Could someone please help me with this delimna.
First and foremost, I want to start this off by saying.... I dont mind to bathe a patient. I quit one job and took another with a lower patient ratio in order to be able to bathe patients and provide better care for my patients on a daily basis. Herein lies the problem. In working one night recently, i had three patients (work on a icu stepdown unit), one patient was on bedrest till the mornining and didnt want to bathe until he could get up a poop on the commode, he wanted to bathe himself. Another was an 80 yo with PNE, HCAPS she was asked at MN replied it was too late, then asked again at 5 am, replied it was too early. It was explained to her that days may be too busy and would she like to go ahead and bathe now..... still the answer was no (mind you she had had xanax and sonata at 10p before i assumed her care and was quite sleepy) and another patient was a trauma patient, she was tachy, hypertensive, humerus broken in 3 places (not fixed yet) scaplula broken and orbital fractures, and t11-t12 fracture. she was asked multiple times, she was extremetly anxious, she didnt want to be touched, she had a 100% non rebreather on and would desat quickly without it.... wouldnt allow it to be put around her head, she had a washcloth holding it in place. she refused the multiple times she was asked.
all three of the patients were A/O X3, there were no overt signs of filth, infection or otherwise.
the problem? my nurse manager was asking coworkers today if they felt that the patients really felt that way about getting a bath
I feel that it is unethical to force someone to bath when they do not want to...... AM I wrong???????
Please feel free to be honest.....
I am really perplexed at why you wouldnt just ask the patient if they had been asked to bathe?????