Provided by Clinician 1
The past two weeks were difficult for me, physically and emotionally. One of my favorite patients, “J,” went to hospice care in a local nursing home, as her husband could not physically care for her at their home. I counseled a lovely older woman who is on her third bout of cancer in the past two years... colon, then breast, and now probable lymphoma—all primary cancers, mind you, not metastatic disease. I counseled—for the umpteenth time—then sadly sent termination letters to—patients who persistently were non-compliant with their care and not showing up for office visits as scheduled.
I have counseled innumerable patients with depression and anxiety... many of them are nurses at our local “Magnet” hospital. So much for THAT status, as they are as miserable as anyone I’ve ever seen in 20 years of nursing. Their Employee Assistance Program has a SIX MONTH waiting list...”unless one is suicidal.” Gee... how comforting to know that those who are supposed to help support the caregivers... are also “backed up.”
On top of that, my own grandmother is facing terminal breast cancer, lung cancer (likely metastatic), and who knows where else it is. She has severe dementia and had expressed wishes years ago to not prolong her life. We don’t even know where all of the cancer is, because we have not done any further testing. So... my ONE grandparent that was always there for me is battling these health issues... and my wonderful mother is coping with all of the stress... and I am utterly helpless to stop it. My grandmother has a premonition that she will not be with us long, as stated to me and my mother... and I believe her.
I manage to hide my own grief and stress from patients... to a point. My boss understands... I get “really quiet.” I can vent to him... to my husband, my Mom... but still, it takes a toll when it occurs day-after-day.
So it is with this mind-set that I share with you a moment I had this week... with a young lady who managed to pull me up out of the momentary abyss of despair…
I had seen this young woman a few times before... two sick visits and a routine physical exam. Her mother is an ICU nurse at a local hospital. To show how “small” of a world it really is, I had been a “student nurse extern” (a.k.a “nurse’s aide”) 22 years ago in the SAME ICU that her Mom works in now. Her mother was one of the nurses I worked with... and learned from.
I count myself fortunate that I worked in that unit for two years. I saw amazing things, assisted in procedures that would make me shudder today (for liability reasons—as a student, that is), and learned so much about ICU nursing care, that it made my senior year at college rather easy. I distinctly remember my ICU preceptor telling me that I had to be “humble,” because the nurses were intimidated that a “mere student” seemed to know so much. (Bah. I faked it.)
However, as I talked with this young lady, I saw a passion in her eyes... she, too, now works in the same ICU as a nurse’s aide. Her mother and the other nurses—many of them the same as when I worked there—have taken her under their wings and shown her “the ropes” as well. She is thrilled to learn all of these things, and to be part of the health care team, even in her role as a nurse’s aide. She has vision... and determination.
She has applied to the local university to the Physician Assistant program. However, there is a back-up plan. If she doesn’t “make it,” she intends to go into the BSN program at the local college... then work her way up in nursing for the advanced degree.
I caught my breath, while talking with this young woman. I saw my own passion in her eyes... from so-long-ago. Wow... what a moment. When dealing with numerous crises, and the despondent nurses from the local hospitals... it is easy to forget that dedication, that spark. I told her the nurses that I remembered from two decades ago... most of them STILL work in that ICU. Her eyes grew huge as she realized that I, too, had walked in her footsteps so long ago.
I thanked her for reminding me, yet again, why I do what I do. We need others to pass the torch... to keep that passion alive.
Deja vu... and good memories.
Kim Spering is a family nurse practitioner who currently works at Brndjar Medical Associates, P.C., a family practice in Emmaus, PA. Her past experience includes the fields of medical/surgical ICU, open heart/trauma ICU, labor and delivery, nursing education, nursing supervision, and as a nurse practitioner in both family practice and OB/GYN settings. She currently serves as a NP preceptor for her graduate school alma mater, DeSales University, as well as for local baccalaureate programs. She is passionate about patient education and helping patients understand that they are ultimately responsible for their own health. She also firmly believes that the public needs to be educated on the value of NPs and PAs in meeting the health care needs of the next decade and beyond. In her free time, Kim enjoys family vacations with her optometrist husband, Mark, and her two sons, Matthew and Connor.
The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.
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| Gabi (Houston) |
on 08 Oct 2010 at 11:30 pm |
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Kim,
I am happy you shared your story! Some of the readers apparently are reading too much into the story and taking things personally....!
Nursing is a difficult profession to be in for a long time... and we do get burned out easily, if we have not found a way to balance our lives through whatever means....more education, finding a passion outside work... anything to keep your sanity! After all, we human beings either progress or regress....NO in between! :)
The individuals who "bad" their profession have exemplified it above...
from one professional to the other ;) |
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| Kim Spering (Emmaus, PA) |
on 06 Oct 2010 at 8:31 pm |
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Gabriela...
Thank you for your opinion. You are entitled to it, as I am to mine. A blog, by definition, is MY opinion.
Where do you see that I "bad" my profession in my blog? I am as "pro-NP" as anyone I have ever come in contact with, and my colleagues would agree. Just because I comment about bad situations does not make me negative about the profession. I assume by your comment that you are an advanced practice nurse.
I think if you get to know Physician Assistants well, you would find more in common with us APNs than not. Give them a chance...truly. Yes, we have different backgrounds --nursing models vs. medical models -- but when the gloves are off, we are all about competent patient care. It doesn't matter if the degree is APN or PA. Anyone who holds a superiority complex over another profession does himself/herself a disservice, IMHO. (Yes, it's MY opinion. You are welcome to have YOUR opinion, too.)
You have responded to my blog on the APJ site. I challenge you to join the Clinician 1 website (www.clinician1.com). You will find many people of both professions, working to establish collaborative, understanding relationships of both disciplines. And, I daresay, you may develop a better appreciation of what we all bring to the table.
My opinion, of course. (smile)
Thanks for taking the time to offer your opinion.
Kim Spering, MSN, CRNP, FNP-B.C. |
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| Dave Mittman, PA (Livingston, NJ) |
on 06 Oct 2010 at 12:10 pm |
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Thinking you are "better than" shows me that you need to learn more about the competency of PAs and also that you are acting just like the physicians who are against both professions. I would agree certain NP and PA individuals are better than other, for sure, but not professions. If the young lady wanted to be a PA-that's great. If she wanted to be an NP-that's great.
No difference except if you want to believe that you are superior to others.
Dave |
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| Gabriela Kaplan (Elizabeth, New Jersey) |
on 06 Oct 2010 at 10:03 am |
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| What you should have told that wide - eyed ingenue is that nursing is NOT a back up plan. There is nothing wrong with wanting to be a PA, but that role is not comparable to the breadth of the APN role. And I'm sorry you are having a "bad" month, but that is no reason to "bad" your profession. |
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