for a while now, I've really been doubting my career choices with nursing. I know a lot of it is burn out and depression, and being so overwhelmed between work, school, and clinical, that I didn't have time to breathe. I was in the hospital/on campus for 60 hours a week last semester, and that's not counting the time I had to study outside of that. It was awful. I quit my job because of it, I was almost involuntarily committed because of it.
But the scariest part for me has been how much I've hated clinical. It makes me miserable. And that's terrifying, because once I graduate? That's what I'm going to be doing for the rest of my life. So if I already hate it now, what does that mean for my future?
Sometimes, though... Sometimes I'll have a clinical that is just so good, it reminds me of why I'm doing this. Why I'm putting myself through the pain and suffering of becoming a nurse, which is honestly one of the hardest careers a person can have. It's mentally, physically, and emotionally exhausting. It destroys your body and your mental health. Most of the time it's thankless. It doesn't pay nearly enough for what we go through.
Despite all of the reasons there are not to become a nurse, there are some patients that will remind you why it's all worth it anyway.
Last week, I had a crotchety old bitch of a patient. She had been in the hospital for 10 days, was refusing all of her treatments, screamed at anyone that came in her room, and demanded dilaudid around the clock, despite having no injuries to justify it. Everyone hated her. Her own nurses went in her room as little as possible; I think in the entire 12 hours I was there, her nurse spent maybe a total of 20 minutes in her room. I was in there for hours. A couple minutes at a time in the beginning just so she could warm up to me. Then I spent 2 straight hours at her bedside just talking to her. Letting her tell me her life story. Which was tragic, of course, and no wonder she was so run down and bitter and wanted to get high off narcotics. She was miserable, lonely, and in chronic pain from a body that was deteriorating around her.
So I spent as much time with her as possible. Sure enough, she didn't ask me for any pain medications a single time, once she realized she could trust I was going to look after her. I Explained her medications and her treatments, and the reasoning behind them. I offered to reach out to out chaplain when I noticed she was hyper focused on some televangical broadcast. I got her to call her son to come visit her. I got her to agree to take her medications and allow us to take blood sample for her labs, which were days overdue. I got her up and working with physical therapy so she could start walking again.
By the end of the day, that patient loved me. Not a single complaint all day, she wasn't screaming down the halls and cursing everyone's existence. She was still crotchety and mean in that way old hillbillies are, but she wasn't angry. She wasn't lashing out. She was finally being cooperative. All because I took the time to talk to her and offer her company.
Tonight, I had a shift in our mental health unit. There was a patient who I noticed was very withdrawn and avoiding everyone, mostly just standing in a corner at the end of the hall, by a window. I went down and talked to him. Kind of stilted at first, but slowly he opened up to me. I really only meant to talk for a few minutes, mostly for my own sake, to get used to interacting with mental health patients like this.
Instead, we talked for hours. Nearly 3 hours straight at the start of the day alone, and then more throughout the day. My feet were killing me by the end of it, but it was completely worth it to see the way this poor guy came to life. We talked about everything from social topics like music and movies, to his medications and treatments, and how to manage his depression once he leaves. Something I was able to connect with him about on a personal level in a way his nurse hadn't, because I've been living with depression for a decade, I've been on antidepressants, and I understand. I think that was the point it clicked for him, when he really started reaching out to me, instead of answering when I prompted him. Because humans need connection and understanding.
By the end of the day he was talking freely and smiling nearly non-stop. We'd made plans for him to get back into an old hobby he hadn't touched in years, and he seemed genuinely excited to start it back up again. He was nearly bouncing in place when I went to say goodbye to him at the end of the night, and thanked me for talking to him all day. Even the staff nurses noticed the way his demeanor had completely changed.
Another patient (my actual patient for the night) started the day very combative. To the point she had to be redirected to her room (not locked up, just strongly encouraged to go and cool down). She was screaming at everyone, having some very serious and severe delusions. Same story; I talked to her throughout the day, little bits whenever she was feeling calm. I noticed she had a tattoo from an old semi-niche XBox game I used to play, and we bonded over that. By the end of the shift she loved me. Kept asking me if I'd gotten lunch/dinner, made sure all the other patients on the unit got their snacks, told us all to get some rest once it was curfew for the unit (we had to stay another 2 hours) and said we could use the spare bed in her room if we needed. Which sounds really weird but coming from her was incredibly sweet. Again, total attitude change.
