"Nursing homes" giving nurses a bad rap

Nurses General Nursing

Published

Hi,

Im a nursing student and I'm putting my 2 cents in. I think if the public had a better idea of what nurses do, they would support us and not only insist upon but demand better patient care. Too many dont realize that the nurses are the ones on the front line and advocating for the patient. Too many people have only encountered nurses when they had their tonsills taken out or when someone in their family needed a C-Section. When my family or my friends families think of nurses, they think of "nursing" homes.

You know, I'm sure each and every one of you know what I'm talking about. You walk in and are almost knocked over by the smell of urine. You walk down the hall to your loved one's room and try not to look at the pitifull old people lined up and down the hall with their heads hung over, waiting for their morning meds. "It will make them more comfortable" is the reason for this soon to be dead parade. You find your loved one totally incoherent and with unexplained bruises and you wonder what happend to your grandpa(ma) that was so full of life just a month ago.

Your family may of put them there in good faith, believing that after a temporary family mishap, your loved one would come to live within the family once again or you may assume that this is the place for your loved one to live out his or her golden years (and give you a much needed rest). Unfortunately, your grandpa(ma) only lives a few months after being admitted and you can't understand why. Also your grandparents of your freinds that are in similar "homes" end up only living a few months as well. Soon the community begins to talk and you realize that, this is how nursing homes work. Once someone is admitted, they drug them untill they lose their will to live and just die. It's really a wharehouse for old people waiting to die to make room for the next wave of old people. They must make a half way decent profit as their turn around time is usually 3-4 months at most.

So when most mid-westerners (at least the ones I have come into contact with) think about nurses, they think about "nurs"ing homes and how it only takes a minimal amount of effort to oversee a group of old people and give out meds.

Good Morning Nurses,

This is my first time to this site and liked the empassioned response that I saw defending LTC. I am a LPN (working still on that RN) who works an alzheimers unit. I've worked the nursing homes for 15 years nursing and as a CNA for a couple before that.

Anyway, I'll be checking in from time to time. I hope I figure out how to work and find the posts. You all seem like a neat bunch of people.

I agree with ComicRN and company--- you have a great deal left to learn.

In my experience, families have a lot of unrealistic expectations regarding nursing home care and it's role in the trajectory of their loved ones health and longevity. I have seen patients admitted to the Alzheimers unit with the expectation that "this is a special unit... grandma(pa) will get well soon and come home." This usually happens because doctors don't often educate families regarding death and dying.

Nursing home patients are older and sicker than they have ever been. The majority of what I do is damage control and minimizing suffering. Look to your books for this one:

An end stage CRF and CHF--- the BUN/Creatinine climbs, you treat with IV therapy- the abudence of fluid throws them into an acute exacerbation of CHF... how do you treat? Diuretics... which, then cause the BUN and Creatinine to go off the charts again. Let's muddy the waters even further... the progressive nephrosclerosis that's been caused by this patient's HTN is fueling a wonderful normochromic/normocytic anemia [remember, the kidneys produce erythrpoieten]. So, you have a patient with poor oxygen transport to begin with, poor cardiac status and poor renal function. What do you do there? How do you cure this patient? I'll save you a trip to the text book.... you can't, you NEVER will. All you can do is assure comfort and educate the family as to the trajectory of the disease process.

This is what I mean about the poor job that most nursing programs do in teaching generic students about Gerontology. I pray that nursing programs would look at the students they are turning out and pay attention to demographics of our population and add Gerontology as a requirement [i don't mean this integrated crap either, where geriatrics gets a commercial in the last 5 minutes of class, either...I mean a whole semester of it!]. Maybe then we wouldn't have the poor antagonistic attitudes that currently prevail.

this is the 2nd time I have read all the posts, and I have to tell you; the reason there are fewer responses is because you guys have already said it all. The elderly are great, and anyone in nursing in this day and age needs to know and enjoy them cause in the future, that's going to be 80 percent of the work load. And, while there are many who are demented, depressed, or just so sickly that life is no longer a blessing, there are that many more who are wonderful human beings and need us to stay in touch and alive. There is nothing else to add.

