Re: New nurse here...slapped today by patient.
I had an alzheimers pt that busted one of my CNAs in the jaw a few months ago. I felt bad for her. It didn't really hurt her physically very badly but I think it did a number on her emotionally. I told her that it was okay if she avoided that room for the rest of the night. She filled out an incident report; he ended up in 4 point restraints with Haldol IM every few hours- everytime he started looking at me funny (I've had a lot of experience with alzheimers pts and I know "that look" very well). I explained to the family what had happened and why he was in restraints and they understood...thankfully his daughter volunteered to stay the night with him the next night (familiar faces help a LOT).
Just the other night something similar happened to a coworker of mine. It ended up taking 5 of us to hold that pt down to put her in restraints. It was pretty sad...the (80+ y/o) patient was yelling, "Mama! Mama! I want my mama!!!!" and crying throughout the whole thing. I actually got bit in the hand several times by the pt while trying to get the soft wrist restraints on (not hard enough to break the surface of the latex glove though). My coworker was in tears afterward she felt so bad about it.
I've been kicked, slapped, punched, bit, and all kinds of things when I worked LTC, so I feel your pain. Sometimes it is hard to accept when you feel like you're doing everything right. I remember an alzheimers pt grabbing a badge lanyard that my coworker had around her neck. The alzheimer's pt tried to strangle her with it...I'm a fairly strong male and I was barely able to stop this little old lady from choking my coworker out. My coworker was really upset about it - mainly because she got choked, but partly because she had (up till then) felt like she had a good rapport with this particular patient. It just goes to show you how unpredictable confused people can be when stressed. I compare it to a cornered rat...they just lash out...over the dumbest stuff sometimes, like putting a shirt on or something like that (if they feel threatened for whatever reason).
I'm just glad I work in the hospital now and I have the tools to deal with this stuff properly (like, responsive physicians and equipment and meds easily available). I'd certainly press charges if I was in your shoes. Maybe they wouldn't stick through an actual prosecution, but the message would be sent that patients should not behave in that manner. Ridiculous.
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