Tuesday, January 17, 2012

observed and learned from others..

note to self - not to follow them..

what are you doing to me?what is that in your hand?why are you touching me?
who are you?are you a nurse?yea..you looked like a nurse..
what is that in your hands..?a needle with some transparent fluid?
hey..why are you turning me to the side?why are you untying my pants?
hey..what are you planning to do to me?where is my dignity?
so many people passing by the corridor and you untying my pants and exposing my butt?!?!
OUCHH!!PAIN!!how can you poke me on the butt without even telling me what is that for?
i have rights as a patient..though i can't speak..

too often nurses tend to forget that patient is still awake despite having a tube in the mouth and ventilator (machine which assist in breathing)..
despite having sedation or paralyzing drugs..patient's sensory is still intact..a little blurred, confused and tipsy (because of drug effect)..but they definitely can hear and feel..
nurses often think of what is not done..unfinished reports and time to go home..
therefore..they neglected patient care and patient's rights..

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in this context..patient is awake..but have a tracheostomy tube (a tube at the throat to assist breathing) therefore he too can't speak out and there is a procedure which requires consent to be taken from patient or maybe family members..fyi..patient is at legal age..

dr - can we do procedure now?written consent up?
missy - ha?consent?no consent taken..
dr - family members?how come you did not call them to come and sign consent?aiyo..
missy - ok ok..i call now..
dr - patient sure refuse to sign..he only want to go home..
missy - *speechless*

patient's family members around..
dr - mr A, we need you to sign consent for your son for this procedure ...(explained only about what he planned to do..risk and nature, after care and cost were not explained)
mr A - uh?must do this procedure?*speechless*
dr - yes..must do..if not it will get worse..
mr A - ok..give me some time to think..*in mind* my son got so many tubes on him..one day one consent..1 day 1 needle inserted on him..*heartache*
dr - *mumbles* give you time..i got no time to wait for you to think and ask your whole family..
missy ignored..

dr failed to respect patient and family member's rights..
failed to explain in detail to convince patient and family to do the procedure..
if you know your facts and rights..show it and do it..patient and family members will trust you and willingly without problem they sign consent..
missy failed to be patient's advocator..though you know the procedure is needed but you have to do your part to voice out patient's request and not just side the dr..
though it might be a "wrong" decision (define right and wrong in this world..) but its still his rights..
and no one even asked the family what they are worried of..what bothers them to proceed with this procedure..
sigh..

missy..
please do no harm to patient..
please respect patient's rights and dignity..
please treat patient like how you want to be treated..
like how you would want your loved ones to be treated..
 they deserve equal treatment and care..

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