The first day of “clinicals” for CNA training (Certified Nurse Aide) my class showed up to the nursing home in our white scrubs at 6am. We would do this for three days in a row. We were to shadow the established CNA’s and sometimes follow our teacher around with the class, observe and also try out our skills we had learned in school.
I changed my first few adult diapers that day, with an acute realization of how embarrassing it must be for a patient to have that done until they were used to it. My teacher observed and made suggestions. I tried to make conversation with the people as I served them. It was awkward and weird and I think my face sweated with nervousness but I suppose that’s normal.
One guy I changed was aware and oriented but nonverbal. He graciously let me change him for practice but apparently I made a big mistake. Later in the day I noticed he glared at me whenever he saw me. I found out later that this was because the next time he had peed after I changed him pee went up out of the top of his diaper and got his shirt all wet. With a male patient you have to make sure – er – that there is a downward course for pee. I found him and told him I was sorry about that but he mean mugged me the rest of the time I was there. Oh well.
Later in the break room we had a chance to chat with the CNA’s that worked in the nursing home. To our complete surprise they urged us not to go through with doing this. “She broke her arm,” they said, nudging one of the group, who said, “My arm’s broke, my hearts’ broke, my backs’ broke. It ain’t worth it. It ain’t worth it.” They explained that they loved the patients, and that they each had at least one they were very close to that among themselves they referred to as their baby. “Of course you love them. You have to love them but when they die, it about kills you. “
It was really too late to turn back and we had done too much work and paid our tuition. All of us stayed on and finished our training.
I met some interesting people. There was a married couple who were able to room together. I remember their room had regular furniture in it and looked really cozy. There was a man who had filled his room with books and loved talking to us. There wasn’t time though. There never is. One caregiver has ten patients. By the time you finish getting everyone up and dressed fed changed and cleaned up in the morning it’s time for lunch. I didn’t like how even if one of them was crying there was no time to talk to them and try to help. Someone else in the next room had a physical need to be met. You had to keep going.
i remember one lady liked to play rap on her radio with the volume all the way up. She sat in her wheel chair with her forehead on the speaker with the music blaring all morning until lunch. Sometimes she would really get her head moving. It was impossible not to smile watching her.
Some of the people there were very tragic, very disabled, helpless and alone. It was hard to see that. I wanted to track their families down and yell at them when I heard they seemed to have no one.
Institutions always feel like timeless, placeless places to me, impersonal and eerie in a sense. There’s a lot going on but seemingly little warmth or connectedness. However if you’re there long enough they start to seem more human. Such was the case at the nursing home. I have heard the denizens of nursing homes described as “limp, faceless people in wheel chairs.” It really offended me. It isn’t true. The first time you see someone wheeled into the lobby who seems listless and unaware maybe it seems scary. Maybe they seem practically dead to some people? Lean into the experience, move toward them and not away and like me maybe you’ll find out there is a person there with a lot more going on than you thought. Maybe they are nonverbal or have trouble holding their head up or they’re babbling but that doesn’t mean they can’t receive or even express love. In fact a lot of them had such a need to love that the staff gave them baby dolls to hold. I saw several people carrying baby dolls.
A lady stopped me in the hall and told me how tired she was. “Please I’m so tired. Can you find me a bed?” I didn’t know where her room was and nobody around me knew. So I led her to a vacant room and tucked her into bed. She thanked me. “I worked so hard today,” she said. I said, “I know. You rest now.” I thought to myself that she had probably worked hard all of her life.
One day at lunch I was told to go and hand feed the people at a certain table if they needed it. I sat next to one lady who seemed pretty out of it. I greeted her but I couldn’t get her attention. So I scooped up some food in a spoon and held it up to her mouth. She looked at me and then grabbed a spoon, scooped up some food, and held it up to my mouth. I laughed. “Well you showd ME,” I told her. Apparently she could eat on her own if she wanted to.
I met a saintly man during that few days who became a friend. His name was Jim. I’ve written about him before.
I decided during those days that I was not going to work in a nursing home. The pay was only a couple dollars more an hour than minimum wage. I wanted the opportunity to spend more time with people I helped. I also like a less rushed kind of day.
However, I would go back many times to that nursing home. I took my final exam there. But I also spontaneously went over there to visit because it made me happy. if I was in a sad mood I would stop by and hang out in the lobby and watch a checker game. Or just hug people. Or go pray a rosary and have some coffee with my friend Jim.
Going there always made my day.
