I think there is a handful of special nurses who truly feel called to geriatric nursing and I am not one of them. I was excited to be done with this clinical, but surprised myself with how sad I felt leaving my residents. Most of them are very dependent on the CNAs for all their daily activities and due to problems in the entire system (money, cost, time, people, etc.), they're basically just left alone all the time. Say each CNA has 8 residents at a time. On an 8 hour shift, the aid would average 1 hour with each resident. In a 24 hour day, each resident would only have 3 total hours of help from a CNA. Imagine being completely dependent on someone for everything: to stand up, to go to the bathroom, to push your wheelchair, to eat, and you only had that person there 3 hours everyday. It leads to isolation and depression which just exacerbates existing health issues. For this clinical, I didn't really feel like I did much physical 'nursing', just assessments and keeping the residents company. I felt like I made the biggest difference just sitting and holding old ladies' hands. But this extra time with each resident is only possible when you have a group of 10 students dropped off at your facility on top of your paid CNAs, RNs and admins. But if I was actually a nurse or CNA working at the facility, I would never have time to sit with a resident and talk to them about anything. It's not about finding more caring RNs and CNAs: its about fixing a system and finding or making more resources.
Anyway, this week felt like a milestone: finishing our first clinical with our med-surg clinical on the horizon. I'm pretty excited to get into the hospital next quarter and see new things.
Most important decision of the day: which donut to eat |