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I took care of a dear old lady, we will call her Bertha. She was mostly the friendliest and most caring lady, with a streak of humor that would leave you cracking up. Occasionally, she would get mean… Usually during toileting and showers (she was an orphan as a child and the other children tried to drown her because they thought she was mean). Anyway… She hated her daughter in law because she was a B****. She told us all the time how her son used to take care of her, her son used to visit and talk to her… But once he married, this woman took him away. Now, I don’t know what the real story is, because the son insists his wife is kind and never treated Bertha badly… But he lived 5 minutes down the road and never, literally NEVER came to see his mother. Not even when she was put on hospice, not during her last few days on earth… He wouldn’t even talk to her on the phone. So here we all are, telling Bertha how much her son loves her while she sobs and asks for him… And we all know he lives down the street and is just too much of a prick to be there with her.Another sweet lady, “Betty”. She had ALS, her daughter rarely visited meaning she hardly ever saw her only grandchild, her husband started cheating once she needed to be in the nursing home but wouldn’t divorce her, and all the while she is in her 40’s and slowly declining. So she gets to a point she can’t swallow, hospice takes her on, and she’s got less than 6 months to live. She’s been at our nursing home for 4 years. But that husband she had? He stopped paying the bills. So we have to transfer sweet Betty when she is days away from dying. They try to transfer her but she crashes, so we call the squad and a few days later Betty comes back. So we arrange the transfer for 3 days later and she died just shy of the transfer.“Mary”… Mary was so kind, so loving… She was the sweetest lady. Fell down her front porch steps and broke her ankle, so she needed a full replacement and therapy. It’s normal for therapy to start the day of or day after surgery. Mary didn’t feel well. Her pain was awful. She cried and begged us to let her rest. Day 3 post-op, we go in to change her bandage. Her wound has opened up, exposing the entire ankle replacement. It’s not bloody, it’s not infected… It’s just wide open with the metal joint showing. She goes back to surgery. When she comes back, same routine with therapy. I tell them she needs rest, let her have a few days. They refuse. I tell the next nurse on shift that something isn’t right. After a while, you know when something isn’t right. Miss Night Nurse brushes me off, telling me I’m “not cut out for skilled nursing”. I come into work the next day and Mary is dead. Sepsis.Oh, and “Evelyn”. When I was a nurse aide, I worked in a dementia unit. Evelyn was always crying. She cried all day every day, no matter how she felt. She cried through meals, care, and during walks. She cried while she talked to you and told you she was feeling great. She was just a crier. I picked up third shift after my second shift. So I hear on break that there was a fall in the dementia unit. The aide asked the nurse to assess her and the nurse says let her rest. Evelyn is lying in bed when I go back to the unit 6 hours later. I go in to check and her cry is different, she’s in pain. I pull down the blanket and her left leg is about 5 inches shorter and rotated out. Obvious broken hip. I bypass the nurse and go straight to the supervisor. Evelyn died two days later.I could go on… and on… and on…Nursing homes are miserable places to work. Families will drop someone off and stop in on holidays… If they stop in at all. Some families continue being involved… But most just forget about it.

It all depends on what you consider difficult and challenging (as you describe - hard). Nursing school is multifaceted. You need to possess and master basic knowledge in several disciplines including Anatomy & Physiology, Pharmacology, Mathematics and Statistics.There is both traditional didactic learning as well as practical learning that includes skill assessment.Everyone has a different experience with nursing school because of the complex learning environment.Most will warn you, if you don't have a strong grasp on mathematics you will struggle. While you don't have to be a mathematician, you need to be confident in your math skils because an error can quite simply kill someone if you're not careful.The part of nursing school that everyone has to figure out on their own, is that you are caring for another human being during some of there most difficult moments and you need to be more than just book smart, or well skilled.Nurses have to know the heart, but also have a heart. You can't 'teach' someone how to 'care'.

Not quite, I am a licensed Mechanical Engineer for 40 years. In the 1980’s there was assessment made of the systemwide needs of the Veterans Administration, hospitals and Nursing Homes. In Minnesota the State had one main Nursing Home in Minneapolis and another in Hastings.Based on Analysis Veterans Homes for Skilled Nursing with a capacity 85–90 beds each were built in Luverne Minnesota, Fergus Falls, and Silver Bay all around 1990–94. The Minneapolis and Hastings Facilities received upgrades to serve 500 beds at Minneapolis and 200 domiciliary Beds at Hastings. Meanwhile the two Veterans Hospitals one near Minneapolis and a Second in Saint Cloud Minnesota were remodeled and expanded. All these projects were completed by the year 2000 and represented the needs of Veterans based on WW-II, Korea Conflict and Vietnam. Please understand the planning, design and funding of these required almost 20 years.Along came the Gulf War in 1991 and some minor tweaking occurred to the two Federal Facilities in Minnesota. Along comes Iraq War II and Afghanistan. George Bush failed completely to even investigate, fund or add any capacity to the VA Hospitals during his 8 years in office.When Obama became President the republicans refused to expand the VA medical capacity in spite of the war creating 50,000 - 100,000 injuries both physical and mental. Republicans refuse today to build more facilities to treat these veterans or provide any significant increases.Trump wants to allow Veterans to go to any private provider. However, private providers charge three times what VA care costs and the VA would have to negotiate contracts with thousands of private health groups with money that is also given to VA Facilities. Hence, the log jam. We have many Vietnam Veterans needing WW-II and Korea Veterans needing Skilled Nursing and health care promised them from past wars and the funding and facility size was only based on these past wars and nothing for any of the Bush Wars. Not one skilled nursing home bed has been added since the last project at Minneapolis Veterans Home was last remodeled in around 2006.Yes some beds have been added to the two VA Hospitals in Minnesota but these projects were completed prior to 1990. The VA does not have enough facilities or money to treat all the patients injured in Iraq I, Iraq II, and Afghanistan. In order to solve this problem we need to plan, design, and construct more hospitals and Nursing Care in every State period. Nothing wrong with VA, just fuzzy republican arithmetic denying there are not enough physical facilities, doctors and nurses to treat the three Bush Wars and counting.