"When you get those rare moments of clarity, those flashes when the universe makes sense, you try desperately to hold on to them. They are the life boats for the darker times, when the vastness of it all, the incomprehensible nature of life is completely illusive. So the question becomes, or should have been all a long... What would you do if you knew you only had one day, or one week, or one month to live. What life boat would you grab on to? What secret would you tell? What band would you see? What person would you declare your love to? What wish would you fulfill? What exotic locale would you fly to for coffee? What book would you write?"
Friday, September 14, 2012
Funny Thought for the Day
So it then becomes a matter of where do you draw the line? Is there an AGE where I should assess or not assess for orientation? Is there a diagnosis?
I really think it just depends, its different for every patient. Granted, the older the patient, the more likely I am to check for orientation right off the bat. Some people fool you pretty easily, they are having a full fledged normal conversation with you and you think they are oriented, until you ask them what month it is and they say its February when really its August. And its 1982.
So the other night, I got a new patient under my care. She was elderly, but with her husband. She seemed to be pretty with it but on the verge pretty forgetful. So I decided to definitely check for assessment. This is how it went down:
Me: "This is going to sound pretty silly, but I have to ask, Can you tell me your name?"
Patient: " Mrs. IKnow MyName"
Me: "Okay good, Can you tell me what day it is?"
Patient: "It was just Thursday, but now its Friday."
Me: Okay good. Can you tell me where you are?
Patients Husband: "Dearest, I think she wants you to tell her where you are."
Patient: Oh! I thought you just wanted to know if I knew where I was. I know where I am.
Patient: ....... I'm in ThisLovely Hospital........ *looks around at everyone*, Right?