The Childish "I Wuv You" Act

Nurses Relations

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Once in a while, I'll have patients who will tell me that they love me and try to hug me, or tell me that they love me with big Bambi eyes if they think that it will get them out of perceived trouble or gain my favor.

I only want someone to hug me if I have known them long enough to know that they mean no harm, that I don't mind touching me, and that I have given some form of okay to hug me. In the ER, I rarely encounter people who fit these criteria. Furthermore, I am a healthcare professional, not their buddy. My first instinct is to step back and put a hand forward to keep the person at arm's distance, which I do not think is an inappropriate reaction. What I'm wondering is how to verbally set limits and explain why it is inappropriate without seeming punitive. I also want to keep it short. In the past when I didn't anticipate it, I'd simply say, "No thank you."

When I get the Bambi-eyed, "I wuv you," (yes, sometimes in baby talk), I either said, "Thank you," and moved on with whatever was occurring before the attempted distraction, or simply moved on with the conversation and actions. How should I handle the declaration of love?

Yes, I know that some people have mental retardation, are emotionally stunted, or have developmental disabilities that mean that their mindsets are that of children. I don't fault them, but I also want to explain to them why I have the right to be touched only when I want to. Pediatric or psych nurse advice would be great for this.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

LittleTwinStars I think I understand a little of what you are saying and I'm personally a huge stickler for respecting body space and boundary issues. It's for this reason I'm against pressuring students to give bed baths to each other.

I also know that the ED gets it all and probably those patients who do this vary in their motivation from a manipulative type to someone with developmental delay to the psych patient who lacks impulse control and a different approach to each is not unreasonable so hopefully others will chime in.

Mostly I want to acknowledge this very real issue and your right to discuss it without feeling judged.

U are the only one taking things serious u shouldbreally chill. U know nothing about me. And I actually have worked healthcare. Just because im pre nursing doesnt mean anything. I have a diploma in surgical technology also. So I know what sterility is all about. When dealing one on one with patients I think of all the things I would want for my family and myself. My grandma wasnt treated so nice and she is one reason of many why I show interest in geriatrics.

And to answer on ur statement. ... I already flew a kite 2 weeks ago with my youngest son.. it was great. I may do it again soon. ;)

You* Your*, Lol OK that's nice.

Specializes in Psychiatry, Mental Health.

I have a wide personal space and I don't like to be touched without permission. Some of my strategies:

Friendly patient or family member: "You're so nice! Can I give you a hug?"

"No thanks, but that's really sweet of you."

Patient with developmental or psych issues: *lunging at me, arms wide open*

*step back, smile* "Oops! No hugging, please! We only use words here."

Grateful family member: "Thank you!" *moving in for the hug*

*step back, smile, move away* "You're welcome!"

Patient or family member with boundary issues...

*stern look, calm voice* "No hugging."

In other words, I protect my personal space and match my verbal response to the situation.

And I would also say be careful that you are not within a personal space of the patient, unless it is to attach them to equiptment, do your assessment, that type of thing. When you are in a place where the facility is the patient's home (such as a nursing home) and you have down time with residents, that is one thing, but when you are in a busy ER that is quite another.

I use "aren't you just lovely for saying so!! Now, let's see where we are at to be able to get you home" exit, stage left. Or if they are wanting to touch, take a step back gently, "no touching, just words, hope you feel better soon!!" Or even gently take a hand, shake it while keeping good personal space, take care, bye!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Anyway, forget the backseat driver. Any advice on how to set professional boundaries and explain to the patients?
Do what you did right now...a polite indifference.

RetiredAPN gave you some excellent answers. Do the southern thing...Well bless your heart, smile and pat their hand.

Specializes in Psychiatry, Mental Health.
[...] Do the southern thing...Well bless your heart, smile and pat their hand.

I love​ "the Southern thing". :rolleyes:

U are absolutely correct! :)

That makes perfect since. Its always good to hear opinions because you can see it through someone else eyes.. and now that I have read your opinion. I agree with you and see your point of view. It is true you have to be careful. I worked home health aid for 3 years and dealt strictly with individuals at one time. So I habe never been put in your situation. Thats something to really think about.

Maybe that's something you could "really think about" next time before you are so critical of someone right off the bat and tell her/him she shouldn't be a nurse (and all the other really critical stuff you posted in your first post).

Specializes in Emergency.
People like you shouldnt be a nurse or any health care provider for that matter. Care givers should be loving and nurturing as well as good at what they do. You can have the tool and know how to use it but your a cold rod. My opinion. Im entitled to it. Old people children or "retarded people" like you call them are all one in the same as a you and I. If your one to not want to be touched then find another job. This is not for you. Again my opinion. But you should reconsider. Maybe get a desk job. Or be a nurse advisor over the phone for a health insurance. But I wouldnt want any of my family members being personally cared for by any healthcare provider that has that mentality. I took offense to what you said and how you went about saying it. Like they have cooties or something. I have hugged a homeless man that was filthy. And you know what that was probably the first human contact he had in years. its how we express yourself. Its an act of appreciation. You should feel happy that you are that appreciated. I dont mean to offend you. I apologize. But I really had to speak out.[/quote']

Oy,

I know you gave a halfhearted apology a few posts back, but I feel I need to address this.

