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Anxious Patient “Treated” by Nurses who Taped her Mouth Shut

By Merely Me Monday, December 26, 2011

For those of us who suffer from anxiety, going to the doctor can be an anxiety inducing event in itself. Yet what often can make things worse is to be subjected to inferior care due to having an anxiety disorder. In a previous post I wrote about how having a psychiatric label may, in some instances, adversely affect the quality of your medical care. I have several firsthand experiences of not being taken seriously by some medical professionals due to my history of depression and anxiety. My most recent example was of a doctor who was ready to dismiss my symptoms of chest tightness and nausea to anxiety without checking for other causes. My persistence to find an answer paid off and my symptoms were found to be caused by my malfunctioning gallbladder. I believe that many of you who have a mental disorder, especially related to anxiety, may have similar stories to tell. But I saw a news story recently that took the cake. Penny Artalego, a Utah woman, came to the Utah Valley Regional Medical Center the week before Christmas with symptoms of nausea and anxiety due to medication she was taking for chronic neck pain. Her daughter left her at the hospital believing she was in good care. But what happened next can best be described as inhumane and dangerous. Two nurses told Aratalego to “shut up” and then proceeded to tape her mouth shut with hospital tape.

 

One of the striking elements to this story is that these two nurses laughed about placing the tape over the patient’s mouth. They had even joked during the incident that they may be fired for their actions. But this did not stop them nor did the fact that this patient could have vomited, choked, or simply stopped breathing due to the tape covering her mouth. Penny Artalego had visited hospitals many times for her chronic neck pain due to an accident some years ago. Her daughter had taken her to the Utah Valley Regional Medical Care Intensive Care Unit because her mother had taken an overdose of her pain medication (20 pills) and was shaking, moaning, and her teeth were chattering as a result. The two nurses in charge of her care taped her mouth shut in response to Artalego’s teeth chattering. Although she was in pain she was still alert during this incident.

 

The two nurses who were involved in taping this woman’s mouth have been fired. Their names have not been released and it is unclear as to whether their nursing licenses will be revoked. The hospital is calling it an isolated incident and an internal employee issue.

 

You may find this news story on the HuffPost Social News along with thousands of comments. Although most people wrote in about being horrified that such an abuse took place, some were less than sympathetic. One commenter described the woman as “just another addict” and that the nurses can only be compassionate for “those who need it.” Others wondered if the woman were hallucinating or had outright lied about what had happened. Still others assumed that there was some reason for the nurses behavior and surmised that most likely this patient was combative and in need of restraint. One commenter shared their belief that this patient more in need of electric shock therapy than going to the ER.

Karen Lee Richards, Health Guide
12/28/11 5:58am

A shocking story!  There is no reason and no excuse for ever treating any patient this way.  You would think that ICU nurses especially would be more sensitive since they deal with the most severely ill patients. 

 

I know there are still a lot of unanswered questions, but I can't imagine any answers that would justify this kind of cruel and dangerous behavior. 

 

Thank you for sharing this story.  You inspired me to write about it as well on the Chronic Pain site:  Chronic Pain Patient's Mouth Taped Shut by ICU Nurses

1/ 2/12 6:02pm

When I heard this story...I had to tell you about it Karen...because I know that you have so many members with chronic pain who would be outraged as well. 

 

There is just no excuse for this type of behavior...what on earth would cause a medical professional to act in this way and to jeopardize their career? 

 

Let's hope that this story is a reminder to the medical community that mistreatment and abuse is never acceptable.

 

Thanks so much for your comment and also for writing your post.  I will be by to comment very soon.  sorry for the delay!

