SRMC

The last few days have been pretty uneventful here at SRMC. I am sort of just in a routine with screening, assessing and seeing patients. The hardest patient I have seen so far this week was a 60yo schizophrenic patient on dialysis. The doctor requested that he be placed on a fluid restrictions, so another RD and I were seeing him to explain the fluid restriction and get his preferences for the fluids he would recieve. The last RD that had seen him left a note that pt screams from room, so we knew it was going to be a challenge. The pt found us before we found him, since he was wandering the halls looking for his doctor. The nurses had dealt with him all morning, and found it easier to let him wander back and forth, than to try and keep him in bed. When we got him back to his room and tried to explain the fluid restriction he burst into tears. It was really sad to see. He was in so much pain and the nurses were not paying enough attention to him. We tried to calm him down and get him to rest, and left without explaining the fluid restriction, because he didn't really have any mental capacity to understand it. All in all it was pretty sad to see that nurses get so busy and so used to unruly patients that somebody who really needs some help falls through the cracks.