"Nursing homes" giving nurses a bad rap

Nurses General Nursing

Published

Hi,

Im a nursing student and I'm putting my 2 cents in. I think if the public had a better idea of what nurses do, they would support us and not only insist upon but demand better patient care. Too many dont realize that the nurses are the ones on the front line and advocating for the patient. Too many people have only encountered nurses when they had their tonsills taken out or when someone in their family needed a C-Section. When my family or my friends families think of nurses, they think of "nursing" homes.

You know, I'm sure each and every one of you know what I'm talking about. You walk in and are almost knocked over by the smell of urine. You walk down the hall to your loved one's room and try not to look at the pitifull old people lined up and down the hall with their heads hung over, waiting for their morning meds. "It will make them more comfortable" is the reason for this soon to be dead parade. You find your loved one totally incoherent and with unexplained bruises and you wonder what happend to your grandpa(ma) that was so full of life just a month ago.

Your family may of put them there in good faith, believing that after a temporary family mishap, your loved one would come to live within the family once again or you may assume that this is the place for your loved one to live out his or her golden years (and give you a much needed rest). Unfortunately, your grandpa(ma) only lives a few months after being admitted and you can't understand why. Also your grandparents of your freinds that are in similar "homes" end up only living a few months as well. Soon the community begins to talk and you realize that, this is how nursing homes work. Once someone is admitted, they drug them untill they lose their will to live and just die. It's really a wharehouse for old people waiting to die to make room for the next wave of old people. They must make a half way decent profit as their turn around time is usually 3-4 months at most.

So when most mid-westerners (at least the ones I have come into contact with) think about nurses, they think about "nurs"ing homes and how it only takes a minimal amount of effort to oversee a group of old people and give out meds.

BOY THIS SOON TO BE NURSE REALLY HAS ALOT TO LEARN!!! I WOULD LIKE TO INVITE HER TO SPEND TIME IN THE GERIATRIC BB AND SEE HOW MANY CARING NURSES SHE WILL FIND THERE. AANDDD.. YOU JUST MIGHT LEARN SOMTHING. MAYBE NURSING IS NOT THE PLACE FOR YOU IF YOU FIND YOURSELF SO MISGUIDED BY HORROR STORIES. I AM A MID-WEST R.N. WHO WORKS IN GERIATRICS BY CHOICE. I AM PROUD OF THAT!! I CARE ABOUT THE PEOPLE I CARE FOR. YOU HAVE NO IDEA WHAT IT IS TO GET TO KNOW THESE FOLKS AND THEIR FAMILIES. GERIATRIC NURSES HAVE TO HAVE STRONG ASSESSMENT SKILLS BECAUSE WE DO NOT HAVE PHYSICANS ON SITE. THEY RELY ON OUR SKILLS AND MORE OFTEN THAN NOT ORDER MEDS, LABS TX.,ETC.BECAUSE THEY TRUST OUR JUDGEMENT AND SKILLS. I WOULD ALSO LIKE TO SAY A WORD FOR THE OTHER TEAM MEMBERS IN LTC, NURSES AIDES, DIETARY, HOUSEKEEPING, LAUNDRY,OFFICE MANAGERS , MAINTENENCE, SOC. WORKERS, PT., OT., SPEECH THER. AND MANY OTHERS WHO I AM SURE WOULD BE JUST AS UP IN ARMS AS IA AM WITH YOUR POSTING. I SURE YOU DID NOT THINK ABOUT US AS A TEAM BUT WE ARE. SO PLEASE, BEFORE YOU STEP OUT INTO THE REAL WORLD, STOP, LOOK AND LISTEN...YOU MAY JUST LEARN THAT WE ARE A SPECIAL GROUP OF PEOPLE WHO DO GERIATRICS BECAUSE WE WANT TO!! THANK YOU FOR LETTING ME SUPPORT LTC BY PUSHING THE RIGHT BUTTONS.

Ditto ....what everyone else said so well.I feel the love here man !!Hats off to ALL LTC/Nursing Home/ Rehab...whatever workers-You do a very special service to these old people God Bless em', and God Bless You for doing it!I have done it myself for many years off and on, and I am currently taking care of my husband's 95 yr old grandmother in our home and have been for 2 yrs.We will be placing her in a nursing home next month due to her mental status getting worse.M2b, I am curious...Did you have a beloved family member that was admitted to a nursing home?Is this a personal experience?, or what you have observed in nursing school?