First, and most important, OP does not require any reasons whatsoever why she doesn't want to hug her patients. Personally, the thought of being forced into hugging a patient over the age of eight makes me feel queasy.

Nurses are professionals, and the idea that we should be coerced into any form of physical intimacy (and yes, for some of us that includes hugging) is ridiculous. A caring attitude or affect is important, and can be expected, physical gestures, not so much.

Second, to tell an actual honest-to-pumpkin nurse that she doesn't belong in her profession based on your uneducated and inexperienced (talking nursing specific here) opinion is rude and uncalled for, but I think you know this.

Third, mental retardation (which is the term used by OP, NOT retarded). Is a legitimate diagnosis, and a correct way to refer to a person suffering from this condition. OP did not say anything ignorant in this regard.

Specializes in Emergency.
Once in a while I'll have patients who will tell me that they love me and try to hug me, or tell me that they love me with big Bambi eyes if they think that it will get them out of perceived trouble or gain my favor. I only want someone to hug me if I have known them long enough to know that they mean no harm, that I don't mind touching me, and that I have given some form of okay to hug me. In the ER, I rarely encounter people who fit these criteria. Furthermore, I am a healthcare professional, not their buddy. My first instinct is to step back and put a hand forward to keep the person at arm's distance, which I do not think is an inappropriate reaction. What I'm wondering is how to verbally set limits and explain why it is inappropriate without seeming punitive. I also want to keep it short. In the past when I didn't anticipate it, I'd simply say, "No thank you." When I get the Bambi-eyed, "I wuv you," (yes, sometimes in baby talk), I either said, "Thank you," and moved on with whatever was occurring before the attempted distraction, or simply moved on with the conversation and actions. How should I handle the declaration of love? Yes, I know that some people have mental retardation, are emotionally stunted, or have developmental disabilities that mean that their mindsets are that of children. I don't fault them, but I also want to explain to them why I have the right to be touched only when I want to. Pediatric or psych nurse advice would be great for this.[/quote']

I feel you.

As I mentioned above I am extremely uncomfortable with the idea of having to hug pretty much anyone.

I agree that many times the lovey-dovey stuff is a manipulation. Like I will have a drunk male call me the worst word I can think of and then 10 minutes later tearfully apologize, call me an angel and ask for a hug.

In these cases it's easy to just say no... In others such as with the developmentally delayed I find it very awkward to refuse, like I don't know how to say it without feeling harsh.

Retired APRN has given some really good suggestions, I will definitely be taking that advice :)

Specializes in Emergency/ICU.

LittleTwinStars - I'm with you. I love my patients in a very general way, and a few I am genuinely drawn to, but mostly I want to

a) do my job, b) be polite and respectful, c) move on to the next one.

That sounds bad to some people, I guess, but in the ER we see so many people in a day, it is rare to find time for attachment.

And plus, I guess I'll be the one to say it, I don't want to pick up scabies or get a patient's really dirty hair into mine.

My tactics vary. Sometimes, I am polite but I maintain an air of busy professionalism that (hopefully) says "I care, but I don't have time to bond right now." Other times, especially if the person is of the opposite sex, I'll say, "Sorry, no hug policy!" with a smile, and pat their hand or whatever. I always smile and treat people with kindness.

And sometimes, I do give a heartfelt hug, and it feels good to share warm feelings with someone who is grateful or loving toward me. Sometimes there is a real connection with another spirit. I don't pass those opportunities up. But for me, that's about once a month.

I admire the nurses who seem to connect emotionally with ALL of their patients. I just don't happen to be one of those, and I'm still a good nurse. However, those lovey-dovey nurses don't hug everyone either. There is personal safety to think of. Sorry soft-hearted people! It's a cruel world out there. SILVACH - You can hug all of my patients with scabies for me! :)

Specializes in LTC Rehab Med/Surg.
I hate it when people touch my hair, who knows where those hands have been!

Actually, patients really should keep their hands to themselves.[/quote

I almost ALWAYS know where those hands have been, and I don't want them on me.

Not a hugger here. Most people can pick up on the nonverbal cues when you don't want to be touched. Most can tell when you're uncomfortable with "I love you".

I try to be patient with the confused pts. But I still don't hug them.

Specializes in SCI and Traumatic Brain Injury.

What's wrong with just saying "thank you" and quickly moving on, as you have done. That should convey the message to most people.

You don't need to explain yourself. An explantion only puts the focus on YOU. That's not where the attention should be. The attention should be on the PATIENT, who is under a lot of stress and really doesn't care about what YOU do or don't like, nor the reasons why. Also realize that it's a cultural thing for some people. Southerners do a lot of spontaneous hugging. It's common and acceptible where they come from. Still I think a brisk "thank you" is appropriate. Maybe you could allow yourself to give them a little pat on the shoulder or something similar. The hug or the "I love you" is often just an expession of gratitude ineptly expressed.

If you percieve it to be a sexual overture, that is a different matter. Maybe you could save your lecture for that.

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