March 2019
Amber
Cook
,
RN, BSN
ICU
St. Anthony Hospital
Oklahoma City
,
OK
United States
We recently had a young patient in the ICU who had a protracted stay and a difficult diagnosis of widespread cancer which proved difficult to get a specific diagnosis for. The patient was very anxious and socially isolated for the majority of her hospital stay; pain and symptom management was a real challenge for this unfortunate lady. As her condition deteriorated, she was intubated and placed on a ventilator. Regular contact was made with her brother who lived out of state and did not have the means to visit Oklahoma. The patient had a son with whom she had no contact with for more than a decade. She did not know where he lived, how he was doing, or how to get in touch with him. Staff knew only that the son had followed his mother's footsteps into the world of drug abuse. Amber Cook RN was on duty one evening when the patient's son, alerted by his uncle, called the ICU to check on his mother. He was devastated to learn that her condition was critical, and she was not expected to survive and asked if he could speak to her. ICU rooms do not have phones and the patient was intubated so was not able to speak regardless. No one involved in this case would have faulted Amber for explaining that to the son and offering to relay a message to his mother. However, Amber took her personal cell phone into the room and called the son back to allow the patient and son to FaceTime each other. Mother and son saw and spoke to each other for the first time in more than a decade. Amber was able to translate the patient's repeated "I love you's" for the son. The patient's condition continued to worsen and, a few days after this phone call, she was extubated to comfort and kept comfortable as she died peacefully. Knowing that she died having told her estranged son that she loved him and seeing that he had been able to get his life back on track and was doing well, brought tears of joy to the family who were able to be at the hospital when she was extubated. It is an otherwise small, unplanned gesture like this one made by Amber that so embodies the mission of the hospital and makes such a difference in so many lives (and deaths).