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vampfan2009's Journal


vampfan2009's Journal

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8 entries this month
 

14:18 Feb 25 2009
Times Read: 586


I think the most stressful thing about my job is trying to get past the opinions of the facilities staff. A lot of them are undereducated in the point of hospice. I was called a killer yesterday. It really hurt. I'm trying to relieve the pain of an 86 year old woman with end stage liver cancer. She is alert and oriented times 3 meaning she knows exactly what is happening even though she doesn't have the energy to respond, every time someone comes in and tries to rouse her her vital signs spike, and I have to medicate with Ativan to get her calm again. this is what SHE wants. I know this because I and several other nurses discussed it with her months ago she didn't want to be afraid, she didn't want to be in pain. But the staff sees us as the people who come in and kill people with drugs. Never mind that she's getting the MINIMUM amount that I can give her. But still, I'm a mercy killer. It has nothing to do with the fact that she's quit swallowing her own saliva, or the fact that she's got ascites (fluid in the abdomen) so bad she can't take a painless breath, or the fact that she is TURNING FREAKIN YELLOW!!!! No, all they know is that hospice is there and the woman they have come to love is going to die. So be it. I'm a mercy killer. If those are the lies they have to tell themselves to avoid thinking about mortality, then God Bless their efforts. I know if I don't do my job I'll answer to a higher power than them.


COMMENTS

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sahahria
sahahria
14:30 Feb 25 2009

So very true. And still even the educated would try to tell you or condem you for your choices with a loved one.



My family went through this with my Grandfather as he had a DNR. What the nurses at the home didn't understand that was our entire family is medical family (with the exception of my grandfather) so health and what we want were all discussed at length. I remember a nurse arguing with my mother that what DNR meant was that we were to watch my Grandfather die by suffocation and starvation because in her mind having him comfortable meant keeping him alive.



What she also didn't understand was that every person in the room including my Grandfather could understand her. Yet she persisted until we made moves to get her fired/shift changed if she could not hold her tongue.



Death is never an "easy" situation, and it brings out the worst in many people. You are correct you would have to answer to a higher power in that it sounds like you were someone called into the field- or if I say it less spiritually, the field choose you. Know that you have the respect of so many of us, even with Dr. Kevorkian having taken the issue into the public- he did disservice by not educating well enough. Yet for our animals we more than understand the need to let go in a manner that is painless and with compassion.



Stand strong by what you do, for you are a shining example of what is right in the world, and how if put in a situation- I would personally choose to go.





Sinora
Sinora
17:28 Feb 25 2009

You hit the nail right on the head hon...these people cannot stand to think about mortality. My ward has sometimes called upon the services of people trained as you are yourself....we believe them to be Angels, I have never heard one member of staff say otherwise.





La6Muerte66
La6Muerte66
18:21 Feb 25 2009

People will demonize you no matter what you do. At least you have the tact to not respond angrily. I'd have been more likely to yell at them and explain why they're wrong, what's wrong with their precious (granny/mother/etc.), and why they should shut the hell up. They'll have plenty of time to grieve when she's DEAD.





MorganD
MorganD
20:34 Feb 25 2009

In the end, the only person's opinion that counts is your patient and you know in your heart you are doing the right thing. That is the thought you have to latch onto when the criticism is thrown at you. It can't be easy hearing those things but you are doing the work you were intended for and as it should be done.





moonkissed
moonkissed
06:11 Feb 26 2009

Hospice is there to do the job that the family can't bring themselves to do. provide aid and comfort to a person in the end stage of a terminal illness.

that is far from being a mercy killer.

there are drugs for that. i give you high praise for being there.

hugs sweetie.





 

I live for this.

00:47 Feb 22 2009
Times Read: 603


I had the special treat last week of sitting with an 89 year old lady who was a nurse in WWII. The time at which she came to America from Denmark. I helped her perform her ADL's and then we had a long discussion on the ethical ramifications of opening up stem cell reasearch more in America. It was the best 4 hours i've spent with another human being in months. (ok, not counting the hubby) She was fascinating.


COMMENTS

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Bloodmother
Bloodmother
00:57 Feb 22 2009

I've had two elderly neighbors, both female, with whom I had deep discussions. One had never had children, and the other had two grown daughters. Both were physically challenged, but very sharp mentally. The both remembered the Depression. One woman's parents had put she and her sibs in an orphanage while they sought work. This was common then, but the first I'd heard of it. After they got jobs and saved up some money, their parents retrieved them.



The other woman came to California in the forties, post WWII. It was a paradise then.



Both of them had issues with marital sex, kind of something they put up with. They'd both experienced childhood molestation, too.



During the Depression, the gov't authorized the WPA to collect life histories. You can search here by state: http://lcweb2.loc.gov/wpaintro/wpahome.html





moonkissed
moonkissed
00:59 Feb 22 2009

oh wow that is amazing. i love conversations like that. i bet you learned so much!





Angelus
Angelus
01:27 Feb 22 2009

.. my Dad was in the homeguard at 14.

Rode a motorbike like Steve McQueen, in Great Escape.. yet he is such a quet, diligent man.

..Different people, diffeent times.. so many great stories to hear, if we shut up and listen.





