[Franemtnurse]

Originally Posted by Ni_Ni

When I was still a CNA in the LTC facility I still work at, a co-worker and I were getting a female resident ready for bed who wasn't quite all there. She was concerned that their wasn't enough room in her house for all of us, including myself and my coworker, to sleep. After rearranging some sleeping situations, she decided that instead of sleeping on the couch, she would just tough it out and sleep in bed with her husband. She then said something about, but if I sleep with him, I'll never get my book finished because he never left her alone when they were in bed together. I then asked the resident what book she was reading. She looked at me and said "well, it's a book on all the different positions," as in sexual positions. I held my laughter in as best as I could, until, with a very serious expression, the resident looked at me and says "What's your favorite position?" At that point I couldn't help but laugh. My coworker jokingly says in a hushed voice, hoping the resident wouldn't hear, says "doggystyle." Well, the resident did hear, and the rest of the night, while she was lying in bed, she barked.

[missnurse1]

Had a female patient of mine get quite upset because the hospital would not let her bring in her own medications and the hospital did not supply the special herb that she had been taking for years. When I asked her what she was taking this "Herb" for she replied, "I take it for my prostate!" Had to have a little anatomy session after that one!

[Franemtnurse]

Originally Posted by missnurse1

Had a female patient of mine get quite upset because the hospital would not let her bring in her own medications and the hospital did not supply the special herb that she had been taking for years. When I asked her what she was taking this "Herb" for she replied, "I take it for my prostate!" Had to have a little anatomy session after that one!

Wonder how she's put together...

[beachmom]

The other night an 86 YO confused pt. very seriously told me, "If you're holding me for ransom, my folks don't have any money."

[Franemtnurse]

Originally Posted by beachmom

The other night an 86 YO confused pt. very seriously told me, "If you're holding me for ransom, my folks don't have any money."

[AussieTina]

An 80 yo man in with #NOF had been settled for the night, he was wearing a pad and as moving him was very painful for him I did not put his pj shorts back on him. He agreed to this. He is in a ward with 3 other men all with dementia.

Well....

This gentleman has dementia, the docs did not write up any of his meds (risperiadal sp?) ect...

So the sundowners sets in...

He kept yelling out to the other pt across from him.
"Hey you, you have pants on, go tell someone that they have captured us and are keeping us prisoner here!!'

So I would go back in and reorient him to where he is and why he is in here...
As soon as I left the room he would start yelling again!!

He also thought the other men in the room were intruders, and he would 'get' them except someone 'has done something to his leg and he can't walk'

Man that was a long shift LOL

[Silverblitzen]

He kept yelling out to the other pt across from him.
"Hey you, you have pants on, go tell someone that they have captured us and are keeping us prisoner here!!'

So I would go back in and reorient him to where he is and why he is in here...
As soon as I left the room he would start yelling again!!



One of the things they used to tell us in nursing school is to always "reorient your patient with reality" You've heard the phrase 'come over to the dark side'? There's no way on this little green planet that you're going to be able to orient someone who's delusional, hallucinating, or suffering sundowning, to our reality. (Well, not on the spot without a bit of chemical help, anyway!) The best way to go, IMHO, is to join their reality and assure them in their terms. We had an episode a week ago where the RN of the building was called to the locked unit because someone was going to hurt himself or others. The resident was delusional and thought that a truck full of TNT had been left at the door. He was yelling that everyone was going to be blown up and he was trying to break open a window and not letting anything or anyone get in his way. Now, this RN took a look, listened to what the resident was saying and in a very firm voice says, "No, Fred, they took it all away. The area's secured! Blasting caps, TNT, it's all gone." Fred calmed down, asked for reassurance and the rest of the night went peacefully. Personally, in another LTC situation, I had a woman come to me while I was giving out meds and asked if I have appropriate staffing for the floor, have all the receipts been counted and the money deposited? She had been a restaurant manager earlier in her life. I assured her that all was well, we had the floor covered and she went happily on her way.

:whe!:
Running and ducking!

[Jessiedog]

Originally Posted by Silverblitzen

He kept yelling out to the other pt across from him.
"Hey you, you have pants on, go tell someone that they have captured us and are keeping us prisoner here!!'

So I would go back in and reorient him to where he is and why he is in here...
As soon as I left the room he would start yelling again!!



One of the things they used to tell us in nursing school is to always "reorient your patient with reality" You've heard the phrase 'come over to the dark side'? There's no way on this little green planet that you're going to be able to orient someone who's delusional, hallucinating, or suffering sundowning, to our reality. Running and ducking!

Oh, yeah!! There were some days working on our orthopoedic ward when I spent more time in my confused patien't reality than I did in my own! I swear dementia's contagious, and it happens when you have 6 patients, all with NOF's, and they're ALL confused, and you have to be very inventive with explanations of why they really shouldn't walk on their broken hip!

[NURSEK84]

My mom is also an RN in the ER at a well known hospital in Los Angeles, one day a female rushes into the ER claiming that she is about to go into labor. She said she is having twins, and the reason she came to this hospital was because she was in labor at another hospital in the past and had triplets and one of them died so they didn't allow her to go back there (WHAT?!) LOL.

As if that wasn't a weird and suspicious story already...Without wasting time for an assessment, they wheel her off to L and D. They admit this lady in L/D, put an ID band on her and made a name plate, and once they start doing an assessment (finally)...they realized she wasn't pregnant at all and was actually a sixty-something year old psych patient!!! So they call down to ER and tell them their findings and asked why no one actually looked at the patient...but it was all good...both departments had a good laugh that day!

[RebeccaLPNinBC]

I was preparing to give an elderly pt her Heparin SQ and she asked me if I I could make a smilie face with her injection sites Then she proceeded to giggle through her injection, I love patients with great attitudes