Everything Nurses >> Venting Zone >> Does loosing patients ever get any easier?

Rate

Does loosing patients ever get any easier?

715 Views
18 Replies Flag as inappropriate
Bonnipinning_max50

1 post

back to top

Posted over 2 years ago

 

Does loosing patients ever get any easier? Why don't they teach us about how to handle patient deaths in nursing school?

-15 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

I find it to always have some sadness to the loss of a patient, but my faith helps me to not be too sad.  I believe that they are in a better place than you and I, so I just remind myself of that.  Yes, I will miss them, but in a lot of cases I feel it is a blessing.  So many that pass over have suffered greatly and their suffering is now over.  For that we must rejoice and try to give comfort to the loved ones that are left behind. 

Photo_user_blank_big

273 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

" There are numerous things to learn in Nursing School,though nothing compares to experiences when dealing with Death.


   Every case scenario is different,ranging to circumstances of health,relationships w/patient / family,etc; there are cases when


  Death occurs," when you least expect it to", and we often feel obligated to question ourselves :"could this have been prevented?"


   Of course,most nurses may feel," failure",at first,though to understand," degrees of discomfort vs.extreme agony", can only be


   understood,thoroughly, through experience on the job.The best course of action is to be supportive towards the patient, listen


    and respond and accepting to the circumstances.Do what you can to make the patient," feel at ease",thus create a less stressful


    atmosphere,overall."

Photo_user_blank_big

1 post

back to top
Rate

Rate This | Posted over 2 years ago

 

I have been a LPN for 29 years and I still cry everytime I lose  a patient.  My son was killed 7 years ago.  I did CPR on him but it was too late.  It had a negative effect on me as a nurse.  I quit nursing for 4 years and finally came back.  Last week I assisted with CPR on an elderly patient and she died.  Just imagine what that did to me.  The first time I had to do it since my sons death.  After it was all over I went to the dining room and cried.  I still can't believe it still affects me so.s

Rebel_alliance__star_wars__-_wikipedia__the_free_encyclopedia_max50

628 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

I think, too, it depends on the frequency of which you deal with death in your setting.  Children always bother me & likely always will.  Adults, unless the specific situation gets to me, not so much.

Photo_user_blank_big

273 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

" I had lost my mother-in -law, seven years ago; she was a great friend to me for almost 18 years.Unfortunately,it was my spouse


  who discovered her,on her kitchen floor>traumatized,he was,to have to deal with death,( she was 60 yrs.old,@ the time ).


  We'd have ongoing discussions about life and death,from time to time,though to lose someone you know / love,is never easy.


  She may be physically-gone,though we can," still sense her spirit ",watching over us / our daughter,( the only grandchild that


   she ever knew / cared for ), on a daily basis...the smell of her perfume,the scent of sulfur / cigarettes she'd smoke and,


   once in a while, the sound of her voice.Sometimes, love shared can be everlasting."

0 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

i lost my first pt as a nurse yesterday.  ive lost other pts when i was an stna but never saw it from the nursing stand point. I also did cpr on another nurses pt a 1 week ago and we lost her but i think this one was esp hard bc it was my first on my watch.  im grateful that i had quite a bit of support staff bc i was lost.  i dont think it will ever get easier persay i think we all just may learn to cope with it better

Photo_user_blank_big

1 post

back to top
Rate

Rate This | Posted over 2 years ago

 

I see it as a blessing at the point in which they die. However, dealing with death is stressful and I just cry and move on. It is okay to cry.


 


 

Last_pic_max50

969 posts

back to top
Rate

Rate This | Posted over 2 years ago

 

It's very individualized, and according to circumstance. Some patients suffer so much, it is a blessing when they pass. Other families, you have their loved one so long, you get close to the families, and your mourn along with their loss. The younger the patient, the harder it seems to be. Being in an oncology unit, this is very common, and often times I am blessed to help the family through the loss journey. I don't know if the word "easy" is a good word. I think I see it more as the circle of life.


Joyce Harrell, RN, OCN
joyce@theessentialnurse.com
http://www.theessentialnurse.com
http://www.facebook.com/essentialnurse
http://www.mydoterra.com/joyceharrell

Photo_user_blank_big

23 posts

back to top
Rate

Rate This | Posted 4 months ago

 

 I don't think years of experience will ever make it easier to accept patient's loss, though the first one will always be the most unforgettable!

