White Dove,
I have a fair understanding of your vocation. In addition to my picking up my PsyD this year, my mom is a RN (25years!) and my baby brother just received his PharmD as well! My mom is a visiting nurse and that means aside from a whole lot of travel, little pay, meager benefits, she has to deal with a very, very diverse population and even more diverse surroundings. I can understand the feeling you have towards your patient. Frankly, it is natural. When coupled with the rigors of the daily life of visiting nurse, well, it should be expected. I have more respect for nurses than I do any doctors including myself precisely because they are on the front lines of health care and as a result I have found that most nurses have a better assessment of their patients - certainly better than most doctors do.
I don’t think that you are particularly mean in your feelings, thoughts towards your patient. I didn’t even think that your initial post was from a core of hate, bitterness, or anger towards the mentally afflicted, hence my “?” mark and my questions.
I am inclined to agree with the assessments of JC Phoenix and Linda regarding this patient. My question would be, and please forgive me for asking it, why wasn’t a psyche nurse sent out in the first place? If there is a history of this sort, it seems to me that there was a failure on the part of either the PCP in directing this case towards your company, or a failure in the assignment of the case. Not that I am questioning your abilities, for I am not. However, given what you have revealed about this case I can not help but wonder where the thinking was in a non psyche nurse being assigned the case.
I know you know this, but as “anything” can happen in a home environment when visiting a patient, I would ask you to be particularly careful. Keep close tabs on the child, the grandma and especially yourself. While I do not think that any sort of imminent danger is present I would exercise caution as a matter of prudence. The defenseless and the weak
can get hurt in a situation where there is not constant observation for someone suffering with personality disorders and if it is borderline everything should be copacetic, however if it is not well then some changes would have to be made. I am sure you are aware of these things, so there probably wasn’t any need bringing them up, however as my mom, who is a psyche nurse, was once attacked by a patient suffering from a different disorder while she was treating him for his diabetes I always ask visiting nurses I meet to be careful. So, please be safe at every home. But especially, keep an eye towards the child and the grandma for signs of anything more serious.
Thanks for the insight into your post.
Your unworthy brother in Christ and by the Grace of God a future priest,
Donnchadh