;) ;) I also reread the responses and I know that I am lucky to be part of such a intellegent and caring group!! I think we were well represented with all the comments, thanks LTC nurses!!
Specializes in Peds Homecare.
:eek: Well let me tell you about when my Grandma was in a nursing home. She was not drugged up. You see she had a grandaughter who is a nurse. If she was put on any drug for pain or whatever, I looked it up and monitored her reactions to it. If it diminished Grandma's realitiy at all I made sure the drug was D'ced. Urine smell? No way...I live in NY state and such conditions are not put up with. And no good facility would have it that way either. We all started clinicals in nursing homes and it's not always pleasant and smelling of roses, but don't degrade a wonderful, dedicated group of professionals, just because you don't think you would like to work in geriatrics. I think maybe you need a little more experience...the elderly still have so much to give...sit down and listen...because they were once your age too. Also the geriatric field is a specialty unto it's own. Lab values and such are all different....and to be a good nurse in that field you need to learn alot. Don't discount something just because you don't understand. It is alot of work to give meds to 40 people and make sure each person gets the right med. I have done geriatrics in the past and I love the elderly and have the upmost respect for people who choose that as their specialty. Thank you to all the geriatic nurses. And Grandma? She stayed lucid til the early morning of her death...she was 93. She apparently woke at 4am and asked for her beloved peanut butter, toast, and chocoilate ice cream. The wonderful nurses got it for her....she ate some of each.....and then took a turn for the worst. They called us...but I didn't make it in time to hold her hand, but her nurse did. And my fellow professionals all had lots of hugs for me, to comfort me because of Grandma 's death. So please don't judge something that you don't understand. Study hard.;)

This post is most upsetting. I started my career as a CNA in a Long Term Care facility. I learned that these people are not pieces of meat, but they are real people. I also realize that this post was not meant to demean or belittle the nursing profession. The mistake here is the inexperience of the person making the post. You are the person, if you graduate, that will need to make the "public" aware of our needs and problems. You also need to approach people as human beings and not objects to be discarded. If you think this way, why are you trying to join this profession? I know i am in the minority in nursing (being a male) and I have respect for almost every nurse I have worked with because they work as hard or harder than I. I love this profession and whether I am in long term care or on a med surg floor, these people mean a great deal to me,and the people I work with. I would hope that you would readdress this issue with yourself, and rethink your reasons for entering this most noble of professions.

Jimmie LVN

This is a topic that hits home to me big time. I find it very unsettling to think that there are more than just the author of this topic that veiws nursing home and the elderly in the manner in which shehas described. Hats off to all of you who have already responded and told her what it's all about. I have worked in LTC since 1975. I have worked in 2 LTC facilities and volunteered in one. They all had high standards including the home I am working at presently. I have worked "here" for 17 years. We have to cross our t's and dot our i's or we are dismissed. Our residents are cared for in every way. Most importantly, they are loved. My advice to the author of this subject is to read over all these excellent posts carefully and take a long hard look at yourself before you spend one more day in nursing school. I think that your nursing instructors have their work cut out for them.

bigred

This is a topic that hits home to me big time. I find it very unsettling to think that there are more than just the author of this topic that veiws nursing home and the elderly in the manner in which shehas described. Hats off to all of you who have already responded and told her what it's all about. I have worked in LTC since 1975. I have worked in 2 LTC facilities and volunteered in one. They all had high standards including the home I am working at presently. I have worked "here" for 17 years. We have to cross our t's and dot our i's or we are dismissed. Our residents are cared for in every way. Most importantly, they are loved. My advice to the author of this subject is to read over all these excellent posts carefully and take a long hard look at yourself before you spend one more day in nursing school. I think that your nursing instructors have their work cut out for them.

bigred

Amen to all the posts...

M2b, what do you base you comments on? :confused: If you have had a bad experience in a nursing home, then I'm sorry. I have been in LTC for 11 years and wouldn't change a thing about my experiences. I started as a nursing assistant and made my way up through the ranks. I now work on the regulatory side of the tracks. I have seen a multitude of nursing homes and none are like you have described... Granted I have seen some that could do better than they are, but the genuine concern has been for the resident.

Have you ever worked in a Nursing Home? :eek: Before you jump to conclusions, do a tour of duty in a facility and not just a couple of weeks. Give it 6 months. Find out what it really takes to care for the elderly. What would you do when the sundowners syndrome kicks in and the 84 year old lady starts looking for mother because mother isn't supposed to be home by herself? How would you get someone to eat when they tell you they ate all ready and you know they haven't? When do you stop putting up with the combative behaviors while trying to bath someone?

Why be part of the problem when you can be part of the solution. If you think nursing homes are giving nurses a bad name, do a little research and see what really happens in a nursing home.

God help you, M2b! And may He bless all those who care for our elderly!

