I left work this morning and prayed that my patient be dead when I return this evening.
It felt wrong.
Praying for him/her to still be alive feels worse.
My patient is sick.
So very very very sick.
And the family is in denial.
They want the doctors to do everything they can.
And they have.
There is nothing left to be done.
My heart aches for the family.
They love their family member so much and they can't see that he/she is dying.
I wish my patient would get better.
But that's impossible.
Next to impossible, at least.
I want him/her to have a peaceful death.
Surrounded by family and loved ones.
That won't happen.
When I left my patient this morning he/she was incoherent and responding to only pain stimuli.
Temperature was 39.7.
I couldn't get a pulse or a blood pressure.
Respirations were 36 per minute.
Blood sugar was 28.6.
That may not mean much to you, but it means he/she is sick.
So very very very sick.
And on the way to the OR in a last ditch effort to appease the family.
I know the family isn't ready to say goodbye.
I would love for them to come to terms with what is happening with their loved one.
I would love to facilitate the grieving process.
But I'm torn.
I am a nurse and my patient comes first.
They have to.
The family unit is considered my "patient", but the one in the hospital bed is my priority.
And this particular patient is sick.
And the family needs to let him/her go.
I'm sad to say that we keep many people alive too long.
I don't want to sound insensitive or heartless.
I have never lost anyone very close to me and I don't know how difficult it is to be a family member clinging to a loved one you aren't ready to say goodbye to.
But I do know what it is like to sit there and watch a patient suffer because their family can't let go.
I do know how terrifying and painful it is to watch every move make someone writhe in pain.
I have looked into the eyes of a person knocking on death's door and pleading with me to take their pain away.
I have watched people gasp for breath and panic when they feel the next isn't coming.
I have also seen people peacefully passing from life into death.
I have seen families accept the inevitability and focus on sharing the last moments with the one passing.
I have seen families celebrating life until the last breath is drawn, helping their loved ones ease away.
A loving and accepting family won't necessarily make death less painful or terrifying for themselves or the patient, but they can certainly make it... I can't think of the word.
Death is never easy, but it can be beautiful.
This is what I hope for this family, though I am not expecting it.
At the end of the day, I hope my patient is at peace.
And I hope his/her family is there to support each other when the time does come.
I am writing this after being up for more than 24 hours so my thoughts may seem cloudy. For this I apologize. I do not mean to offend anyone and I hope you won't think less of me. Feel free to ask questions or leave any comments you may have.