 

22:51 Feb 13 2009
Times Read: 623


Know what? I cry bullpoop on myself. I did my job. I tried to tell her what I saw. It is not my fault if she wasn't hearing. It's not HER fault for not listening. Our brains only allow us to process the acceptable to us. I can't imagine her pain right now, but it was NOT MY FAULT, so get over myself. VAMPFAN2009, you are just not that powerful!!


COMMENTS

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birra
birra
14:19 Feb 16 2009

I believe a big part of your job is being wise and strong enough to admit you cannot fix the world. You are not the band-aid for everyone else's pain.



And the ability to forgive yourself for this.



I'm sure you do a wonderful job for people who are quite often blinded by the sorrow and grief of their circumstances...



They might not be able to see it... so you need to see it for yourself.





moonkissed
moonkissed
02:19 Feb 20 2009

oh, i know this is late but i am so sorry.

you know she never would have been.

we never are...even when we know.





vampfan2009
vampfan2009
00:48 Feb 22 2009

Thank you for reminding me, i need that every now and then.





 

22:39 Feb 13 2009
Times Read: 625


The man died last night. She wasn't ready. I failed again.


COMMENTS

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birra
birra
14:16 Feb 16 2009

There is rarely "being ready" for that.



I watched my grandmother slowly die over the course of a year. I knew what she had... I knew it was inevitable. I knew when I left the hospital that night it might have been the last night I sat with her.



She died the next morning while we all sat by her side.



There was no being ready.



Acceptant, yes.



Ready?



Never...





MorganD
MorganD
07:13 Feb 19 2009

There isn't a getting ready for that time. You can tell a person point blank death is coming and it still will not prepare them. Our hospice has 11th hour volunteers and all of them say even though you know the moment is there- it's their whole purpose in being there- it's still a gut -punch when it happens. You make the best possible in a worse case situation, no one could ask or hope for any more.





 

05:17 Feb 13 2009
Times Read: 638


How do you tell someone? You tell me. How do you look someone in the eye and break their hearts? Her big doe eyes looked at me and asked me how long he might live. It is hard to not give the lie. But the lie would be even crueler. Think like a nurse I tell myself.

First thing on scene "assess your patient."

Be truthful. Report each thing you see to the family member and explain what you might mean. Dehydration, minimal lung sounds with some ronchi, his knees were cracked and scabbed over, so were his ankles and feet, he fell asleep in the middle of conversation.

At this point the big brown eyes began to tear a little and I stopped my running litany of observations. When dealing with a person in grief one of the biggest problems is denial. If you can't break through that, you have no hope of telling someone the truth. People hear what they want to hear. I could feel the waves of anxiety crashing out of her I told her what I thought.

"I cannot tell you that mam." at this point it's between him and God. "If he can wake up and drink something, he might live another week, but I can promise you that we will be here with you to help you through it."


COMMENTS

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win/win

18:22 Feb 09 2009
Times Read: 657


I have the best job in the world. If I don't get called, it's good, cause no one's dying. If I do get called it's good, cause I can support my family. It's a win/win situation.


COMMENTS

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chrysanthemia
chrysanthemia
18:27 Feb 09 2009

May i ask what you do for a living? i'm quite curious. . . .





PaleandEnthusiastic
PaleandEnthusiastic
01:10 Feb 10 2009

You're the luckiest unlucky person I've ever met. :)





 

walking away

05:10 Feb 05 2009
Times Read: 680


I've spent 12 hours getting him comfortable. When I met him he was clawing at his clothes; arching off of the bed; sitting up only to lay back again, exhausted. He is calm now. His hands lay at his sides, no longer fists. I know after a week on service he must be close. His blood pressure is down to 48/44, and his whole body vibrates with the beat of his heart. If you touch him, you feel the thrum of a life at its end. But my time with him is over. It is up to the next girl to see him through the door. I hope to see him again one day when it is my turn, beconing to me, reasuring me that it's only a little farther, just like I hope to see everyone I've helped. Walking away like that is one of the hardest things I have to do.


COMMENTS

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birra
birra
05:37 Feb 05 2009

I don't know how I would ever handle your job...



...you are an angel....





XxLDRxX
XxLDRxX
05:54 Feb 05 2009

It is tough to walk away, but we know we have to. Watching and sitting with my grandfather as he was under hospice care for his bone cancer, it was very very hard as each day, another part of him would die, and yet now again I am doing the same things with both my grandmothers. it makes me wonder is it easier with someone you don't know personally?





vampfan2009
vampfan2009
22:10 Feb 08 2009

i wouldn't say easier, more along the lines of you know that everyone there has a harder job than you do. it makes it easier to focus on what needs to be done for your people, and that includes each family member, whatever their grief process is.





 

18:33 Feb 03 2009
Times Read: 687


We had a lady on service this weekend... She had everything. Prominent in the community in her time, Money, True love. She started having apnea (periods of time without breathing) of up to 10 minutes, that's right, minutes. after which she would thrash, vomit, and begin breathing again. This is NOT a normal death. What in the name of all that is Holy could keep a person going in this state? I have to wonder what unfinished business keeps a person struggling like that.


COMMENTS

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XxLDRxX
XxLDRxX
05:56 Feb 05 2009

I know with my grandfather, he held on until we were all there. He retold me every trip we took when i was a child, and made sure I knew that I was always the apple of his eye.








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