The personal touch of nursing in a care path?


#1

Do we really care about our patients or is now just a requirement to do/say according to scripted policies and procedures? Reason I became a nurse was to help and comfort people.


#2

I love taking care of my patients and keeping them comfortable and love compaionship with them I trully care and want to see them happy and feeling better and love to keep a smile on their face I love the work that I do been at it 14 years!


#3

I think if someone does not care for their patients/clients than that person is in the wrong career. I think it would be overly draining to go to work everyday if you heart is not in it.


#4

I am glad to hear that other nurses truly care. I sometimes feel that some
are just in nurse for a job/$.


#5

Career choices are made for lots of reasons- Job security- flexible choices paths etc. Some people have the gift of care giving and some do not. Just hoping that most are in it because of their love of helping others.


#6

Not all patients are likable, but I help and comfort patients because I care about them and choose to treat others as I’d like to be treated.

One day I visited a terminal, elderly professor who was still ambulatory in his home with his walker but preferred his walking stick which had been hidden from him for his safety. His daughter & son-in-law were present. When the patient ambulated with the walker from his bedroom to the bathroom and then to his living room searching for the hidden item, an orienting nurse described for him the dangers of using a walking stick on his bare floors. He listened patiently and then asserted his preference to make his own decisions at this point in his life.
Recognizing his dignity was in jeopardy, I looked to his daughter and she nodded & brought out the prized possession. Although he was seldom out of bed again that last week, the walking stick was kept near the head of his bed and he could relax. His daughter and I weighed the possibility of a fracture against his dignity, and dignity won out.


#7

I’m a nursing student. Have been a CNA for 10 years. I can’t wait to do more personal care than I can now!


#8

I take care of Veteran’s daily in an outpatient clinic. I enjoy helping them. I also do Healing Touch. It really calms the patient’s especially if they have PTSD or pain.
I know that it seems that we go through the motions sometimes when all the paperwork and measurements get in the way, but I do try to keep it professional with a personal touch.We have to continue to try. Right?


#9

That’s where personal care starts----with the CNA. The patient’s remember this more than anything. It’s the small acts of kindness that they remember…


#10

The Veterans Administration has come under fire recently after CNN reported on allegations of patient deaths due to “secret waiting list” at an Arizona VA Medical Center. Having managed a large oncology unit at a fairly prestigious VA many years ago I can speak from the perspective of a provider. Back then we didn’t have hot running water on some occasions. We didn’t have air conditioning and my unit was on the 7th floor. (Heat rises, obviously.) When we finally had window AC units installed we couldn’t run them because doing so overloaded the electrical circuits: we could either be cool enough that patients weren’t routinely being sent to the ICU with chest pain or we could run our IV pumps. Administrators and certain Section Chiefs rotated out of their locations every 2 years so the system is set up for leadership failure. Having said that, the VA is the largest healthcare system in the world and pioneered EHRs, bar coding of medications and numerous other innovations in medication safety. The VA is also an international leader in Failure Mode and Effect Analysis (FMEA) - see http://www.patientsafety.va.gov/docs/hfmea/HFMEA_JQI.pdf.
As far as privatizing care for veterans, there’s a great deal to be said for the benefits of receiving care within a cohort group. I will never forget a late evening when I was escorting a young leukemia patient off the unit to smoke (no lectures here please!). He was emaciated, hooked up to 4 IV pumps through 3 different lines, and wearing a Marine cap over his balding head. When the elevator stopped on the 4th floor a WWII vet stepped on, immediately saluted the young man, and said “Semper Fi” to which the Gulf War vet responded “Do or die”. These two men had never met but established an immediate bond through shared service in the Corps. I salute them and all our men and women in uniform who have earned the right to the very best of care. I’m proud to have served them.
The VA system is overburdened with red tape, has many failing physical plants, and wait times are outrageous. Even those within the system can’t navigate it. But those are issues at many private-sector hospital systems too. The American health care system is broken. It is not an open marketplace where consumers have actual choices based on informed decisions. We haven’t even begun to establish for consumers what they should expect of the “product” they are “purchasing”. Consumers don’t purchase and providers don’t set minimum expectations for what is reasonable in terms of patient safety when 1 out of every 6 people will STILL be harmed by a medical error every year, 15 years after the IOM report To Err is Human.


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