From
the Introduction to Daily
Miracles:
What Is Excellent Care?
by Gregory M. Coe, M.D.
What we do in health care is unbelievably
complex. When
you examine the processes carefully and begin to identify
all the components that need to work together, it is amazing.
Those who work in the field are highly
trained and extensively educated. The vast bulk of that training
and education is focused on the technical and scientific
aspects of what we do. Once you are well learned in
the field, the technical stuff becomes fairly easy, almost
routine at times. The real challenge comes when you
put all of the science and technology into use with real
people involved.
Patients come to us when they are vulnerable. They
are frightened. They are in pain. They are overwhelmed. Their
families and loved ones share those feelings. They
all bring their dysfunctions and biases with them. They
cannot be expected to be on their best behavior.
Our world, the world of healthcare, is mostly
foreign and frightening to them. Having to be in the hospital
takes away their power, their control. They fear losing their
dignity. They look to us for help.
To be just the scientist or the technologist
is mediocre. To really help our patients, we must provide
more. This means going beyond what is expected or assumed
that we can do and doing what is unexpected. It is
not enough to just cure the infection or bandage the wound. We
must care for the patient.
We must care for them as a whole person. We
must provide care for who they are, not merely for the affliction
from which they suffer. We can come to understand and
care about who they are. We can touch and connect with
them. We can protect, maintain, and if necessary, restore
their dignity. This is excellent care.
This is one nurse's story from Daily
Miracles:
HELLO PROFESSOR
by Irene Arcibal
, RN
I was taking care of Mr. M. in the critical
care unit (CCU). Mr. M. was intubated and unable
to wean. Every night I took care of him. He could not
respond or even follow simple commands. If I’m
lucky, he opened his eyes when I called his name, but still
he will not follow any commands. I had the feeling that he
had given up.
One night, after my assessment, I saw a black
book on top of his night table. I thought it was a Bible,
but it did not say so on the cover. Out of curiosity,
I picked it up and took it to the desk. As I opened the book,
I realized that it was a psychology book. To
my surprise, the book was written by my patient! “Wow!
My patient is a writer,” I thought.
I scanned through the pages until the last
page, where it describes the author. Discovery, discovery,
a great revelation indeed!
Mr. M. was a UCLA graduate with a master’s
degree and had taught in Japan for four years. Afterward,
he had been a professor at UCLA for several years. I couldn’t
believe I was taking care of a professor.
I went into my patient’s room and softly
said, “Hello professor!” He opened his eyes,
grabbed my hands, and then tears started coming out of his
eyes. He smiled at me and squeezed my hands.
I believe that at that moment, I gave back
to my patient his individuality and possibly his whole
life.
Perhaps you have
a story about a similar experience that you'd like to share,
or would like to read what others have written. If so,
please go to Add Your Story.
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