2013年4月24日星期三

要吐出两千字, 吐不出, 却吐出很多感想

我你他奶奶的, 这两千字要怎么吐出来啊?

我每一天都被两千字折磨得生不如死啊! 下个拜一就要交了。

话说要我写, how "nursing traditional service" orientation and dominance of biomedical model obscure discipline of nursing in contemporary health care?

我只知道,工作了两年,觉得这份工,30% 是有正能量,那70%真的令人气煞,oops, 那70%其实也是来自于那1% 的人们-那些人就是自以为是的医生还有病人的家人!哈哈,人们总爱把小事化大。

我很想写这几个字交上去:“No doubt nurses are the one who care for the patients 24/7, most of the time they are still invisible and underappreciated by the family of patients and even the colleague of other healthcare team members, especially the doctors. Only nurses will understand what nurses do."

Then, where all the credits go, they go to the doctors who provide the treatment and prescribe the medicine, to the pharmacist who review the prescription of medications, to the respiration therapist who do the ABG and manipulate the ventilator, to the physiotherapist who come once a day to do chest physiotherapy and suctioning, to the occupational therapist who pop by see see look look, then document down something down and walk off and to the medical social worker who are trying to help patients other than physiology care.......

But then, they forget the bedside nurses, who carry out treatments and give the medication, who alert the doctors to change the prescription if there is any discrepancy occur, who do suctioning and chest cupping as and when patients need it, who monitor respiratory distress patients and carry out appropriate treatments for them to breathe better, who mobilize patients the whole day and night-position them to prevent bedsore, sit them out and bring them back to bed if they are fit to do so, who mobilise the patient extremities and notify the team to do something if notice that patients are having any foot drop and contractures, who are the only person who easily to look up for 24/7 and who talk to and reassure family members and identify that if the family or patient need any support and then refer to MSW for further help....

And the basic need of the patients, nurses are the one talk to the patients, clean up the patients, sponge the patients, feed the patients, dress the patients' wound, comb the patients' hair, cut their nails, ensure they are warm if they are cold, ensure they are cooled if their are hot...........

Here, I am not trying to expand what nurses do and minimize the contribution of other healthcare providers.

It just seems that nurses are doing everybody jobs and although we do not possess a deep knowledge in each field as you guys do and undeniably, they are a lots of "don't" that nurses are not able to do so, which requires the physicians to carry out like cutting patient's up and the invasive procedures and the basic care whereby they can be substituted by a domestic helper to do so, I guess that is the reason why NURSES are then being viewed INVISIBLE, because they think anyone else can do it.

What I am trying to emphasize here is NURSES should be visible as part of the team, without us doing the care which come along with the specific knowledge, I guess nobody else can do them already. Our role is just like a mother taking care of the sick kids. Who will deny the contribution of a mother taking care of her kids?

And the doctors, please talk to us nicely as how you talk to other healthcare team members.
And if necessary, please say thank you (a say of it, is enough) to us who have been all the while maintaining the patient's life ever since he deteriorated, to show up your sincere appreciation as how you thanked deeply and NUMEROUSLY to the on call physiotherapist who came once and do the chest physio and suctioning for the poor patient.

Nurses comprise the largest single healthcare professional group and yet we are INVISIBLE.

Ya, not to forget to mention nurses are also the administrator who run the healthcare systems.

And you believe it or not, one day if there is no nurses in the world, nobody wanna become nurses:
    ** WITHOUT NURSES HEALTH CARE SYSTEMS CANNOT FUNCTION.

Sometimes, when I thought of the mistakes I had ever done last time which till now it is still a painful jab to my heart thinking of it and the REALITY of nursing life which I described above and the relationship with some of the nursing colleagues, all these phenomenons really put out a CRAP to my teenage ambition for determining to become a NURSE, why the hell was I fascinated to the image ANGEL OF MERCY? I guess if I was fascinated with something else, today, I would not end up as a NURSE, haha.

Nevertheless, frankly speaking, there is more special moments than the sad moments. The special relationship for me and my patients, their battling story, their recovery, their pass on....Because I am a nurse, my life is not only my life, my life is touched and enriched by the strangers. And technically speaking, I earn a survival skill, a skill that enable me to touch other people's life.

Just wanna grumble, grumble and grumble.......

End of the story, I am super duper stressed by recent events that happen in my life and the due assignment, stress till end up relieving stress in blog.

......gonna continue my irritating assignment....

Ganbatte ne, to myself!

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