M2B:

Where are you??? I am sure eveyone is very curious why you are not responding??

I too agree that there is so much love in here for the elderly. I love just coming back here and reading all your wonderful stories of them. I love the elderly..... you can learn so much from them...

Specializes in Vents, Telemetry, Home Care, Home infusion.

M2B:

Please read carefully what the above posters have stated. I started in 1973 as a HHA in a SNF. It was a combination of an old home with a newer modern wing. The owners wife decided to paint the halls dark purple on the bottom and lavender top to "brighten it up" after seening the institutional two tone blue walls.

Working third shift, we had to wash cloth diapers often and fold at break time, if we ran out of supplies due to increased incontence due to callouts, lack of staff to toliet residents on middle shift. It was not unusual for me to care for 30 patients on nights. Our night nurse would check behind us, to make sure the patients were kept clean and dry. Hallway odor was kept to a minimum by prompt emptying of soiled linen. We didn't have as much know how in dealing with Alheimers residents, nor meds to combat aggressive behavoir but accomplished alot with love and care.

As an RN, I have worked perdiem in several facilities and as an Ombudsman have visited facilities that you described. Only by speaking up to owners, authorities and reporting to the public unsafe condtions will these homes change.

You have a lot of growing yet to do and hopefully will come to realize that seniors are usually institutionalized only when the family can no longer care for their loved one at home or there is no caregiver. There is much to learn from them, if you take the time to share some of yourself. We start out like babies, drooling, incontinet and dependent. Only some 10-15 % of Senior Citizens die that way.

! was fortunate to be able to keep my maternal Grandfather with Alzehimers at home till age 87 dying 9 months later in a SNF; his wife at home till age 98 1/2, dying at a SNF at age 99 1/2 of Pneumonia in 1998. One of our family's fondest memories is of her flying a kite from her wheelchair and telling my sons of making kites from newspapers and twigs while at the SNF.

My maternal gradmother at 92 1/2 was placed in a assisted living facility 2 months ago after several falls and neglecting to eat due to lonliness. Within 1 hour after arrival from a 3 week rehab stay, she had her hair permed & styled, an unmet need

of hers for that past three months was finally met! She couldn't focus well on walking "cause I looked a mess" and wouldn't leave her room at SNF except for therapy. She then shashyed down the hallways with her walker, talking to all in sight. Unfortunately she fell 2 days in a row due to spinal stenosis. Spent the past three weeks in bed, just starting to tolerate 1-2hrs OOB in WC, and ready for hairdressers again---her PRIORITY! The staff have been excellent keeping me abreast about her condition and having the Geriatric NP provide adequate pain relief.

It's all about how you choose to handle a situation that determines "making roses from sows ears."

I would like to say that there are good LTC facilities and "bad"LTC facilities. I am a LVN who prior to becoming a LVN had a grandmother in LTC. My perception of LTC was horrible. My experience in LTC clinicals were depressing. I thought the staff were rude to the patients and treated them with no dignity. This was besides the fact that it stank and they were all tied to their chairs. It made the thought of working LTC the bottom of my list. After ten years as a LVN I decided to give it a try. The first facility was terrible. The nursing assistants were terrible "I'm just here to earn my paycheck", nurses too overworked and poor MANAGEMENT. I have been told other stories just like this by other nurses. When management didn't address any of these concerns-honestly, I don't think they wanted to hear them- I left. Then, my husbands granmother was placed in a LTC and it was wonderful!!!! I decided to give it another try. I do relief work for extra money and enjoy it. You must work in a good facility where management is dedicated to quality care. If you see something abusive or unethical report it!! I work through an agency and go to different facilities and have been for the most part pleasantly surprised. Perhaps the initial writer will take a look around before judging all LTC facilities, like I did.

i am a veteran nurse,you can say anything but until you come to new orleans,la. you havent seen any thing but money,racist,greedynursing home owners,i have been all over the world andits not the nurses,or the patients,its politics with a big dollar sign,dont ever work in louisiania,believe me i even wrote president g.bush but alas the abuse and greed runs rampant.go to a good agency and stay away from new orleans.