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

atlnurse, I agree that it is never easier, however, it  does get more tolerable  when you have seen so much suffering.. Teresa

Photo_user_blank_big

23 posts

back to top
Rate

Rate This | Posted 4 months ago

 

 I really hope so!!!

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

atlnurse, I think after a while, you see that the patient is suffering so that it would be better to release them from the pain.. That doesn't help out when there are unforseen episodes like car accidents, intentional harm etc...Unfortunately that's the beast of our passioned career.. Teresa

Photo_user_blank_big

23 posts

back to top
Rate

Rate This | Posted 4 months ago

 

 I totally agree with you!It's harder to deal with loss if it's sudden and unexpected!

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

altlnurse..thank you for following and posting on the forum.. Teresa

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

Must read beautifully written article: http://allnurs.es/cry
"As nurses, we have an awesome responsibility and privilege to make a positive difference in the lives of patients and families that we care for in sometimes unexpected and almost unbearable life and death experiences. In certain situations, expressing genuine emotion can be a sincere way to provide emotional support. Sometimes.......nurses cry......" tnbutterfly

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

When Nurses Cry

Me_in_cocceticut_max50

25318 posts

back to top
Rate

Rate This | Posted 4 months ago

 

When Nurses Cry


As nurses, we have an awesome responsibility and privilege to make a positive difference in the lives of patients and families that we care for in sometimes unexpected and almost unbearable life and death experiences. In certain situations, expressing genuine emotion can be a sincere way to provide emotional support.

 


Although it’s been more than 30 years ago, I remember the occasion very clearly. My first death on Peds as the charge nurse. It was horrible. A four-month old with a congenital heart defect was to be discharged that afternoon. He was to go home and grow a bit more before undergoing a surgery that would correct his heart anomaly.

 

I had just come from the room not 5 minutes earlier and the baby was laughing and playing on his father’s lap. So cute..... The frantic father suddenly appeared in the hallway with the baby in his arms. He was no longer laughing but his little body was lifeless, his face very pale.

 

We rushed him to the treatment room as the code was called and the baby’s physician was notified. Any code is unpleasant, but a code blue on a Peds floor is a dreadful experience.


The tiny treatment room was alive with a high level of anxiety and activity as the many responders crowded around the tiny pale body. Many were unsure of dosages for one so small, but were willing to help in what ever way they could. The baby’s pediatrician arrived and took charge. Despite the long and valiant efforts of many, the baby did not survive.


We were all exhausted......emotionally and physically. The family was devastated as was the entire medical team, tears streaming down the faces of many. There were so many tears. Even the pediatrician was crying. So very sad..........

 

The parents were holding onto one another, sobbing quietly, as the doctor and nurses tried to offer their support. In the face of such an overwhelming and painful crisis, nurses were able to make a difference that day as they provided tender and compassionate care to the mother, father, and extended family....through their tears.

 

Because of the very nature of our work, nurses encounter many situations of grief, death, sorrow, and crisis. While we frequently witness others crying around us, we try to maintain a “level of professionalism”, keeping our emotions in check, especially in front of the patient and/or the family, or other staff. Some people view a display of emotion as weakness, and will suppress their feelings, remaining controlled at all times. As a nurse, it is certainly necessary to control your emotions so you can handle a situation and provide safe and appropriate physical care for the patient. But periodically, not showing our emotions.....our humanness......is viewed as cold and unfeeling. In certain situations, expressing genuine emotion can be a sincere way to provide emotional support.

 

Nurses work very closely with their patients, providing intimate care to the whole person on a daily basis. We see their struggles against their disease; we hear their cries of pain. As we share intimate and intense conversations with patients regarding their care as well as their fears and concerns, we get to know more about them as a person. Because we get to know them and their families so well, we end up caring for them. It is easy to become attached, even though we try to put up our professional boundaries.


Patient suffering and death does affect us as nurses. How we respond is different for each of us. As nurses, we strive to provide compassionate care, sharing in the grief, loss, and fear experienced by patients and their families. We want to do more than just go through the motions, becoming numb to the pain of others.

 

Seeing that doctor cry openly after the death of that infant so many years ago, made a profound impact on a very young nurse who was just embarking on her career. My level of respect for him as a doctor and a person grew. Since that time, I have seen many nurses and doctors shed tears in the presence of the patient and/or family.


These days, I more often care for people on the other end of the life cycle. I am often called upon to stand alongside someone as they take their last breath. I still get tears in my eyes, but I don’t even try to hide them.