on. It comes from my personal experience as a nurse. I didn't feel anyone was attacking you either, sometimes so much is lost in text.
  9. You always make me laugh, thank-you Davey Do!
  10. You always make me laugh, thank-you!!
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