If I was my patient, how would I feel?

THEY say “Remember apple, table, coin.”
Apple.
Table.
Coin.

I am angry.
You would be too.
Try not being able to speak.
Attempt to communicate and cause only confusion.

Try wearing a brief.
Sit in your urine and wait.
Then in your feces.
And to make the indignity worse
Allow a stranger to invade your privacy and
wipe. your. butt.
THEY did this to me. So I couldn’t be president.

Then skip all enjoyment of food.
Instead have a tube where sustenance goes
No. more. swallowing.
Water sipped could kill.

Maybe I’d prefer to die than to sit here like this.
D.N.R.
I told THEM not to help me.

I blame THEM for this arm that doesn’t work.
Then THEY extend my fingers just to make it HURT like *%#

THEY are trying to control me.

THEY tell me these are voice.
How would you like to be told your reality isn’t real?
*%$@ you.
I. Am. Angry.
You would be too.

Then THEY ask me, “What did we memorize?”
Why are they asking? Of course I remember.
Boat.
Bird.
Child.

 

———-

This is a piece about how I imagine it feels like to have Schizophrenia, dementia and a CVA (stroke) that caused dysphasia (inability to swallow, which means my nutrition is delivered to my stomach via a PEG tube) and a contracture of the arm and hand. It’s part of my reflection on CNA clinicals.

Asking a patient to remember three unrelated words is part of testing memory. It’s common for our minds to replace information we don’t remember with other information without us even being conscious of it.

Several times when I use the words THEY and THEM I’m referring to caregivers and several references are to delusions/hallucinations caused by Schizophrenia. I thought about differentiating them, but ultimately this piece is from the patient’s perspective and they may not be able to differentiate.

To prevent infections, a patient with a contractured hand will need to have their hand opened so it can be cleaned and dried. This can be extremely painful. So, this use of THEY refers to caregivers.

———-

Nursing school starts on Monday, so this may be my last post for a while.

Humans not diagnoses; Reflecting on CNA clinicals

This summer I took a CNA class in preparation for nursing school. Here’s what I learned.

Our patients are not just diagnosis. They are people. They have a history. Their feelings and experience—both past and present—matter deeply. I can imagine that it becomes easier to see them as tasks to perform instead of people to care for. But we can’t do that and still take care of the WHOLE person. And as nurses we are there to care for their whole person.

This experience has identified some of my fears and assumptions about getting old and being alone. These feelings are raw and unresolved and every day when I walk out of clinicals they are there.

But I value my time at the clinic because when I walk in my patient’s door I’m no longer focused on MY life. I’m focused on theirs. How can I make their day better? How can I prevent this conditioning from worsening and removing even more of their independence? What can I do to encourage them to be independent? Regardless of their diagnosis, I have the opportunity to do this with each of them. I love, that as a caregiver, I have the choice to be completely present with my patient regardless of what else is going on. For those moments they can and should be the only thing I focus on. And I can only pray that if I end up in their position that my caregivers will do the same.

When I first met one of my patients and they said they didn’t want me to be their nurse I was afraid to care for them. But I enjoyed it. We laughed a lot, even when doing things that demonstrate just how dependent they are on others. And as I laugh with them, a little part of me thinks, maybe it’s possible to be completely dependent and still joyful. Maybe that wouldn’t be the worst thing in the world. Maybe I could survive, and even thrive, if I wasn’t so independent.

One day I answered this sequence of questions dozens of times: “What’s your name?” “Are you married?” “How old are you?” “30 and not married! Why?” And every time I answered I became less sensitive to the fact that I am 30 and single. It allowed me to embrace the choices I’ve made.

I feel incredibly sad to leave my first patients. When I leave their room and think back on what it must be like in their skin, sometimes it breaks my heart. But my heart isn’t broken when I’m with them. They are not just the sad diagnosis and the dependent individuals. They joke and laugh with me. They yell and express anger at me or others. They are deeply human. The last few years have been a journey to embracing my humanness, And the truth is, as a human I won’t be able to fix their physical or mental problems. But that isn’t my job. My job is to be present and to do what I can to alleviate a little bit of their suffering.

Next stop: nursing school!

Thought I’d post an update on where I’m at with “going back to school and completely changing careers”.

I start Nursing School at Wenatchee Valley College in 17 days! It’s a 2-year ADN (Associates of Nursing) degree. As preparation, I completed a CNA course over the summer. I walked into class saying “I’m not sure if I want to be a nurse, or if I want to become a doctor.” But after spending 8 weeks with a phenomenal and passionate teacher and LOVING clinicals, I feel really comfortable with my decision to go to nursing school.

I’m currently working (very) part-time as a Nursing Assistant Registered and med aid at an adult family home which means I can give patients medication (which is scary and cool). I’m enjoying the work way more than I thought I would.

$800+ worth of nursing books

This fall I’ll take my NACES exam to become a Certified Nursing Assistant (CNA).

I was incredibly fortunate to receive an Opportunity Grant from the state of Washington that covers my books (check out the stack in my pic) and part of my tuition!  Plus the awesome Wenatchee Valley College Foundation gave each nursing student about $500-$600 worth of supplies including our lab supplies, a Littmann stethoscope (check it out in my pic) and our uniforms (navy blue scrubs with white shoes). Can I also just say I’m so glad to be in navy blue instead of white?

The more I learn about nursing, the less confident I am about what I’m going to do after I graduate. There are a ton of options within the nursing field, and I’m looking forward to exploring them. Maybe I’ll even become a traveling nurse. I am so happy with my decision to change paths and so thankful for the support of those around me.

Here’s to two years of craziness followed by who knows what.