welcome to the hilton...please dont forget to tip your waitress

OBNURSEHEATHER · Jun 16, 2002

Originally posted by LasVegasRN
Is that still the Pavillion? (That's what it was called way back when I was there).

The good old Terhune Pavillion it is! When there is no one special enough to warrant it's use in this manner, it's just overflow med/surg. But even then, it's only the best insured med/surg patients. Sylvania & Ottawa Hills house wives that need that extra special TLC.

Heather

Peeps Mcarthur · Jun 16, 2002

Catlady,

You seem to be having the same assumptions and tx course as those you are critisizing, but exclude obese patients from the same activity level expectations you would enforce for patients that are not clinicaly morbidly obese.

Is that a fair assertion?

If it is, can you explain that rationale?

If it is not, then can you exclude clinicaly morbid obesity as an apparent symptom of the pathology?

However harsh the statement, I think that it must be considered in a tx course.

Furball · Jun 16, 2002

The last time I had a bad cold I didn't wimper on the couch....I kept my promise to my son and went backpacking with his boyscout troop. I guess crawling on the floor to get to the BR while hospitalized toughened me up a bit.

Brownms46 · Jun 16, 2002

Originally posted by catlady
I see a huge difference between encouraging patients to achieve a goal and the contempt for patients I've read in some posts of this thread. People who are sick enough to be admitted to the hospital are frightened, in unfamiliar surroundings, usually in pain, and have rarely been consulted on the 'plan of care.' The goals are set by nurses. It is *normal* to see a certain amount of regression when one is ill, or perhaps none of you ever curled up in your bed and whimpered just a little bit the last time you had a bad cold??? If your patient is "showing off" to you, while you haven't relieved their pain, perhaps they're just terrified of what you're going to do to them if they don't follow your orders. I certainly have done my share of pushing people to get out of bed, do their own care, etc., but I always recognized that they were in charge. It was my job to educate them on the risks of continuing to do things their way, and the benefits of doing things my way, but ultimately the decision is theirs, not mine. They're the ones who are going to have to go home (or not go home) in the state of health to which they have contributed.

My outrage was with the poster who dumped on "lazy overweight women" as if obese women are necessarily lazy, don't have the right to be ill, and when they are hospitalized, it is their fault.

You know what..I have come to the conclusion...that you and I have a problem communicating...as is very evident above. So I will stop wasting my time..as I stated in my previous post...I would try and communicate. But when someone continues to make AZZumptions not present in my communications...I say any further attempts is a waste of time. I just pray I have a nurse caring for me who has her eyes, ears , and mind open. You have shown me...you have none of the supposed sympathy or caring for other that you say you possess. Your responses have shown this to be utterly false. Please put me on ignore...and I will do the same for you. Therefore we stop wasting my time..

Brownms46 · Jun 16, 2002

Originally posted by Peeps Mcarthur
Catlady,

You seem to be having the same assumptions and tx course as those you are critisizing, but exclude obese patients from the same activity level expectations you would enforce for patients that are not clinicaly morbidly obese.

Is that a fair assertion?

If it is, can you explain that rationale?

If it is not, then can you exclude clinicaly morbid obesity as an apparent symptom of the pathology?

However harsh the statement, I think that it must be considered in a tx course.

Peeps you're talking to a closed mind..But I totally agree with you.. :cool:

Brownms46 · Jun 16, 2002

Originally posted by Peeps Mcarthur
Brownie,

I would have to agree so wholeheartedly with your ideas.

I have seen this kind of mental pathology many times in respiratory disorders. I worked at a hospital ten years ago that was on the leading edge of rehab. About as many times as the metabolic cart pinpointed the problem as simple nutritional intake, or lack thereof, there existed an overwhelming number of patients that were just afraid to try. The resp therapists, nurses and doctors that failed to recognize or chose to ignore that weakness simply took the easy way out.

In these cases the mental pathology, instead of being recognized and treated, had been encouraged to grow by well-meaning caregivers. Once you have facillitated thier weakness how do you say "no, you must care for yourself to get better"? When everyone around you is just taking the easy "PC" way out. You have to have a team of professionals that are insightful and working together, right through the administration that needs to have that same philosophy or it CAN NOT HAPPEN. Even when everybody is working together it is MUCH more difficult than just facillitating the pathology and getting kudos from all the other facillitators as some kind of mother theresa.

It has absolutely nothing to do with the patient being obese or having any other externally apparent weakness. It's about healing and I have seen this kind of "tough love" therapy work when nothing else could have saved thier quality of life.

We have to include someone else on that team. We need that person to help us, trust us and "buy-in" to what we are trying to do, otherwise we are just hanmadiens to people feeling sorry for themselves, so to speak.

Obviousely, the person that we need so desperately on our side to make it work is the patients themselves.
When we facillitate a mental pathology to obtain that...........................we become it's slaves.

I would work on your team anytime Brownie.:kiss

WOW...Peeps...I'm totally overwhelmed and uplifted by your statements..:) You have totally got what I was saying, and more.! You did an excellent job of explaining what I was trying to say all along! I would come work with you any day...THANK YOU!!! :kiss:

nrw350 · Jun 16, 2002

I have to wonder if this the longest thread on all of allnurses.com. We have already exceeded 9 pages lol.

Nick

Brownms46 · Jun 16, 2002

No way....there was one thread I thought would take up the internet....:chuckle

OBNURSEHEATHER · Jun 16, 2002

Originally posted by nrw350
I have to wonder if this the longest thread on all of allnurses.com. We have already exceeded 9 pages lol.

Nick

Nope Nick. The newcomers thread in off-topic is 34 pages and growing!

Heather

nrw350 · Jun 16, 2002

Oh ok, still it is very long none-the-less lol.

Nick

catlady, BSN, RN · Jun 16, 2002

Originally posted by Brownms46

Peeps you're talking to a closed mind..But I totally agree with you..

Oh, if I don't agree with you, I have a closed mind. Well, enjoy your open mind. You'll make a great administrator.

I have enjoyed this board, but I find too many times that nurses who post here can do no wrong. Everyone outside the board is a rotter, and everyone here is perfect and deserving of unquestioned support. And if someone suggests otherwise, she has a closed mind and should be ignored. Very typical of what's wrong with nursing...if you don't roll over and accept the majority view, you are shunned. I thought this was a forum for all points of view, but obviously I was wrong.

RNIAM, BSN, RN · Jun 16, 2002

catlady

You don't have a way to PM ? I wanted to let you know that I appreciate what your saying. Please don't worry about those that disagree. They have the right to do it and we have the right to our opinion as well. I guess what I am saying is in the grand scheme of things is it worth it. Now somebody please help me do CPR on that horse:rotfl: