One of the oldest rules in nursing is the one about self disclosure.
A Professional distance must be kept at all times.
I generally subscribe to this notion.
But not always.
Not quite and I will tell you why.
Recently I had a patient who had been admitted for symptom control .
Often these patients need a short sharp bout of medical and nursing care to alleviate problems before going home again.
They are still dying, but the end is not quite in full sight.
I nursed my patient on consecutive nights and so we quite quickly developed a rapport and an understanding how things needed to be done.
I am an efficient nurse who doesn’t fanny arse around and she appreciated this.
In between turns and medications and dressings she asked me direct questions about my life and I got the impression she wasn’t being nosey, she was just being interested , interested in something that wasn’t her life of carers and of cancer and of isolation and of dying.
She fed on the nuggets of a life outside hers with a sort of hunger
She had little experience of gay marriage and she dug deep and quickly into my divorce and my thoughts of being single again, of adoption and gay rights but when the work was done she would settle quickly under her fleece blankets , close her eyes and say “ Nos da” ( Welsh for Goodnight) until I saw her again in the morning.
I worked a lot of nights with her
The day of her discharge eventually came and that morning, around 6 am I turned her and made her comfortable before I went off duty.
It was still dark outside, but you could just see the ghostly shapes of the Welsh goats as they pastured on the side of the Orme from her room window.
Just before I left the room she said quietly“ I’ve enjoyed our chats..... I won’t see you again will I?”
“ Probably Not” I said as gently as I could, a little burst of sadness in the air
“ Nos da” she said carefully
“ Nos da” I repeated
And I silently closed the door to finish my rounds.....
Like your friend visiting the other day; sometimes a little bit of real contact counts for so much. You just allowed yourself bend your rules a bit when the occasion is right, to be properly human...your patient needed your chats as much as the medication.
ReplyDeleteShe needed the information and the personal aspect of another’s life
DeleteMy first symptoms of ALS occurred in 2011, but was diagnosed in 2013. I had severe symptoms ranging from shortness of breath, balance problems, couldn't walk without a walker or a power chair, i had difficulty swallowing and fatigue. I was given medications which helped but only for a short burst of time, then i decided to try alternative measures and began on ALS Formula treatment from Dr Aziba herbal center , It has made a tremendous difference for me WhatsApp DR On( +2348100368288 ). I had improved walking balance, increased appetite, muscle strength, improved eyesight and ALS, HPV, HSV, HERPES, Virginal Infection All Cures are available with him.
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My first symptoms of ALS occurred in 2011, but was diagnosed in 2013. I had severe symptoms ranging from shortness of breath, balance problems, couldn't walk without a walker or a power chair, i had difficulty swallowing and fatigue. I was given medications which helped but only for a short burst of time, then i decided to try alternative measures and began on ALS Formula treatment from Dr Aziba herbal center , It has made a tremendous difference for me WhatsApp DR On( +2348100368288 ). I had improved walking balance, increased appetite, muscle strength, improved eyesight and ALS, HPV, HSV, HERPES, Virginal Infection, Penis Enlargement Product etc... All Cures are available with Doctor Aziba.
Contact Dr Email:( Priestazibasolutioncenter@gmail.com )
I think your companions need to watch this: https://www.youtube.com/watch?v=vhg7Xm4FXAY
ReplyDeleteI am not sure what your point is? Funny ( and surreal) as the video is
DeleteA few nice chats are all part of good nursing surely. It wouldn't have been very nice if you had just cut her off when she wanted to chat.
ReplyDeleteOf course not, and my point was that she had a thirst for information.a need for it outside the confines of illness and circumstance ...my disclosure was therapeutic
DeleteTruly beautiful moments. "She fed on the nuggets of life outside hers with a sort of hunger." - masterful. Very well-written, dear. Good for you. Thank you for sharing.
ReplyDeleteThere was a need for it......that was the point of the blog....a vicarious please of sorts
DeleteYou may be tired of hearing this, John, but you and others in your field are 'special human beings' and our society could not and should not exist without you.
ReplyDeleteI have worked with many nurses who through their own protection( and professionalism) who keep interactions strictly one sided.I get that and that’s works , but in this case and many others there has to be a dialogue
DeleteIn the end, it seems to me that people crave human contact. Even if, all their lives, they've been standoffish. That final taking in of the life around them knowing full well that they will be saying goodbye to it shortly is always touching to me.
ReplyDeleteAnother good perspective debby
DeleteYou gave her visits to a world without imminent death and what precedes it,each one a reprieve from her now too harsh world ...hospice done well -Mary
ReplyDeleteAnd perhaps not spoken about , within nursing circles enough eh?
Deleteyou gave her a view into a world of which she knows nothing. and there's nothing wrong with that.
ReplyDeleteBeing interested in others takes your mind off yourself that’s what I think...it a mental mechanism I use too
DeleteNo one can tell a moving story quite like you, John. Beautiful and sad.
ReplyDeleteThank u Debra ....perhaps I just notice things
DeleteThis is your heart.
