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"I personally found it difficult to stay in the
bed. I just wanted to get up and go home, and felt that
I should," Benoit said. "I felt like I also
had to be the best patient
I don't know if I
can explain why I had that expectation of myself, but
I did."
Dot Mundy, MSN, RN, also was self-conscious when she
was admitted to Mercy Medical Center in Baltimore for
her acute, adult-onset asthma. She was worried more
about burdening the staff than getting well. "I
didn't want to be a bother," Mundy said. "I'm
thinking they must have some [other] really sick patients
to take care of. But they told me, 'You need to be the
patient now,' and that was difficult for me."
Control is an important feature of the profession that
many nurses said they find unsettling to lose. Bonnie
Krueger, MHA, RN, manager of adult critical care units
at Medical City Hospital in Dallas, recalled with mild
embarrassment her actions as a young nurse hospitalized
with a blood clot in 1971. Krueger refused to let any
staff nurses or health care staff administer shots or
handle her medications.
"You talk about a lack of trust
I had to
give all my own injections, I had to start my own IV,
I had to look to the IV bags to make sure everything
was copacetic," Krueger said. "Everything
had to be by the book and by the procedure, very much
as a novice would do. Reflecting back, you have to let
some of that control go. I would never give my own injections
today."
Krueger came full circle in 1995, when she was hospitalized
for five days with a pulmonary embolism in Oklahoma
City. A few weeks after fracturing her foot, Krueger
was suffering chest pains and shortness of breath at
the end of her shift at Integris Baptist Medical Center.
She fainted in the locker room and was rushed to the
ER by her team members.
Being unconscious, she had no choice but to submit
fully to the treatment and guidance of doctors and staff.
But this time, she allowed her colleagues to do their
jobs, she said.
"The staff that took care of me understood that
[control] need, and not once did they assume I had knowledge
of what was going on, or didn't need support or comfort,"
Krueger said. "Every hour, someone would come in
and say, 'Is there anything we can do or is there anything
we can explain to you?'
"A lot of people assume that you know, so they
don't tell you, and they don't offer the comfort they
would other people. But a nurse as a patient requires
even more."
Only one time did she ignore her doctors' wishes. Before
her discharge April 19, Krueger got out of bed to help
prepare the hospital for possible victims when they
learned of the bombing of the Murrah Federal Building
10 miles away. No victims were transported to Integris,
Krueger said, but she was ready to assist even though
she was still wearing her patient wristband.
Krueger and other nurses may battle the urge to control
their situations as patients largely because they know
all too well the risks and conditions not apparent to
lay patients.
Phoenix triage nurse Rita Fair, RN, who was diagnosed
with lupus more than 20 years ago, knew what kinds of
questions to ask about her condition when she became
pregnant. She had so many, Fair said, her perinatologist
had to schedule several off-hour phone sessions to address
Fair's concerns.
Jill Bokern, RN, knew full well what she was facing
last fall when she was diagnosed with breast cancer.
As nurse coordinator at the Siteman Cancer Center at
Barnes-Jewish Hospital in St. Louis, Bokern counseled
patients daily on topics of risk factors, recovery issues
and family impact. Her nursing knowledge gave her optimism
about her prognosis.
"It was very treatable, since mine was in early
detection," Bokern said. Her job made both herself
and her family aware of how often women defeat breast
cancer. When her disease appeared, the shock was cushioned
because they knew 80 percent of breast cancer victims
are women with no known symptoms (like Bokern).
Bokern was confident about her recovery, but this made
room for smaller worries that perhaps only a nurse would
go through. As a longtime employee of Barnes-Jewish,
and now as a patient, she had to choose among a pool
of highly qualified surgeons who would perform her mastectomy.
Most were also close friends, and Bokern was concerned
that choosing one would hurt the feelings of the other
surgeons. "That was probably the toughest decision
for me ... I felt they were all good," Bokern said.
" 'Who do I choose, one or the other?' That's not
a bad place to be in."
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