I'm Always the Bad Guy
I'm noticing a disturbing trend. I'm always the one pointing out the bad news. I admit I do better with realistic than cheerfully optimistic, but it seems like it's always me pointing out the flaw with a plan. If I'm not pointing out the obvious, I'm explaining why the obvious isn't going to happen. It feels like everyone else is focusing on happily ever after and I'm saying not during this admission.
This is particularly true with our PM & R crew. I've complained about them before. For some reason they ignore what the patient is currently doing in favor of what the patient wants to be able to do. I've heard one of the PAs make promises to patients that aren't realistic. Giving patients hope is one thing. Setting them up for failure is another.
When I confront them, the response is always, "Well it could happen." Sometimes I feel like I'm teaching basic rehab science to an empty room. I almost like it better when they don't interact with the patients. That tends to keep the expectations more realistic.
Most of the patients in my facility are very sick. Rehab usually isn't their biggest need. They need to get well enough to do rehab somewhere else. We're not a rehab facility. We get people ready for rehab. I'm tired of constantly explaining this to people who should know better.
Oddly I have no problems with the case managers. They all seem to get that these patients aren't going home when they leave us. They work to make the transition as easy as possible.
I don't want to be negative. I just know from experience what is possible, what is not possible and how long it takes.