When someone asks you what you do and you tell them you are a hospice nurse, you always hear, "that must be so hard, how can you do that work every single day?" and there is also the "you must be an angel", which I struggle with. I am not an angel and while I appreciate the sentiment, the truth is, I am just a human who found her passion. But the fair question is, how can we do this work every single day?
I had a day like that yesterday. In the midst of having 5 patients to see, someone very dear to me fell and was taken to the hospital and declined quickly. Her family has become my family and I love them all very much. I wanted to be there for them, I wanted to help them. This is what I do, this is where I thrive, and I knew I could help them. BUT! I had 5 patients to see and my work had to be done first. I had two patients that were actively dying, I had another that took an hour to relieve her pain, I had a family member that was 45 minutes late showing up to meet me and I had one that took me almost an hour to get to because of traffic. I felt like everything was against me being there for my friends (which I think of as family). All of this and the fact that I hadn't eaten anything all day, I was hot and sweaty and started to smell kind of yucky AND I HADN'T HAD A CHANCE TO PEE, put me in a very foul mood. But I finally finished and was able to be present at the bedside of a woman that was having a tough time and with a family I loved and it felt good to be there. I even put aside the fact that I still had 5 patients to chart for!!
Just as we were figuring out a plan for her and medications were being administered, I received a call from my office asking me to see another patient. This would be number 6. We were short staffed and the family member was anxious, upset and needed us NOW!! I didn't want to go, I wanted to stay right where I was. I didn't want to be a nurse at that moment, I wanted to be a human having a difficult time knowing someone I love was hurting. But I said yes.
It took me 40 minutes to get there; twice on the way I was called to ask my eta, which only infuriated me more. The second call was by our triage nurse, also frustrated because she was the one getting all the calls. I freaked out, I cried, I vented, and she listened. She stayed calm and she provided me with support.
I walked up to the door of my patient. I was hot, sweaty, starving and my eyes stung from crying and I shook it off. By the time I was inside with the husband and daughter, I was 100% hospice nurse. I provided them with comfort, support and active listening. I apologized for taking so long to get there. I relieved their wife/mother's pain. And I assured them that should her condition change during the night, we are just a phone call away. I was given hugs and "thank you's" when I left.
I am not an angel, nor am I a super human. Some days though, it feels like that is what is expected of us. We carry a lot of responsibility on our shoulders; working in hospice is hard. I had a tough day. I pushed myself too hard and I did NOT do any self care. When I got home I ate something and then I sat on the couch to start my charting for now 6 patients. But first I checked on my friends to see how they were doing and I checked in with the nurse who is caring for my friend/family member and made sure all was being well handled for her (and it was), I sent a "thank you" to the triage nurse who listened to me, and then I charted. Once I was done I took a nice long walk outside and I breathed in fresh air and gave myself a pat on the back and said "you did good today girl"... because sometimes that is all we need... a little pat on the back.
Some days are tough and I do wonder how the heck I can continue to do this work. Yesterday was tough and I think it was really because I had something personal going on, somewhere else I wanted to be. I felt torn, I felt guilty, I felt frustrated. But when I woke up this morning, I felt good about myself, my work, the job I did yesterday despite it all and I am ready for this day and what it might bring. And today... I will eat and I will pee and I should probably bring some deodorant with me. LOL
Most days are lovely, wonderful days. Some days are hard and difficult days. I am grateful for them all because all of this is what molds me into the human I am becoming and I love watching myself evolve and grow. But I have to remind myself that I am only human...
Take care of yourself... today and every day. YOU MATTER and someone needs you!!
xo
Gabby
Oh my goodness! What an honest and emotional post. Do you know how lucky we are to have you in our lives nurse Gabbi?
I think you are superb writer. You communicate so well, with all of the things that are happening. I really appreciate your blog.
You are superhuman. Anyone who can shrug of all that crap from the day and be there 100% for a patient and their family has some superhuman qualities. ❤️