Nurses and Chronically Ill Patients: Open Communication is Key

By Lisa Copen

The medical world could not function without nurses. It's no secret to any of us who has had a doctor's appointment or been in the hospital that a nurse can make all of the difference in our total experience and recovery process. Whether undergoing a routine procedure, scheduling a simple appointment, or being there beside us while the doctor has a serious conversation, a nurse's presence can determine how well we as the patient copes with the situation and emotionally processes the outcome.

Those of us with illness can be quick to criticize the nurses who hardly acknowledge us, who forget to bring our medications when we are in the hospital, and who seem to enjoy their job as the gatekeeper to their doctor a little too much.

But as a chronically ill patient, and our many encounters with nursing staff, we can also fondly recollect the nurses who helped us make undeniable recoveries by being our advocate when doctors wouldn't listen, or by simply holding our hand while we endured a painful (and possibly lonely) medical procedure.

Recently, when I was checked into the hospital, the nurse from the wound care center had to push me in a wheelchair through an outside maze of a construction zone walkway. Ironically, she shared that she too had rheumatoid arthritis like myself. I felt like I made a new friend in those ten minutes and she made me much more comfortable in getting to my destination.

For years I've attempted to get a nurse to write an article about her typical day for HopeKeepers Magazine. I'd like patients to know how the nurse's day is filled with scheduling issues, checking patients in and the constant lack of time to accomplish all that is expected.

I have not yet found a nurse who was willing to even be interviewed for such an article; more than a few have even exclaimed, "If anyone found out, I would lose my job!"

With chronically ill patients and nurses continuing to improve their understanding of one anothers and each others needs however, there is only room for improvement in this long-standing relationship. Sadly, sometimes the nurse/patient relationship lasts longer than some marriages.

Here are 12 tips chronically ill patients would like to give to nurses:

[1] When you ask if I am taking any medications and I pull out two pieces of paper with everything listed, please don't look flabbergasted or as if I am a drug addict.

[2] When you take a moment to ask me about how I am doing emotionally, not just physically, I feel like you really do care. In some ways this makes me more comfortable and even forthcoming about the physical symptoms when the doctor asks me questions later.

[3] Thanks for celebrating little things with me, such as reaching a goal weight or decreasing a medication. I know you see these things every day, but to me they are a big deal. You are one of the few people who understand how hard it is for a chronically ill patient to reach these goals. Your enthusiasm makes me day!

[4] Logically, I know you don't know every medication on the market, but when you have to ask me how to spell the medication that is advertised in every womens magazine, I wonder how often you get out of the office.

[5] I don't know if you realize how powerful your words are. When you complement me by saying, "You have the best attitude about your illness. I really admire you for how well you cope with it," that can keep me going for days.

[6] I appreciate it when you ask, "Would it be okay if I pray for you?" Some people may say no, but for many it will be the first time some cared enough to even ask.

[7] There are times when I am have been having a medical procedure and my family is not able to be there. I know it's a minor procedure for you, but the fact that you understand it's a major procedure to me, and you stick around and hold my hand, is one of the nicest things anyone ever does for me.

[8] I am somewhat of a "professional patient." And that means I can come across a little bit like a control freak when it comes to monitoring my pain level and knowing when and how much medication I need to control it. That said, handing you the reins of dispersing all of my medication when I'm in the hospital is a challenge. The time of morning I take my drugs makes all the difference in my day. So I appreciate when you are able to get it to me as close to the right time as possible.

[9] I know you have bad days too. Feel free to tell me "Today has been a little crazy." You are allowed to be grumpy, but let me know if I am not specifically the cause of your mood and to the so I don't take it personally.

[10] I know sometimes when you are trying to get me in for an appointment my schedule can be difficult. I'm not trying to be complicated. Although a great deal of my time is filled with doctor's appointments, therapies, lab tests, etc. I'm also trying to work around my family's schedule to have as normal of life as possible.

[11] When you go out of your way to do something like calling a prescription into the pharmacy so I don't have to wait when I get there, I realize that it is an extra step for you, and it doesn't go unnoticed. I appreciate it.

[12] When I'm stuck in the hospital, I appreciate the way you go out of your way to make it as pleasant as possible. Things like help in the shower, changing the sheets, or having a conversation about something normal, all help distract me from my surroundings. Thank you for treating me like a person and not a project.

Coping with a chronic illness is very difficult. Choosing the path of a nursing career is not easy either. When each graciously passes along encouragement to one another by saying "thank you" or "I so admire your strength," both the nurse and the patient can have a much more productive--sometimes even enjoyable--relationship.

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