One of the pts on my ward had recently been diagnosed with terminal cancer and the doctors had only given him a few weeks to live. He had just had palliative surgery and it was my job to get him up the day after his surgery. When i went in to see him and explain to him what we were going to do today the pt became quite aggitated and refused to get out of bed. When i went back the next day he refused again. As he was not refusing due to pain/ nausea/ dizziness etc my supervisor told me that he had to get out of bed today and that i should explain to him in some detail why it was important to get up after surgery. So i went back in and explained to him all the benfits of physio and ambulation post op. After i had explained this, the pt became even more aggitated and began swearing at me saying that i was pushing him too much and that i should leave him alone. On day 3 post op the pt finally agreed to come for a walk. He was able to ambulate independently and became aggitated when i initially tried to guard him. Whilst walking i questioned him on how he was feeling he again became quite aggressive and replied with 'why are you asking me that. Its a stupid question'
In this situation, where a pt has only been given a few weeks to live is there any point in pushing treatment on them like this? I was told by my supervisor to make sure that i treated him and i understand the benefits of post op physio but in hindsight i think it may be better to let the pt enjoy their life doing things that they want to do and not being pressured into things.
Subscribe to:
Post Comments (Atom)
2 comments:
that's a really difficult situation, Dani, especially being a student under supervision and directions of the physios. I agree with you in that a terminally ill patient hasn't got much time on earth, and getting treatment seems to be the last thing they need at that point of life. However, it is also our duty of care as physios to provide Rx when indicated unless the patient signs a contract to refuse any form of Rx. Yeah, difficult one.
Post a Comment