Nursing Voices

Sunday, June 25, 2006

Mother Jones- RN


Painting of Mother Jones
by Rupert Garcia


What Would Mother Jones Do?

When I became a psychiatric nurse 20 years ago, many of my healthcare colleagues could only think about the movie, One Flew Over the Cuckoo’s Nest. They envisioned my unit full of ranting lunatics and joked about my working with Nurse Ratched. Unfortunately, attitudes about the mentally ill haven’t changed much over time. What has changed is the health care system. Patients are loosing access to care.

Several years ago, a patient came to my psychiatric unit from the emergency room. In report, the emergency room nurse told me he was a “frequent flyer.” She said the patient apparently complained about pain and fatigue for months, but because he didn’t have insurance, no one really took the time to figure out what his problem was and he would be discharged ASAP. Now, because the pain was stirring up the voices in his head, he was being admitted to psych. The emergency room nurse said, “Please, see what you can do for him. He looks really bad.”
When I walked into his room, my patient was in bed, curled in the fetal position, clutching his abdomen and crying out in pain. His dry skin was jaundice. His dark eyes were sunken and he was emaciated. His body was withering away. He grabbed my hand and begged me to listen. “Yes, I have schizophrenia. Yes, I hear voices. But that isn’t why I came to the hospital. I told the doctor I’m in pain, but I heard him tell the nurse ‘he’s crazy’ and to have me admitted to the psychiatric unit. Please help me.” I called our unit’s psychiatrist STAT. The patient was transferred to a medical unit, but it was to no avail. My patient died two weeks later of pancreatic cancer.

Nurses are viewed as “Angels of Mercy.” Mother Jones was viewed by her admirers as an angel and as an impious Joan of Arc. Others said she was “the most dangerous woman in America.” Mary Harris Jones (1837-November 30, 1930) worked to rid the country of child labor, and taught the downtrodden about collective power. While I know what Mother Jones would think about today’s health care system—she would despise it—I wonder what she would do about it if she were working today as a nurse. I’m sure whatever she would do, it would involve a good fight, and that she’d go down in nursing history along with Clara Barton and Florence Nightingale.

Patients need champions. What would Mother Jones do? The same thing nurses around the world do everyday. Nurses advocate and care for their patients. I dedicate Nurse Ratched's Place to Mother Jones. I think she would have made a great psychiatric nurse.

“I am not a humanitarian. I am a hell raiser.” Mother Jones

3 Comments:

Blogger IAPsychRN said...

It must be awful to have no one believe that you are in pain and be surrounded by people who have so few assessment skills as to be unable to determine that someone is truly ill.

7:17 PM  
Blogger Just Me said...

I don't know if you'll see this comment since it is so far from when you posted, but I had the SAME experience with a patient.

I worked in longterm psychiatric care for patients too ill for group homes (a nursing home style set-up). One of the ladies had very poor posture, a history of back pain, a history of schizophrenia, and a history of exagerrating symptoms.

At first when she changed we treated it psychiatrically. Her meds were adjusted and I treated her in OT for socialization and leisure skills. She liked coming to see me but didn't get better; her behaviors were frantic. Then we changed her environment. That also didn't work. Ultimately she was admitted to psych where she developed pneumonia immediately and the Xrays for that showed pancreatic cancer. By the time she was back home with us it was in her spinal column and the pain was terrible. Everyone involved felt terrible for not guessing, although she'd had no abdominal complaints.

As a psych patient this terrifies me. Until I found a doctor who I like and who works with me and my psychiatrist every time I was sick after my diagnosis was a mess. I was injured and can't take ibuproferon so I needed something for pain; I was treated like I came in drug seeking daily. To some medical people mental illness removes all suspectibility to human illnesses.

10:38 PM  
Blogger Grabi said...

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9:16 AM  

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