A song popped into my head as well as some other thoughts while I was caring for a patient in pain.
“Haven’t got time for the pain…..”*
Zoning in like an AWACS plane charting bombing targets, I ask my patient to rate her pain on a numeric pain scale. “One is pain that’s barely noticeable like a tiny pebble in your shoe.” “Ten is you gouging your eyes out while jumping off a bridge!” A bit melodramatic, but it gets the point across. I continually shift my position, shake my left hand to wake it back up and re-align my neck. As I lean over to listen to my patient’s breath sounds, my back and neck scream “ No Way!”
“Suffering was the only thing making me feel I was alive….”*
My patient tells me that she can’t sleep because of the pain in her back. She won’t take her tramadol because it constipates her. She also doesn’t want to cover up a possible problem. It’s her body talking to her. As I try to straighten my back out, I think, I’m getting old!
“Haven’t the room for the pain….”*
As I offer reassurance and begin a discussion about measures to prevent constipation, my patient looks at me in the most needy way. I ask if she’ll try my suggestions and she says ‘Yes’. I, on the other hand haven’t made time to pursue finding a better way to make me feel better. There’s too much to do! Work, family, dog, house, volunteer work, grocery shopping, cooking….. Who has time to sit in a waiting room and be a patient! I’ll just be another whining middle aged woman!
“Haven’t the need for the pain….”*
My patient is going to try taking her tramadol again along with increasing her dietary fiber. I feel good <sort of ;-> This is crazy! I take my patient’s pain very seriously. So why don’t I consider mine worthy of consideration. There’s got to be a clinician who will ‘zone in’ on my pain and help me feel better. I’m going to try to feel better…..soon!
A large number of nurses like myself are Baby Boomers. Many of us must or want to continue working despite our aches and pains. So here’s a message to my fellow nurses: Practice what you preach and take care of yourselves as well as you take care of your patients.
*From the lyrics, “Haven’t Got Time For The Pain,” Carly Simon & Jacob Brackman.
