our patient:
- doesn’t take his medication, we inform him about the risks and document. He says he’ll take them ‘later’, never does.
- refuses his insulin, we inform him about the risks and document as well as chart.
- refuses his blood thinners, we inform him about the risks and document.
- turns his phone obnoxiously loud, also talks loud.
- insults us several times every day, gets passive-aggressive.
this is not psychiatry, patient is a young, AOX4, fully competent adult.
Fine, you’re a free man and free to do with your life what you want. But why go to a hospital in the first place if you are going to behave like this?
Yesterday we found him unconscious on the floor, vitals were normal, didn’t hit his head. He is being released tomorrow. Doctor agrees.
I have the feeling we’re going to see him again very soon, but he is the biggest asshole I’ve met in my nursing career.
Why do people behave like this? we are literally trying to give him some quality of life and he attacks us each time we open the door. why?
If any of you is a nurse and has some insight, I’m all ears.
Do please notice that I’m not asking how to deal with people like this: we document, chart and move on, but to understand why in the fuck people are like this.
I signed a DNR when I was diagnosed with cancer. I worked as a Paramedic for a long time. I just choose personally to not go through the huge suffering if things should go bad. I had the surgery but refused the rest knowing problems for someone young having major poisons pumped into their body. I was fortunate and didn’t have to use the DNR and surgery seems to have worked well for the time being, aside from some disability.
My family was understanding but I have always been open about my beliefs and desires about major illness and DNR with them. I’d suggest a frank conversation with those you love. Expect that someone won’t understand but also know your life is yours and not anyone else’s.