I am very cognizant of the fact that the way I approach my patient care is largely a privilege of still being a student. It's easy for me to stand at a patient's bedside for 2 hours straight and listen to her life story when I have nothing better to do, let alone 3 other patients to take care of. But that nurse didn't talk to her at all. Even when she was in the room, she dismissed everything the patient said. The mental health nurses? Most of their time is spent in the nursing station gossiping and messing on their phones. There's no reason for them not to put in the extra effort of spending time with their patients. And especially there, it can have such an impact.
All of that is to say, I love the relationships I'm able to build with my patients. It's so important for me to be able to connect with people like this, to make them feel seen and cared for and important. No one wants to be treated like an inconvenience, especially not while they're in the hospital, sick and hurt and exhausted and in pain.
Nights like these are why I'm going into this field. I love medicine and I always knew I would end up in the hospital, I've always wanted to be able to save someone's life. But I think now that I've grown up and I'm actually working with these patients, I've come to see not only how rewarding it is to save someone's life, but to nurture that life, too.
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When it comes to hygiene tasks and self care with disability and chronic illness, its pretty much a constant case of: don't let perfect be the enemy of the good.
Basically: it's better to do something, than to do nothing at all.
TLDR: Just because you can't do something "properly" doesn't mean you shouldn't do it at all. Do it half-way. Do it shitty. Do it barely. Do it on a technicality. But do what you can. Just try, because doing something will help you.
If you don't have the energy to scrub your body with a sponge, just rub soap over your skin with your hands.
If you don't have the energy to wash your whole body with soap, just hit the places where sweat accumulates, or where you're smelliest.
If you don't have the energy to wash with soap AT ALL, just sitting in water is better than nothing. It will wash away dirt and oils.
If you can't bathe or shower at all, a warm wash cloth is your new best friend. If that's too much, then try bath wipes. They're a bit bigger than regular wet wipes, and a bit more heavy duty. They're designed to help keep bed ridden patients clean in hospitals.
If you don't have the energy to dry yourself after a bath or a shower, just put on a bathrobe and get into bed. If you don't have the energy to get dressed afterwards, just don't. It can wait until you can.
If you don't have energy to brush your teeth for two minutes, honestly, just a cursory scrub is better than not doing anything.
If you can't brush your teeth twice a day, brush in the evenings. It will help take away the build up of food from the day.
If you don't have the energy to brush AT ALL, honestly, just take a cloth and wipe the plaque off your teeth. Rinse with mouth wash after if you'd like. Something is always better than nothing.
If you can't floss twice a day. Try once. If that's too much, try a few times a week. If that's too much, try setting aside a day once a week as a goal. If you can't keep a schedule, do it when you're able to. Hell, I keep some floss next to my bed so that if I forget and don't have the energy to go get it, I can just reach over.
If you can't iron your clothes, don't bother. Wrinkles are fine. Wear jumpers over wrinkly t-shirts. No one will know, and honestly, most people won't even care. If it's really wrinkly and it's A Big Deal And It Needs To Be Ironed, here's my life hack. Step 1: take a spray bottle, and spritz the item of clothing (while you're wearing it is easiest) until it's lightly damp. Step 2: use a hair-dryer on the clothes until they're dry. It gets rid of creases like nobody's business, it's easier than lugging out the iron and ironing board, and you get to have nice toasty warm clothes afterwards.
If you can't fold your clothes, try just hanging them up. It's less commitment. It's quicker to do. Granted, you need to have the space in order to do this, but it is also good at helping you downsize, and lets you visualise exactly what you have.
If you can't put your clothes away, invest in a couple of laundry baskets, and then just keep your clean clothes in the baskets. You can then separate washed clothes into underwear, pants, and shirts baskets. You can just leave them like that. I'm giving you permission to never fold your laundry again if you can't. Just leave it unfolded. Who's going to care? Something is better than nothing. If you can, try to put those baskets into your closet so that you can keep the clutter out of sight, and give yourself a more restful environment.
