One thing that more expierenced nurses are constantly telling me is
that it will get easier to take care of patients who have received bad
news. However, I find this a little bit sad. I hope that it doesn't
get easier for me...because I don't want to be that calloused or hard.
This
past week I cared for a young man who had been admitted for meningitis
signs and symptoms. He was treated with antibiotics and he started to
get better. Then he began to get worse and none of the doctors could
figure out why. He was just not responding the way he should to the
treatment. So of course, the MDs ordered a ton of blood work and other
tests.
The patient was anxious as he waited for the results. He
said he had an idea of what the result would be, but he was hoping it
wasn't going to come back as HIV. Two days later, the results came back
and it was indeed HIV. The MD went into tell the patient just as I
arrived for my shift. The MD came out of the room to find some tissues
and it was clear that it was hard on her too, as she was crying.
It
was a tough night caring for this patient, because 1) what do you say
when one hears this news 2) how do you help him accept the results.
He
was very depressed and sad throughout the night, but it was clear that
he was definately working through the five stages of grief and by
morning, he was well onto his way to acceptance. He was even telling
his family members and friends.
It was difficult working with
him and not knowing what to say, because it's easy for me to say all the
right things, but it means nothing since I don't really know what its
like.
Although I may have lots of occasions where patients
receive bad news, I hope that it will always bother me a little bit. I
hope that I never become so hard and calloused that I can not feel
empathy for my patients.
Wow. That is incredibly sad. I haven't had to deal with anyone who has HIV. They really don't teach you in school what to say or do, do they? I suppose that comes with experience.
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