body language
my back hurts. my arms are sore.
three nights of repositioning two patients whose one leg appears to be bigger than my waist (and believe me, my waist IS large!) is taking its toll on me. we don’t have a lift team, and even if we do, i don’t think they should be called every 30 minutes to lift one leg or one arm.
i have nothing against morbidly obese patients. i believe they deserve the same medical care and attention that everybody else does. i know i shouldn’t feel sorry for them, but i will be lying if i say i don’t feel sorry for them.
how humiliating is it to call the nurse for things that other people just take for granted?
i can’t count the number of times W called to help him move his leg a few inches to the right or to the left. it usually takes two people to lift his leg, usually, i get impatient waiting for other nurses to be free, so i just go ahead and do it myself. my bones cracked.
a little over 500 pounds, W is too weak to even hold a plastic cup with juice, but God knows he wanted to try. on the process of trying to be independent, he spilled his juice twice. and we ended up changing his gown twice.
lifting his arms actually made one nurse fart. to maintain our professional aura, we all pretended it was the patient in bed 2.
the other patient is T. he is a little over 400 pounds. he kept telling me his arms and legs are really really swollen, and he is concerned. he said the doctors looked at it in the morning but didn’t really tell him anything. i told him i’ll check his chart, because the truth is, it was really really hard for me to tell the difference.
working as a break RN for two nights, and then having T on my list on the third night was physically draining. i would go home and just refuse to carry my 18 month old boy. he weighs 27 pounds, and probably weighs less than W’s arm, but i had no strength left.
at home, i lied on the floor for hours, thinking about a lot of things.
i knew i felt sorry for the patients. it pained me to see them struggle with their independence because it was just not possible for them to reach their back to get rid of that itch. it must be frustrating to go to MRI, and find out MRI can’t be done because you can’t fit in the close MRI thingy. it must be embarassing to be a full grown man and not be able to lift your legs, or hold up a cup of juice, or turn to your side. it must be degrading to get every nurse in the room just so you can face this way instead of that way. it must be utterly humiliating to know that you need two nurses to insert your foley catheter. one with the catheter, and one who will locate where to insert the catheter. once, it was a symbol of their manhood. now invisible, it must make them feel the same. unseen. unheard.
i lied on the floor for hours, thinking about a lot of things.
i didn’t know i felt sorry for myself, but i did. for being in a situation i can’t control, and i can’t change. i want to complain, but it won’t chnage a thing. all i can do is stretch my back, massage my arms, and feel sorry for myself.
when i gave report to the AM RN, i told her to make sure she has at least three other people to help her turn T. she looked at me with this mocking smile, and asked: “what does he do at home May? his neighbors turn him? if he can’t turn himself, then i guess he stays where he is.”
i know i should have blurted out a smart sounding reply to that one, but i remained speechless. there was silence, and all i could hear was a creaking sound. from my back.


That was such a rude remark from her.
Looks like she isn’t going to pass the test of compassion is she?
I hope your bones feel better soon.
Comment by DayByDay4-2Day — February 25, 2006 @ 6:42 am
thank goodness he had you to care for him. during my med-surg clinical, i worked with a nurse who complained out loud (probably within hearing distance), “why do people let themselves go like this?” ugh. i was mortified. again, thank goodness for people like you!
Comment by unsinkablemb — February 25, 2006 @ 7:29 am
Patients like him are such a challenge. I recall having a patient once that sounds identical to yours, he had a severe case of cellulitis on his leg. He couldn’t even reposition the leg himself and was unable to wipe his butt when he had a BM. I have a hard time understanding how people get in that condition and have to wonder how they take care of themselves at home, so I can see where your relief RN was coming from.
Just make sure to watch out for your back. Hope it feels better soon
Comment by Anna — February 25, 2006 @ 8:14 am
Fascinating post. I don’t think the average person sees all the physical wear and tear nurses put on their bodies. I bet 80% of nurses end up with bad backs and varicose veins. I even know of one who gets frequent UTIs because she never has time for a potty break at work. Geez, y’all go through a lot. And a lot of us really appreciate it.
Comment by BigMamaDoc — February 25, 2006 @ 9:37 am
I do hope she was joking. There’s so much good repositioning can do and the sooner you get that patient out, the better on your back! Pressure ulcers, pneumonia, DVTs…all that is just going to make him stick around longer. Bah.
Comment by Kit Is Knitting — February 25, 2006 @ 10:40 am
i’m sure your patients appreciate the care and concern you show them May. We have one patient who will come in and everytime she comes in her weight has gone up. Recently gained 60 pounds in an 8 month period-now uses a wheelchair to get around…when I asked her to standon the scale all she screamed out in pain.
I don’t understand it sometimes.
Do you find that your patients are frequent flyers due to the fact they get all that extra care while being an inpatient? Just curious.
Comment by kimmyk — February 26, 2006 @ 5:43 am
This was a timely post for me as I have has a 400#ish woman on my assignment as of late.At the end of two shifts she started crying,” You don’t know how much I hurt” I had all I could do not to plop down and cry too. I am coping with RA and Lupus and with the exertion of caring for her, I have a pretty good idea of the pain of her extensive maladies. I have heard frequent rude comments and seen substandard care provided for her because of her size and *other issues* SO I feel I have to be extra caring to try and repair the damage donr by others.Kindness is Killing me.I wish I had a better solution.
Comment by taming the beast — February 26, 2006 @ 6:26 am
Silence is the only possible answer to that kind of callousness. Indulge yourself in a good massage. You deserve it. You are a godsend to those patients, who clearly need your compassion.
Comment by Nurse2B — February 26, 2006 @ 12:42 pm
Her turn will come. I think some karma may do her some good.. Be very careful not to hurt yourself at work. You will find that work doesn’t care about you at all. Just when you’ll be back, that is if you aren’t faking… I’m having knee surgery tomorrow due to a patient fall prevention. (I caught her) Workman’s comp sucks and I can’t collect any sick time to make up the difference for the 66% WC pays. It’s like being slapped for the audacity of getting hurt on the job.
At least you were compassionate with your patients!!
Comment by Nurse Practitioners Save Lives — February 27, 2006 @ 12:36 pm