
What do you fear the most? For me I thought it would be to die from drowning. After my past two day shifts I think that has changed. I truly believe it is fire. The thought of being burnt brings all kinds of fearful thoughts to mind.
My past two day shifts I have nursed a patient who was the victim of a heinous crime. Her ex-boyfriend threw lighter fluid on her and set her on fire. I can't imagine, what that would have been like for her. To have someone that you trusted, someone who you cared for and thought cared for you, turned on you and to did something so cruel and unbelievably brutal.
The other morning when I came on shift I listened to report. They briefly outlined what happened but seemed to focus more on her behaviours than the care she required. My initial thought was....ok, I am up for a challenge. So I chose to nurse her. I really had no idea what I was in for. My morning started off rather hectic, and I wasn't able to really pay her much attention at first. She patiently waited only calling a couple of times. I explained what was going on and that I would be with her shortly.
Through report I was told that she had long history of drug and alcohol abuse, the circumstances to which she arrived at the hospital were very unusual. A bystander found her face down on the ground....picked her up and brought her to our ER. The driver advised the ER staff that while on route to the hospital she consumed a mickey of alcohol. I was told that her behaviour in ER was aggressive and abusive and required restraining.
What I was finding disturbing about all of this was that she was being labelled, as a problem patient with many psychosocial issues. Yes she had a past, yes she was intoxicated, yes she had mental issues, but she did not deserve to have what happened to her.
When I was able to spend time with her, I explained what I saw as the plan for the day. I told her that she could be assured that she would get her medications when she needed them and especially when it came time for the dressing changes.
When it did come time to change the dressings, I wasn't prepared for what I was going to see. Once I took down the old dressing and she was exposed I initially gasp inside....she wanted to see and requested a mirror....she looked, she cried...I cried inside along with her. I then asked if she would like to listen to some music while I did the dressing.....Sara Brighton was the choice...so soothing....I carefully cleansed and sponged the areas, applied the creams and dressings. I just couldn't help wonder what she must being thinking. It got me thinking about my husband and his burns and what he endured...the only difference is that hers were caused by someone doing this to her deliberately. Intentionally wanting to disfigure her.
I made it through my first day with her. Today, I am exhausted. She emotionally drained me. I so wanted to be there for her...but I knew I had to detach myself perform my tasks but also at the same time be her advocate and assure her that while she was in our care her safety and well being was of utmost importance, and my job was to ensure she had a safe and healthy environment and that I ensured she was comfortable.
Her emotional needs were more than I was ready for. At times I had to cut her short as others also required my attention. This caused her to retreat. I felt bad about that ..but there was nothing I could have done. As soon as time permitted I was there for her. I felt at times she needed more than I could give her. I wanted to take not so much her physical pain away but her emotional pain. I realize I couldn't do that....but I still wanted to. By the end of my 12 hour shift I was done. I knew that there was no more to give. I had sat with her and chatted....brushed her hair ....talked to counsellors.....spoke with the ministry for family and children.....spoke with victims assistance.....fielded telephone calls.....explained the situation to visitors......I am spent.
My long drive home gave me an opportunity to reflex on my day....could I have done things differently....what truly where her life's dynamics...that I am sure I will never know.....then my thoughts would float to my husband and how his whole life was altered because of his burns.
By the time I arrived home I was quiet. My husband even commented on my silence. I couldn't say much at first.... but eventually I started to open up....I wanted to cry..... I was angry, upset and in disbelief as to how one human being can be so cruel. The sad thing was that I knew that she was not alone, that many others endure terrible senseless crimes and it was beyond my control. All that I could control was my surroundings and those of my patient. Yes I was saddened and spent...but then I realized....there is tomorrow.....tomorrow I have a chance to make a difference.....tomorrow I will be rejuvenated and will do what I can...there are so many questions.....so many things I don't understand.......so much cruelty.....so much pain .......I wish her comfort. I wish her a bright tomorrow.