I care about you more than you care about yourself. Week after week we see the same patients coming back into the hospital being admitted for the same diagnosis, and we still care and educate and treat as if it was the first time.
Chronic diseases is, well chronic.
We will receive you, treat and stabilize you, than discharge you, that's about the most we can do as your inpatient healthcare providers. But, your disease will not go away once you leave the hospital, you will take that home with you.
You have to start caring about yourself and your chronic conditions, real talk! Do not tell me you control your diabetes with diet alone and have your A1C be 12.9%, don't play the card that you take your meds religiously, but your back in the hospital every week with CHF exacerbation.
Hospitals are spending money on diabetic educators, CHF educators, etc. Which most times, are waste of resources. We have those specialist come and conference with you, and it's in one ear and out the other.
Then the financial stumbles the hospitals take with your admission doesn't end there. If you come back within 30 days, and is admitted for the same thing, the hospital takes a hit for that entire admission. I know you could care less about the hospital's finances, but care about yourself.
We always ask for a couple simple and easy to do steps once you leave the hospital, like; take your medications as prescribed, eat healthy according to your condition, stop smoking, and FOLLOW UP WITH YOUR PRIMARY CARE PHYSICIAN! That's the best way to manage your symptoms and health concerns without returning to the hospital. It is cost and time effective for everyone involved.
I really wish you would care about yourself as I, your nurse, care about you. Even when you don't follow instructions, I'll be here for you. I'll touch basis with you again next week, on the same issues we went over today and last week.
We must, as a whole, learn to use hospitals when necessary, and take the appropriate measures to avoid hospitalization. Your chronic diseases and health conditions are easily treated as outpatient once you're stable to be discharged, it is your responsibility as a patient to follow instructions. I can even schedule an appointment for you prior to discharge, but I cannot drop by your house and take you to your appointment, you have to take the initiative and go on your own free will. If not, I'll see you soon.
Klaus Campos, RN
The Dude Nurse
Klaus Campos, BSN-RN