I am new to allnurses. I received my LPN license about 3 weeks ago and had my first private duty shift with an Alzheimer's patient last week. She is a fall risk and I'm primarily there to keep her from falling. My patient was very sweet and cooperative for the first 6 hours of my shift, then she started to yell at me for following her to the bathroom and told the housekeeper "there's a woman in my house who's trying to murder me". I tried orienting her and told her I was her nurse. THAT DID NOT WORK!
I now need a different approach with working with her. I've been trying to research ways to communicate with those with the disease, and read a few forums on here about the "therapeutic lying vs. validation therapy vs. reorientation". I really don't want to aggravate my patient, but I can't just let her walk around by herself since she's a fall risk. I'm not sure how to convince her I'm not there to murder her but take care of her. I think these feelings might really be her not feeling secure? I'm not sure how to get through to her. Any advice would help. Thanks in advance.
I completely agree that she's going to fall. If someone followed me into the bathroom, I wouldn't be real cooperative either.
Sugar. Give her sugar. Food usually works, and they like sweets. I've avoided many ass kickings with cookies.
Last edit by Esme12 on Nov 8, '13
Jan 18, '13
I went to do private duty with an alzheimer's patient who lived at an assisted living facility. She told me that she didn't want any strangers in her room and that I needed to leave. I told her I was very sorry but I could not leave. I "lied" and told her that her daughter had called me at home and told me that I had to go and spend the night with her. Once she "understood" that it was her daughter who had sent me we had a good night.
Last edit by Blackcat99 on Jan 18, '13