I have found the same repetition on the responses to the nursing student to be quite one sided painted with all the gliss and glee but to be honest it is not straightforward and the responses are not realistic. I know I will get lots of flack for writing this but I truely believe 97% of the responses are painting the picture untruely and you should all be polishing your halos and quit patting yourselves on the back and respond to what this student is saying. I think we all had the same thoughts going threw school when we first entered the nursing home establishment unless we were fortunate to be exposed to the enviorment prior to our clinicals...so for all these self righteous NURSES to get on there high horse and condemn this poor soul well like I said tis very unrealistic.....In any field......in any establishment there are those or places that will not be ones to recommend..so lets stop saying that the nursing home atmosphere is a wonderful place and for WHOM are we speaking for previous nurses that posted I think you are viewing it threw YOUR EYES and not the residents...for if you were told when to eat when to go to the bathroom when to take your medicine if all your dignity was stripped as far as you making decisions....if you had strange people dressing and undressing you !!!! I dont care what type of nursing home home....your at it is a sad place to end up at just ask your residents...and dont post you all have....for that would be another fallacy...this group seems to have tunnel vision can only see what they want to see....of course on the flip side yes nursing homes are the best thing the healthcare field has come up with for the care for the elderly but let me tell ya folks there is always room for improvement and once we stop seeing that, that sets us up (for we will be joining the nursing home residency as well) disaster.....................before you respond to this think..and be honest...I cant bear to hear another duplicate letter like the previous 97% percent...the halos are getting thick.......

First off Tenderheart??? Your response does not fit the name!! I am very offended that you feel that you have the right to say that over 90% of the comments are not realistic. How do you think you make such a wrong, misguided statement for nurses you do not know. I meant every word I said and I would not change one word of it. As for our residents, if you provide the quality nursing care they require they are happy with their stay. Sure you will have some people who are not happy for one reason or another but you have all kinds of people in the world with all types of feelings, thoughts, etc. Going to a care center is not easy for anyone including the families. It is true that they eat at certain times, bathe on scheduled days, etc. but you have to have to have a certain amount of structure in order for everyone to be WELL taken care of. No it is not home but we try very hard to give them as much of a homelike asmosphere as possible. remember, these folks would not be with us if they could care for themselves. And--- what about the family members who have to make that decision to place mom or dad in a center because they no longer can care for them because it can be a 24/7 job. have you ever dealt with these people?? again, where do you work?? i sure hope its not in a care center!! and once again, until you know the nurses(everyone of us) do not take the priviage of speaking for us. I DO CARE VERY MUCH FROM MY HEART!!

Tenderheart......I was the first person to respond to this post when it was posted. I have been watching the replies with interest. Honestly, I was surprised at how many people felt the way I do. Surprised, and pleased.

I must admit, there have been times in my career in geriatrics when I felt like "less" of a nurse because I didn't work in a hospital (after my initial year on a GI/renal floor). I felt like I wasn't on the "front lines" of nursing. I wasn't in there with the fast paced, frenetic activity of a surgical floor, or helping to deliver babies, or helping cancer patients with their chemotherapy treatments. But, then I go to work (on a geriatric rehab unit in a nursing home) and see the faces of the residents/patients. They call me into their rooms and say, "guess what I did today? I walked into the bathroom by myself!".....with such a look of accomplishment on their face. As Healther Plate said, lots of nursing home residents don't choose to be there. But since they ARE there, we try to make their lives better.

No....we're not angels, and we don't wear halos. We're just nurses doing our jobs. The important thing is that we LIKE our jobs. We're not just putting in time so that we can go on to bigger and better things. Many of us have had jobs that were "bigger and better" and chose to leave them. I like to consistency of working in long term care. I like the fact that I get to know my patients better. I know what makes them happy and what makes them sad. I get to know their families. I get to see pictures of their wedding day, when they were in the army and of their grandchildren, who live hundreds of miles away.

No, the physical aspect of nursing homes is not always pleasant. But, often times it is more pleasant than the home situation many of these folks came from. Many nursing home residents come from an era when a person did not ask for help. They don't want to be a bother to anyone, so they tell their children that they are doing fine, that they can manage on their own. But, they often can't get into the kitchen or bathroom by themselves. Then a neighbor finds them, sitting on a urine soaked chair, perhaps dehydrated becausethey can't get into the kitchen to get a glass of water or something to eat. So, they end up in a hospital, where the nurses on the "front lines" nurse them back to health. Then what? The children come into town, visit mon's house and see what a state she was living in. They know she can't live alone anymore. They also know that they can't take care of her. So, she ends up in a nursing home, where, if we do our jobs right, she will be well taken care of. She will be offered three good meals a day (although she may refuse to eat). She will have warm bed to sleep in (although she may try to get out of it unassisted). She will be assisted to the bathroom (although she may resist the help).

But, most of all, she will get the attention that she so sorely missed when living on her own.

No, we're not angels. We're just nurses doing our jobs.

+ Add a Comment