Neither Crime Nor Demeanor

By Marcy Phipps. Marcy is an RN in St. Petersburg, Florida. Her essay, “The Soul on the Head of a Pin,” appeared in the May issue of AJN, and she has contributed several thoughtful posts to this blog in recent months (here’s the previous one).

My patient’s ICU stay was short, as his injuries were fairly unremarkable. Far more striking were the circumstances of his admission; he’d been injured while committing an appalling act of grisly violence. An armed police officer stood sentry at his bedside, and the nature of his crimes gave him a sinister notoriety among the medical staff.

“Alleged” crimes, I should say.

But it was difficult to give him the benefit of the doubt. I’d read the paper and seen the crime scene photos on the news.  The media’s case against him made his innocence hard to fathom, and as a police officer’s daughter I found myself inclined to prejudice. I not only planned on, but also counted on disliking him, at least on some level. Although I would certainly provide care to this man, I exempted myself from caring about him as an individual.

I was surprised to find his demeanor dramatically different than my expectations. He was soft-spoken and retiring, exceedingly polite and appreciative.

I don’t mean to imply that we chatted. Our conversations were limited to his physical condition and general plan of care. He never acknowledged the officer at the bedside or spoke of his alleged crimes, and neither did I.

It’s possible […]

The Long Fall

I wish I could make sense out of why these events unfold on days that start out completely ordinary. I suppose what I’m trying to say is that our lives and goodbyes are completely unpredictable. And it occurs to me that, regardless of the starting height, all falls are “long falls,” and they all happen way too fast.

The ER Exit vs. the Long Goodbye: Notes of a Hospice Nurse on the Morning After

“Mourning Dove Bailing,” Bob MacInnes/ via Flickr. “Mourning Dove Bailing,” Bob MacInnes/ via Flickr.

I’m exhausted and shaky, and the “pssssht!” sound of the pneumatic doors of the ER closing behind me on the way out sounds final, and just fine. I didn’t used to feel this way when I worked in the ER. Of course, that was at the other end, the beginning, of my nursing career, when I was young(er) and callous and every code was a challenge and a rush—as if the people were characters in a play, and I got to join in each evening. I hadn’t a clue what they were going through. Now, 30 years and two dead parents, a dead best friend, and a score of minor players later, I’m beginning to understand. I suspect that this glimmer of connection and compassion is what makes hospice nursing sometimes so draining. […]

2016-11-21T13:33:13-05:00April 27th, 2009|nursing stories|0 Comments
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