Dragging 'em out of bed - page 7

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   adrienurse
    I don't understand the part about it being state law
  2. by   lovingtheunloved
    Quote from Psychtrish39
    ...I hate that we have to get them up at 0530 but its state law ...
    You're kidding, right? I've never heard of such a thing. Absurd.
  3. by   nightmare
    We're not supposed to get anyone up before 06.00 but we have one resident that wants to get up just after 05.00.Because she is in her right mind we get her up and document the request.
  4. by   BoopetteRN
    We are starting a pilot program here where residents get up on their own. The staff have a list of questions that are being asked to determine what their routine was before coming to LTC. I know that we are going to have difficulty with the demented residents, however hopefully their family members will help us with this. It will be interesting to see the outcome of this, many of us are very skeptical; however it has worked at other facilities and has improved staff moral and retention. CNAs have consistent assignments and know their residents well, which is the groundwork for such a program
  5. by   junebug50
    I have been there too many times. My heart goes out to all involved. Not only the aides could get hurt but, the resident could also get hurt. I also agree it sucks to get old, even more in the LTC. All the things offered to try to get her up would be worth trying. Good luck to all involved.
  6. by   ALmanager
    This thread incensed me SO MUCH that I went through the hassle of getting my password just to respond. Reading the 1st page of these responses, I am MORTIFIED at how some people responded- no wonder nurses get bad names!!!!!!!!!! I'm all for honestly expressing yourself, but the cold heartedness of your responses makes me boil- and SCARIER was the responders who had good, decent suggestions didn't bother to call their colleagues on their callousness! Shame on you. And shame on the person who wrote the initial email, who seemed to resign themselves to "dragging her out of bed" despite numerous good suggestions. At least they did on page 2, which is as far as I could stomach reading.
    I am printing your responses to show my team- and make clear my expectations that this type of response will not be accepted. pathetic.
  7. by   lovingtheunloved
    Quote from ALmanager
    This thread incensed me SO MUCH that I went through the hassle of getting my password just to respond. Reading the 1st page of these responses, I am MORTIFIED at how some people responded- no wonder nurses get bad names!!!!!!!!!! I'm all for honestly expressing yourself, but the cold heartedness of your responses makes me boil- and SCARIER was the responders who had good, decent suggestions didn't bother to call their colleagues on their callousness! Shame on you. And shame on the person who wrote the initial email, who seemed to resign themselves to "dragging her out of bed" despite numerous good suggestions. At least they did on page 2, which is as far as I could stomach reading.
    I am printing your responses to show my team- and make clear my expectations that this type of response will not be accepted. pathetic.
    Shame on Suesquatch? No. Read her original post again. She doesn't want to drag anyone out of bed. She wants suggestions for alternative, compassionate methods of caring for this person. And some of the other replies on the first page were CLEARLY in jest.

    It's one thing to express your disagreement with other posters, but your reply was simply rude.
  8. by   SuesquatchRN
    lovingtheunloved, it's okay. ALmanager is obviously reading a different thread whan we are.

  9. by   junebug50
    Regarding the posting from ALmanager. I worked long term as both an aide and lpn and I disagreed with the way that residents get taken care of. And do you know where it got me? Fired! In some facilities when you buck the management they find a way to get rid of you. I suggested to my cna's to try once if they don't get anywhere then go to another resident and then go back. It works with some and not for others. Maybe getting onto the residents way of thinking may help also. Good Luck to all involved.
  10. by   AR_RN
    I understand and agree with the general feeling about this issue, and I'm glad to hear that there are some facilities that are trying to do something about it. Where I'm a CNA we have a few residents that have similar issues. One in particular will hit and cuss when you get her up, regardless of when it is. Of course on the flip side, she'll hit and cuss you when you try to put her back to bed too. She doesn't want to be dried while in bed, (read hits and cusses), but is unable to get up to toilet either. The point to all this is to say that as CNA's, under the existing structure at the facility, we often are in a no-win situation. State says she doesn't have to get up if she doesn't want to, but she has to be dried. She'll be equally upset by being dried or by being gotten up, and we'll get written up for leaving her in bed without special permission, so she gets up. And because of the cussing and hitting and name calling, many of the CNA's tend to be less understanding with her than I think they should be. But at the same time, sometimes it is as hard or harder if you try to be slow and gentle.

    I also hope never to have to live in a LTC, but if I do, I hope the facility has figured out how to cater more to the resident. Would it be the end of the world for her to stay in bed every now and then?
  11. by   BertinaRN
    When I was a CNA we never dragged anyone out of bed, but if a client refused to get out of bed the charge nurse was involved. We also traded clients if we found a CNA who could get the difficult ones up. Finally our facility had a new CNA position, and this aide was responsible for the clients who took a long time to care for. There was 4 of us per shift, we floated from unit to unit caring for the hard cases. We were also responsible for the walking, and range of motion care. There are other ways to care for the clients who can not care for themselves, it just takes time, teamwork and a little thinking.
  12. by   nightmare
    Perhaps if ALManager would read to the end of the thread she/he would see that some very good suggestions have been made in what is a very difficult situation.
  13. by   Psychtrish39
    Absurd, yes but this a state run mental institution with a special center for older adult services and there are statutes and laws we have to abide by.. besides JCAHO and CMS...however that said we do a complete bedcheck twice each night every patient gets checked and changed if needed and I as the RN am there helping too and I kid you not we have no skin breakdown on these folks even the total bedridden ones its just hard on this particular patient and whats funny earlier in the shift at 0230 she does not fight being changed... But this ward has a complete program for these dementia patients and we do alot for them and with them...
    I was hoping by posting I could get some ideas on what to do and I have seen some good ones.. I don't make state laws and policy I work under them but I have to say our patients have the good bottoms to show for it.. I just feel empathy for what they go through... and feel as a nurse that I could make it easier for the ones that suffer though...

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