I was sitting down to finally wade through my unread stack of the American Journal of Nursing when one article caught my attention. A nurse was talking about her memories of nursing in the 1970s. No, she wasn’t reminiscing about the disco scrubs she wore…she was recounting an important lesson she learned during that time.
This nurse discovered that we’re often wrong when we assume what our patients want. So she began each shift by asking the patient and/or their family, “What is one thing that will make today better for you?”Â This simple question often resulted in simple answers. “Water.” “Juice.” “Another blanket.” The request may be something so simple for us, but it makes a world of difference for our patients.
She talked about a particular case in which she asked a dying patient this question and he requested rice pudding. Despite his NPO orders, she spoke with the MD and they agreed that it might be worth the chance to provide this patient with his pudding. He passed later that day, with his wife and an empty bowl of rice pudding at his bedside.
While this is sort of the extreme case and situation, and probably wouldn’t “fly” in most of our units, this question is one that I really like, and I am going to try to incorporate it into my daily care, if I can. I think we just go through our day thinking that the one thing that will make our patients’ days better is to “go home,” but I have a feeling that I’m going to be surprised at the answers I get if I start asking this on a daily basis.
Their request may not always be a task I can complete for them, but if I can do it, and make their day a little bit brighter, why not just ask?
Here is the link to the full AJN article referenced in this post.