Anonymous asked: As a person who works in hospitals, what are your thoughts about things like this : halfhardtorock. tumblr. com/post/78996337987/a-2007-rhode-island-study-looked-at-30-men-and-30 (or the fact that heart-attack symptoms as known by the general public are those of men & not women, etc.) ? I know you've expressed reservations (hm, we're never ever getting back together ♪ type of reservations) vis-à-vis the more violent social-justice side of tumblr, but just your personal experience ?
There are some major inequalities between men and women in healthcare, and let me tell you, I’m always finding new ones. The way heart attack symptoms are treated coooould be waved away as the media looking for a dramatic expression of heart-clutching pain, but then there’s so much attention paid to radiating jaw/arm pain and all the other traditionally male and middle-aged symptoms that I feel like it’s just obviously middle-aged dudes making it all about them and not accepting that women and older people might have different symptoms that are still legitimate.
I will tell you that I probably give pain meds more often to male pts and anxiolytics more often to female pts, but there are a couple of confounding factors here: first of all, men of middle to older ages (i.e. MI pts) are very likely to be aggressive and demanding in their pain, and often they push for pain medication specifically, yelling and insisting that only morphine (or dilaudid or fentanyl or whatever) will do. So they get pain meds, because our protocols don’t permit us to deny someone pain medication if they’re not sedated and not suffering respiratory depression and not hypotensive etc etc.
Women, on the other hand, often suffer tremendous anxiety in the hospital, not least because they are often subject to examination by less-than-reassuring male doctors, typically missing out on the huge work load it takes to keep a house and family running (plus, usually, a career on the side), and not entirely sure if their pain is allowed to be legitimate or not.
That said, if somebody says ‘pain’, they get a pain med. Anxiolytics are a bonus. And I am appalled to think of someone giving an anxiolytic instead of an opioid when the pt is clearly in severe pain.
But my strength as a nurse is often in my ability to get people to quiet down, and so I like being able to give pain meds so that one guy (or lady) quits screaming that they’re going to kick me in the tits if I don’t bring them a pitcher of ice. If I could have all my pts intubated and sedated and on heavy pain meds, I would be a happy camper.
Thus saith I, the worst nurse ever. <3@11 hours ago with 5 notes