ReplyDeleteIt did move me
DeleteYou're a writer with a deep soul.
ReplyDeleteI wish xx but thank u
DeleteYou imbue the art and science of nursing.
ReplyDeleteI describe it
DeleteJust goes to show, you made the right decision to write a book.
ReplyDeleteHow’s the Chess Set planning coming along?
Went to pottery yesterday ...started the puffin pawns
DeleteWonderful
DeleteTo be interested in what makes other people tick is a gift - may we all have it until the end as she did.
ReplyDeleteYes another good perspective
DeleteFor you to be able to give her those small bits of your life in your words was more powerful than almost any medication she could be given.
ReplyDeleteThe subject needs opening up methinks x
DeleteBeautiful. And beautifully written. A chapter for your book perhaps?
ReplyDeleteA very short chapter
DeleteThank you. And her.
ReplyDeleteOh, how wonderfully sweet, heartwarming, and poignant. You're a kind man and sensitive nurse to be willing and able to share yourself with this special patient. May she have a comfortable and peaceful end.
ReplyDeleteDecades ago, a man who had had a massive heart attack was brought into the ER where I was a nurse. As long as we were doing CPR, he was awake and could talk but when the CPR was stopped, he was gone. It was decided that his family should come in while we were doing CPR to say their good-byes and he could respond. What a heartbreaking scene. The family later wrote a letter thanking us for letting them talk to him one more time and say their farewells. Nos da.
Hugs
Oh my
DeleteI have heard similar stories but have never witnessed it myself.
I hope you nurses had supervision afterwards
Touching, thank you for sharing, with her, and with us.
ReplyDeleteIt’s nice to share it David
DeleteThere's a book to be made of your stories, John.
ReplyDeleteWe all have one in us me thinks
DeleteA little humanity never hurts for carer or patient. It is a gift to be able to recognize what really needs to be done for each patient. You are a true Nurse.
ReplyDeleteI’m an old one lol
Deletewhat a wonderful story to read on thanksgiving eve. i'm sure she was thankful for you.
ReplyDeleteNice timing jaz
DeleteHappy thanksgiving to those who celebrate it xxx
A very special gift to acknowledge when sharing oneself with another is needed. I think Hospice nursing should have it's own code of practice with regards to patient interaction. After all the patient is generally coming to the end of their life and any comfort given no matter the way is very welcome.
ReplyDeleteThanks for the story it was very poignant.
Jo in Auckland
After I left the room
DeleteI walked up to my fellow nurse on duty and suddenly wanted and needed a hug
Covid
I had to be content with a smile
Touching story, I think you were the tonic that your patient needed you treated her as someone who was still very much alive, someone to connect with and enjoy a conversation, better than medicine I reckon.
ReplyDeleteThank u xx
DeleteMy father was in a transplant ward for over 6 months. I think every nurse there broke that rule, and I remember them all with indescribable gratitude.
ReplyDeleteIt's the ones whom share that are able to reach us in our time of need.
ReplyDeleteNicely put mave x
DeleteThis comment has been removed by a blog administrator.
ReplyDeleteYour chat and disclosure was a kindness this patient needed. You have great insight and helped her rest easy in her time of transition.
ReplyDeleteNo doubt her memory of you is much as yours is of her. Again; well done John. Nos da.
ReplyDeleteI remember the night in the hospital that I was waiting for my mother to die. The night nurse going off shift just quietly gave me a hug. It still brings tears thinking about it twenty years later.
ReplyDeleteThat made me cry, so wonderful. Nursing is all about giving the patient the care they need, hers was as much learning about someone as it was medication and physical help. Xx
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ReplyDeleteRegards,
John Burley! Our hats off to you!!"
My first symptoms of ALS occurred in 2011, but was diagnosed in 2013. I had severe symptoms ranging from shortness of breath, balance problems, couldn't walk without a walker or a power chair, i had difficulty swallowing and fatigue. I was given medications which helped but only for a short burst of time, then i decided to try alternative measures and began on ALS Formula treatment from Dr Aziba herbal center , It has made a tremendous difference for me WhatsApp DR On( +2348100368288 ). I had improved walking balance, increased appetite, muscle strength, improved eyesight and ALS, HPV, HSV, HERPES, Virginal Infection All Cures are available with him.
ReplyDeleteContact Dr Email:( Priestazibasolutioncenter@gmail.com )
My first symptoms of ALS occurred in 2011, but was diagnosed in 2013. I had severe symptoms ranging from shortness of breath, balance problems, couldn't walk without a walker or a power chair, i had difficulty swallowing and fatigue. I was given medications which helped but only for a short burst of time, then i decided to try alternative measures and began on ALS Formula treatment from Dr Aziba herbal center , It has made a tremendous difference for me WhatsApp DR On( +2348100368288 ). I had improved walking balance, increased appetite, muscle strength, improved eyesight and ALS, HPV, HSV, HERPES, Virginal Infection, Penis Enlargement Product etc... All Cures are available with Doctor Aziba.
Contact Dr Email:( Priestazibasolutioncenter@gmail.com )