I was wondering how to best deal with a resident that is non-compliant and refuses care. I posted a little about this particular resident I'm having difficulties with before, but felt compelled to ask for help again as I'm still having issues.
Last night, I worked the NOC shift and enjoyed it for the most part. I found it less stressful and more relaxing than the other shifts, it's just checking on your people every 2hrs and getting them up towards the end. I have a tendency to get anxious and stressed out on the other shifts due to the hectic pace sometimes, something I'm still trying to work on.
However, there is something that is bothering me and it's the fact that I was unable to perform cares on this woman due to her constant refusal. The woman in question is very bossy and difficult, especially with new people, it seems. Her mind still seems to be there but her body is crippled. All night long, I kept checking on her to make sure she was OK and she kept insisting she was fine and didn't need to be changed. Towards the end of my shift, I checked on her again and she still insisted she wasn't wet; I tried to check her brief to make sure and she resisted and absolutely refused to let me touch her. I reported it to the nurse and told her that she wasn't allowing me to perform cares. The nurse gave her a talk without much luck. When the day shift aide came in, I explained the situation and she was able to change her and get her up for the day.
I'm just not sure what to do when a resident is stubborn and absolutely refuses care like this? Other than to report it and document it every time, which is what I've been doing. Some residents I've had difficulties with I've been able to get through to w/ sweet talk, being very gentle, specific approaches, etc. but nothing seems to work well with this woman. And when I have 10+ other residents to care for in a shift and am still working on getting my speed down, I don't have half the day to spend just trying to get her to cooperate with me. It's frustrating because I want to give her good care but just don't know what to do. I'd ask the other aides for help, but they don't have time to do one of my residents for me when they have their own assignment and responsibilities. I'm just worried that if this keeps up, she'll develop a bedsore or other complication from not being changed enough. Also, I'm not entirely sure what the policy is on cases like this. On one hand, incontinence care is something that a patient needs but I also know they have the right to refuse care, especially if they are still of sound mind. I just don't know.
Quote from TurtleCat
This thread is a bit old and I've since left the facility but I wanted to add something. Even though the resident kept refusing cares from me, the nurse told me that I had to wash her up anyway or else I would be written up. So I was basically expected to force cares on the resident.
In this case, I would go up the chain and speak to your manager. It is abuse to do something against the express wishes of another adult in most countries and states.
Last edit by JDZ344 on May 14, '14