If you can't separate your clothing out into different categories and wash them "properly" (whites, warm tones, cool tones, darks, delicates / switching between hot & cold washes / paying attention to laundry instructions on the label) then just don't worry about it. If you cold wash your clothes, colours won't bleed. Maybe gradually over the course of dozens of washes there'll be some changes in hue, but it's really not as high stakes as the One Red Sock In The Whites Turns Them Pink trope makes it out to be.
I've pretty much come to the point in my life where if a piece of clothing can't survive the washer and dryer, then it's just not meant to be. I colour separate my clothes, and if I have the energy/remember I'll take my bras and jumpers out of the washing machine to drip dry. But otherwise, I leave it to the universe.
If you can't separate out your recycling, then don't. If you have a large amount of rubbish you need to get rid of but the idea of separating it out properly is stopping you from doing so, then just don't worry about it. I know it's not ideal, but if you have garbage in your room/house and you need to get rid of it, please just get rid of it. Don't let the problem get bigger and harder to deal with. Don't let "doing something properly" get in the way of keeping your living spaces clean. Please. Give yourself understanding.
If you can't wash your dishes, get paper plates. Obviously, it's not ideal, but it is better that you eat food than skipping meals. It is better that you have a clean kitchen, rather than having dishes piling up and making it harder to look after yourself.
If you can't prepare meals for yourself keep making the tasks easier and easier. If you can't do recipes, then simplify. Use pasta sauce from the jar instead of making it. Eat canned soup. Buy food you can just stick in the oven. If you eat fish fingers and microwave veggies every night, it's better than not eating anything at all. It's better than having to fork out money on take-out. If you need ready-made meals, then get them. If you're literally just eating a raw cauliflower for dinner; 1) I see you, 2) me too, sis, 3) something is better than nothing.
These are the basic things you need to do every day to function as a person. They are your activities of daily living. Brushing your teeth. Bathing or showering. Using the bathroom. Getting dressed. Eating. Drinking. Sleeping. Keeping your environment clean. You don't need to do these things perfectly, but they need to happen in order for you to have a decent quality of life.
And it breaks my heart, because I know that so many disabled people can't do these things every day. I'm not saying this to guilt or judge, I'm saying that these are basic needs; you deserve these things. These things bring dignity. If a disabled person is unable to do these things, it diminishes their quality of life. It robs them of dignity.
If you need help to do these things, Its okay to ask for help. It's okay to need help. But if you can't get that help and you have to do these things by yourself -- or you just plain want to be independent and do it without help-- then don't hold yourself to standards you can't meet.
Don't let perfect be the enemy of the good. Doing something is always better than doing nothing. Even if it's not perfect. Even if it's not done well. Do what you can.
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Doable habits I’ve been creating recently
My life is really hard right now and I need some structure to keep me on track. But to say to myself “I’m going to keep a spotless house and run a mile every day and take control of my emotional health and cook healthy meals” is way too much for me at the moment. So here’s some small habits I’ve been implementing
20 min cleaning. I set a timer for 20 min every day and I clean. It doesn’t matter what I clean. Could be dishes, could be laundry, could be the bathroom. When the timer goes, I don’t have to clean anymore for the rest of the day.
Following a simple journal template. I know there’s journal prompts out there like “what are your greatest fears, where do you see yourself in 5 years, let’s explore your traumas” and you know, I can see myself doing those in a bit but at the moment just getting any thought down on paper feels overwhelming. So I’ve been doing a simple outline: 3-5 sentence summary of the day, 3 gratitudes, 3 affirmations, 1 intention for tomorrow. If I feel like expanding on a feeling I could, but there is no expectation to. But it keeps my gratitude forefront.
Daily herbal chai tea in the morning. I decided to budget for cream to add to my chai. It feels luxurious and yummy and calming every morning.
Herbal immunity tea every night while I journal. Also calming and provides a soothing end to my night.
Reading every night. No expectation of reading a “serious self help book”. Just allowing myself the pleasure of laying in bed and reading whatever I want and not worrying about if I’ve done enough today. Reading is enough.
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