Should I feel guilty? - Page 3Register Today!
- Dec 2, '12 by ismael0046Quote from TheCommuterThe one thing that I was recommended... Get to know your patients... You have to know your patients' stage of dementia in order to use the therapeutic lying.What the OP did is called therapeutic lying, which is recommended in middle and late stage dementia. It is much more humane than continually reorienting the demented resident to a much more painful reality.
- Dec 2, '12 by Simply ComplicatedI think we've all done it. We had a patient one time in the hospital, who used to be a chef. She was convinced she was in a hotel, and was not happy about the quality of the food. She kept insisting on talking to the chef, and refused to tell anyone else what we could do to improve her food. This went on for like 2 days. We finally had one of the male nurses go in and pretend to be the Chef, and have a talk with her. He told her he'd "put a word in" for her, and we were able to make a couple notations about her meals. From then on she was happy, and even wrote a thank you letter to the "Chef".
- Dec 2, '12 by SaoirseRNSometimes it is less traumatic to them to not tell the truth. You made her happy for however long she remembers. Had you said "you aren't going home" you would have had a different result. Many times it is kinder not to tell the truth.
- Dec 3, '12 by thenursemandyWhen I first started my career I tried to do what we were taught to do....to reorient. After many pt outbursts I came to the realisation that it gives them peace if I "play along", so I changed my approach. Re-orienting a dementia pt that their spouse is dead or that they can't go home 10+ times a day is like torturing them repetedly.
- Dec 3, '12 by T-Bird78Nothing to feel guilty about, you did what's needed for dementia patients and provided comfort and reassurance. Besides, you didn't specify which "tomorrow", it could be the day after today or the day after next Thursday. . .
- Dec 3, '12 by tayloramaRN2beI work in a LTC as an activities assistant (while going through school), and I deal with this sort of thing all the time. Our population is almost all dementia. I have to "lie" to them. I believe that it is the best thing for them. I honestly do. Like Boston said, make 'em great "memories". It is the most humane thing to do.
- Dec 3, '12 by Kittypower123When I was a CNA, I worked in a dementia facility. We had to take a dementia training course. As part of the course, we learned that reorientation, while it has its place (like a previous poster commented), generally makes the individual more agitated rather than less. Other approaches, such as redirection, were recommended. Since redirection does not always work, therapuetic fibbing (as I've always called it) can be very helpful. For the person with dementia, their reality is as real to them as this one is to us. If someone told me that I was not posting on allnurses.com but sitting in the dining room of a long term care facility, I'd think they were crazy and tell them so. We can't change their reality, we need to work with it.
- Dec 3, '12 by michelle126Yep..as soon as your mom or dad gets home from work you can leave....hey..lets have dinner while we wait!
Rats! Where is that cab we called for you? They sure are taking long...let's go to bingo while we wait!
Hmmm...I don't know where your dog is? Must have run away again...I will have Mrs B (the residents housekeeper/ maid from at home years ago) go look for that dog.
Shhhh....you will wake my baby. (I'm forever pregnant, haha) She is sleeping in the next room. Lets go for a walk.
No..you can't leave tonite. Look at all that snow outside. Maybe tomorrow when the roads get better?
.....all of these are real, actual excuses. I refuse to reorientate and will gladly spend the 5 or 10 minutes calling out for John's long lost dog or walk Mary into bingo while we wait for her cab.