12/28/11 8:38am

Merely Me,

Although nothing as serious happened, when my older daughter was 19 and took an overdose of antianxiety meds, I took her to the ER at a local hospital.  The medical staff who worked on her expressed very negative attitudes toward her in talking to her, because she'd attempted suicide.  Thankfully, she doesn't remember much that happened for a couple of days.  My daughter had taken the pills at night, and I didn't know till the next morning.  Even a good friend of mine who came to the hospital to be with us asked me if I wasn't mad at her.  I was not, as I'd had suicidal thoughts in the past myself and had once taken more Xanax than I should.  I knew the painful feelings a person has when suicidal and could not be angry with my child for acting on those feelings.  I was just glad that the amount of medication she took was not enough to do permanent damage.  She had actually been able to get up and call in to work to tell them she wouldn't be able to work.  When I went into her room to talk to her, I found the empty bottle which had been full the night before.  I don't think it's right for nurses and other hospital staff to show their judgmental attitudes toward those they are treating.  Having a negative opinion about what someone has done is okay; being open and showing it to the patient is not professional and can be damaging.

patsy

1/ 2/12 6:07pm

Oh Patsy

 

Thank god you found her!

 

You are so right...negativity and anger...it is not helpful in such a situation.  I am not sure how some medical staff are trained but they need to have some education...in my opinion...of how to properly deal with such situations.  Especially in the ER. 

 

Thank you so much for sharing your story and that a tragedy was avoided. 

1/ 2/12 4:53pm

I wonder if they were RNs or CNTs, as I cannot understand how someone who trained to get a Bachelors for the nursing profession could act like that towards a patient.  Of course, you also have the almighty doctors who abuse their patients as well.  I wish the lady had sued the stupid "nurses" and the hospital.  That is a lawsuit I support.  Anxiety and depression are both illnesses that hurt the body, much like RA or MS or a broken leg.  Worse than the broken leg really because a broken leg can be fixed, while RA, MS or anxiety require continuous treatment.

1/ 2/12 5:01pm

Forgot to add, medical people's notes can affect your care in the future.  I had breathing issues, went to the hospital, they asked if I smoked, I said I used to but it had been several years.....now my records indicate I smoke, which is untrue...but you know, it doesn't matter what I tell them they inform me the hospital record is correct.  I know it isn't, I used to do transcription - so I KNOW mistakes get made (never by me, of course). 

1/ 2/12 6:12pm

Hi Pat

 

I hear you!

 

What is written down can affect your treatment in an adverse way.  The minute a new doc saw Prozac written in my chart...I was treated very differently and assumptions were made that impacted the quality of my care. 

 

The last I saw of that news story...the nurses were fired but not sure if they could just pick up and work somewhere else.  Their names were not released at the time of the news story. 

 

The thing that got me and I assume a lot of readers was that they thought it was funny. 

 

Thanks so much for your comments.  Hope to hear more from you!

Anonymous
Lucasta Lovelace
1/13/12 11:01pm

I have never been physically abused when availing myself of health care. I have, however, been insulted by doctors when espressing a medical complaint. When I was a teenager and trying to explain the feelings heart palpitations were giving me, I told him that I felt a "glub glub" feeling in my chest. He told me that there was nothing in his doctor book about "glub glubs" in the chest and he couldn't help me. (Wasn't he cute and showed how he was so much smarter than a 14-year-old girl!) Not three months ago my cardiologist, at the time, told me that I did not have high blood pressure, but instead hypertension. Everybody has the opportunity to be a fool as long as they cause no real harm. But the example of the taped mouth is stupid at best and vicious at worst.

 

For anyone to suggest that a patient be restrained or silenced with tape over the mouth is outrageous. I believe that a patient who is completely out of control and is a danger to himself or others should be sedated if that is the only way to protect others and himself. To suggest that an addict does not deserve the respect and proper care as one would give a diabetic in crisis is absolutely barbaric and displays the height of ignorance. All that brutal behavior suggests is that the medical staff does not observe (or know) protocol or that its members are inadequately trained or they simply enjoy their power over the helpless. The nurses should have been fired or maybe even lost their licenses.

Anonymous
Nurse Ratchett
6/17/12 4:26am

I agree with every wordyou said, (well, except for the little misunderstanding that hypertension IS high blood pressure).  I have been an RN for 35 years, and would NEVER, NEVER consider taping a patient's mouth shut!!!  However, I would be very interested in hearing the REST of the story...should it ever become public record.

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By Merely Me— Last Modified: 06/17/12, First Published: 12/26/11