It was my first day on a new floor and I was nervous. My fellow nursing students and I waited patiently in the hall for directions and patient assignments. A fellow nursing student and I were told that we were assigned to a patient that had brain cancer in the form of a tumor. I did not know much about cancer in the brain or much about tumors before being assigned this patient. We made our way to the patient’s room and were surprised by what we saw. We saw a person full of light and happiness and with a big smile on their face. Seeing this can be uncommon when working with patients with complicated diagnoses and it was refreshing to witness this unusual finding.
We carried through our assessment and went through all the normal questions about bodily functions and pain assessments and got to know our patient a little bit. Then physical therapy came in and we got to watch them work their magic and the physical therapist allowed us to shadow them for the day with this patient. While the physical therapist was speaking with our patient and with us, we learned that this patient was previously extremely healthy with no health complications at all before the recent brain tumor diagnosis. Not thinking about it at the moment, I was about to witness how hard it can be emotionally for a patient to learn about a terminal diagnosis with no previous health history at all. No warnings; no easing into anything. Just one instant you are healthy and the next instant there is a terminal illness diagnosis looming over your head. Nobody thinks about how hard this could be for someone because no one wants to think about terminal diagnoses. They are one of the hardest things to discuss and talk about for our society because we like to pretend bad things do not exist until they hit us in the face.
When the patient was asked about their career they began to cry. I assumed the tears were because the patient missed being at their job. I was wrong. They began to cry because right before their diagnosis, they had retired. The patient could not even enjoy being in retirement and celebrate getting through a lifetime of hard work for a full month before the patient received the diagnosis. Realizing that hit me really hard. Life can change so easily in one instant and derail itself from everything someone has planned for themselves. The bubbly patient I saw before me quickly became a person with a full heartbreaking story who was still able to emulate happiness despite that. We followed this patient to the gym to work on physical therapy tasks and the patient quite honestly was the most motivated person I have ever been around in my life. The patient was excited and ready to pass all the physical therapy ambulation tasks to be able to get home to their family as soon as possible. This made the day so fun because we were able to help this patient reach their goals.
I believe that we made a difference with this patient by allowing them a safe space to express their emotions and be vulnerable while talking about their diagnosis and about how their life was so quickly derailed. Once the patient let out the tears, all of us in the room could feel the tension being released like they had been holding it in for much too long. I can only hope that giving the patient that safe space helped them out that day, but I know for a fact that this patient changed my outlook on life. This patient taught me that no matter what path your life gets on, it is okay to have emotions, it is okay to express them, but you must still make the best out of any situation and be motivated to do and be better.
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