WOW!!! CAN YOU BELIEVE HOW MANY POSTS THIS GOT!!!!

THIS SHOULD BE A WHOLE CATEGORY TO IT'S OWN!!!!

KEEP UP THE LOVE NURSES!!!!

Specializes in jack of all trades, master of none.

I have to "ditto" the responses. LTC really does get the shaft when it comes to funding. I have worked at both good & bad nursing homes. Yeah, the work can be trying at times, but like someone else said, the elderly are the most likely to give you a "thank you" for what you do. There are the residents who are an encyclopedia of information., even though they may repeat it, each time , they add a new tidbit of info. Maybe the original poster should try to volunteer for a while at a nursing home, to call bingo, or lead a sing a long. The elderly enjoy human contact just like the rest of us.

:( I THINK THAT YOU NEED TO MAKE A CAREER CHANGE!! YOU DO NOT HAVE A CLUE AS TO WHAT NURSING IS ABOUT AND IT IS PEOPLE LIKE YOU THAT GIVES ALL NURSES A BAD REP!!!

ooooooooooo

You know Mimiboop, I think you may be on to something!! Remember Sammy?????? (The nurse that posted, stating her license was in trouble, then never responded or got back to anyone about how she was doing.) Seems to me that the original posted was all wet and either one of the most ignorant folks I have ever heard of, or like Mimiboop said, just pulling our leg, trying to start a problem. Sad to think her life is that boring, me, I just don't have time for that stuff. We all know what we do, the importance of it all and the fact that we are needed. We do not need anyone else to justify what we do, we know the difference we make in the lives of those we touch. Sad to say this young lady doesn't make a difference to anyone but herself from the sound of it.

Wow! My first time here, and the first post I read woke me up quicker than that pot of coffee that just finished drippin! I was all set to post an impassioned, articulate rebuttal that would make our little student feel lower than the belly of an earthworm, but all of ya'll beat me to it!

Way to go, Nurses!

I think it takes a special person to work LTC---and if you're in it for the money, you may as well go home! Take it as a given that I agree with all you said, about the joys and rewards of geriatrics, and also the problems we face.

And that's what I'd like to address, not to the lady who started this discussion, but to all of you, who so obviously know of what you speak, and "care".

Let's be very honest, here. All Homes are NOT created equally, and even in the BEST of them, we face staff shortages, and frequently a higher resident to staff ratio than we're comfortable with, even on the rare times we ARE "fully staffed".

As a for instance---the last place I worked was a owner operated, 188 bed facility. The owners were fantastic, and the residents, to them, were PEOPLE, not faceless facts and figures on a corporate profit sheet. If there was anything a resident needed, and simply no one to pay for it---they would buy it, themselves. I saw it happen---I know!

We actually had a more CNAs assigned than State required. The focus of the place was ALWAYS on quality resident care, and we were deficiency-free for the last two years.

BUT---working 3-11, I had 53 residents to care for. There was a floating supervisor I could call on for help, if things got REALLY hairy, assuming, of course, she wasn't already tied up on one of the other three Halls!

Of those 53 residents, only 3 could be considered basically independant with ADLs---many were total care, and Lawd! did I have wanderers!

Don't get me wrong---I loved it, because it WAS a good place to work. We were encouraged to make any changes that would improve care---and no mention was ever made of 'cost'. The CNAs were educated to be active team members, to report even a vague feeling that something was off with one of their residents, and thanks to them, I could go home at night knowing I'd done my job, and done it well.

Unfortunately---I've found, since moving to a rural area of Louisian, that perhaps that place was the exception, rather than the rule.

And even there---I really needed less residents to care for!

Yes---nursing homes are highly regulated, changes are being made, and most of them are good ones.

But there's alot of room left for more changes, and we as nurses should carry our roles of patient advocate a step farther.

WE are the ones who should be supporting legislation, and lobbying for needed changes, in my opinion. We work there---we know the love and caring a good staff gives, but we also know the problems that still need to be addressed.

We also know---there are some bad places out there. Be honest, Ladies---you've heard of them---maybe, you've even worked at them a while.

Until adequate staffing and quality resident care is what is demanded by EVERYONE involved with LTC---families, staff, physicians, management---we won't get the respect we deserve, and the residents won't get the care they deserve, on a universal basis.

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