I remember feeling a bit like the Lone Ranger while striving to model an approach consistent with nursing standards of practice, especially within what seemed to be traumatized systems. There were the norms of using restraints to promote safety and reduce the risk of falls in geriatrics, and well-meaning staff that used a reality orientation with people experiencing dementia (which only resulted in increased agitation for both parties). There was a time when those at the end of their lives were sedated if observed talking to or seeing loved ones who had passed. Working with consumers who were treated as "broken"—whom we had to "fix"— was typical. One client was unable to verbalize her needs as she was found several times a day in hysterics under the bed or in a closet. Restraints were used to keep her safe.
As I reflect on my nursing journey, I feel hopeful. I see creative preventive alternatives to restraints that promote safety and decrease the risk of falls. I see the comforting use of validation rather than reality orientation for geriatric populations. I've learned the benefits of partnering with consumers as they realize they do not need to be "fixed." I've had the honor of collaborating with and learning from interdisciplinary teams. Finally, I have had the extraordinary experience of witnessing that recovery in a maximum security forensic unit is certainly possible. Now a nursing consultant, I'm confident when I tell people I am completely convinced that sanctuary can be created in any setting, and that recovery can and does happen!