Dragging 'em out of bed - page 5

Demented resident - we'll call her Mary - is always cold, often combative with care. She's freezing when she first wakes up. Incontinent of bladder. Her saturated chuck gets nice and warm. ... Read More

  1. by   wefdm21
    What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
  2. by   bklynborn
    Read the Gentlecare book and pass it on to your UM
  3. by   lovingtheunloved
    Quote from wefdm21
    What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
    You place a call to your ombudsman.
  4. by   nightmare
    Quote from Suesquatch
    Oh, and yes, we call the plastic bottomed-cotton topped bed pads "chucks" or "chux," I guess 'cause you chuck 'em into the dirty bin.
    Cheers Sue that's what we call 60X60's. Another question what is a UM, I'm guessing unit manager .Is there a thread somewhere with all the abbreviations on it for us confused Brits!
  5. by   nightmare
    Quote from wefdm21
    What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
    I would call that abuse!! there's no way residents should be treated like that:angryfire As for writing staff up,well over here the residents are supposed to have the choice as to when they get up although in practice the non compos mentos ones seem to get very little say in the matter.This should be documented,by more than one person and sent to whoever your regulatory body is there.Why do people think they can treat the Elderly like sub humans!!:angryfire :angryfire :angryfire :angryfire
  6. by   lovingtheunloved
    Quote from nightmare
    I would call that abuse!! there's no way residents should be treated like that:angryfire As for writing staff up,well over here the residents are supposed to have the choice as to when they get up although in practice the non compos mentos ones seem to get very little say in the matter.This should be documented,by more than one person and sent to whoever your regulatory body is there.Why do people think they can treat the Elderly like sub humans!!:angryfire :angryfire :angryfire :angryfire
    :yeahthat:
  7. by   bklynborn
    Get the families involved...................seems like they are the only ones who really have any power as far as getting changes made.
  8. by   SuesquatchRN
    Quote from nightmare
    Cheers Sue that's what we call 60X60's. Another question what is a UM, I'm guessing unit manager .Is there a thread somewhere with all the abbreviations on it for us confused Brits!
    60 milimeters?

    A UM must men unit manager. This American is guessing, too.

    Where in Scotland are you?
  9. by   ayla2004
    Quote from nightmare
    Good point Canoehead,we often just change them in bed( I assume a Chux is some sort of incontinence pad?)However they can be just as combative being changed in bed as getting up.The bottom line is they just want to be left alone and not fiddled about with by us young wippersnappers!:trout:
    chux i think are the attends blue squares i think it would easiar to genlty roll the old one out clean and dry the lady and palce a new one under her
    Last edit by ayla2004 on Jun 5, '07
  10. by   nightmare
    Quote from Suesquatch
    60 milimeters?

    A UM must men unit manager. This American is guessing, too.

    Where in Scotland are you?
    60centimetres! in other words approx.24inches by 24.

    I'm in Aberdeenshire which is the north-east of Scotland.
  11. by   SuesquatchRN
    That's right! Centimeters (we spell funny here).

    My paternal grandmother was from Aberdeen. Grandfather from Troon. But they never called themselves Brits.

  12. by   nightmare
    Quote from Suesquatch

    My paternal grandmother was from Aberdeen. Grandfather from Troon. But they never called themselves Brits.

    Neither do we!! I was trying to be PC! We are always Scots and proud of it.
  13. by   BoopetteRN
    today many things have changed in ltc, and some things remain the same. we are beginning the pioneer adventure at my facility, in other words, resident choice; we already have resident choice dinning. now we are working on resident's rising on their own and try to create a routine for them that is as close as what it was when they lived at home, well as much as possible. research shows that even demented residents can make consistent choices in regards to adls. getting them to get up sometimes is challenging. assess for pain, because many times they can not verbally express it, give them a time ( i will be back at 10 to get you up), then you will make sure they are kept warm with sweaters and blankets, tell them how long they will up and stick to it. find out what kind of activities they participated in when they were young and try to adapt them for the resident now. there is a video called bathing without a battle, creating a better bathing experience for persons with alzheimer's disease and related disorders by ann louise barrick phd, joanne rader ms, rn, and phillp sloane md, mph from the university of north carolina at chapel hill which provides a wealth of information to help deal with dementia and the problems it presents. keep the spirit up, we are living in a wonderful and adventurous time in long term care, we are changing the way elders are being cared for to make it better for all.

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