I was a Certified Nurse Aide for several years while I was completing my degree in IT. I took care of several residents who were (and had been for
years) in vegetative states. These folks were unreponsive to "stimuli", but they were not on life support. They could not answer questions. they
could not "squeeze" an answer with their hands, or write, or indicate a positive or negative, but their eyes were wide open, and they LOOKED at us,
and FOLLOWED us with their eyes. We saw their eyes change when they appeared to like or dislike things we did or said or tried to feed them.
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I want to make sure I distance this reply from the question of life/death that has to be decided for persons who are in a Coma. These residents were
all "unplugged" and still alive, without being sustained on life support, but all were considered "vegetative" on their charts.
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We were expected to feed them, change their adult diapers, turn them regularly during each shift (to prevent bedsores), bathe them, and move them
from place to place, per their charts. The RN's took care of more technical, higher level duties, with more responsibility, such as IV's, diabetic
nail clippings, packing wounds, inserting/removing catheters, etc.
None of them were lying entirely immobile in a bed. They were constantly moved from beds to full-support wheelchairs (that means there are wheelchair
extensions with padding, that provide additional body support, which are placed in such a manner that it supports the resident's full weight when they
are laid back and/or exceed the length of an ordinary sitting-up type wheelchair). They could and did make minor body shifts in their sitting or
lying positions. Not a single person in a vegetative state, that I took care of, was entirely immobile.
If you put food to their mouths they would eat, at least a little. We had some who would suck on a straw placed in their lips, others would swallow
from a spoon put to their mouths. Regardless, they all needed supplimental feeding tubes because none could take in enough to support their bodies
needs.
Two of them were young men, who had been in (entirely separate - not even the same nursing home) car accidents, whose heads were mostly caved in.
Imagine a softball sized dent in your loved one's head, never "pops" back out again. Like that. Long healed over, with hair and all, but permanently
caved in.
One never had visits from his family, but he could eat, and he seemed more comfortable, and relaxed when I would play the radio while I fed him. I
always used to talk to him while I fed him, and I could usually get a full bowl of hot cereal mush (whatever was on his order that he would not choke
on) into him, and I would tidy him up and give him a hug before I had to go on to my next resident.
The other had visits from his fiancee, who had been with him during the accident, but was not injured, and from his family, who hated the fiancee and
blamed her for everything. I felt worse for him. I KNOW he knew what was going on, but could not communicate it. Every time I entered his room, it
felt cold, and his family visits only brought stress. He was the only resident I ever took care of who had so many blood transfusions that we had to
take special HIV and Hepatitus precautions, double gloves and so on. The poor guy - I felt so bad for him. Half his head caved in, no way to
communicate, no physical contact due to the extra precautions, and regular visits from feuding family - with no voice in it and nothing he could do
about it one way or another. What a living hell this poor young man went through (still may be, for all I know - he was only in his twenties when I
helped care for him.)
Just giving you folks an idea of what "vegetative" means outside of the news papers. We all, all of the Nurse Aides, felt they had personalities,
even though they could not communicate. We looked into their eyes every day, and they looked back. These folks were not lying motionless, with
closed eyes, unmoving. "Vegetative" does not equal "unaware" or "not alive" in my book.
edit on 15-11201211-1212 by gwynnhwyfar because:
Spelling
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because: More spelling - missing letters due to trying to type too fast on my device.
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