Terminating client for Adult Daycare

  1. I've been a nurse at an Adult daycare for 3 months and Upper Management wants me to terminate a client because he no longer fits our admission criteria.

    He's got Parkinson's and he's unable to stand at all. Most days it takes 2-3 max assist to lift him (he's 190lbs and 6'2) and our criteria says 1 assist only. Also, we're feeding him which is out of our range of care, too.

    I have a meeting with his spouse and I'm terrified because I've never had a position where I had this type of authority. What is the easiest way to break the news to her without sounding harsh and uncaring?

    Thanks!
    Jacesmom2
    •  
  2. 4 Comments

  3. by   texas_lvn
    Can you call around and see if there is any help out there for her? I am sure someone knows who to call. You are doing the best you can, and I am sure that the wife is aware that this is coming soon. I do not know how big the area you live in is, but surely HH maybe available for respite care. Good luck and keep us posted.
  4. by   CoffeeRTC
    Quote from texas_lvn
    Can you call around and see if there is any help out there for her? I am sure someone knows who to call. You are doing the best you can, and I am sure that the wife is aware that this is coming soon. I do not know how big the area you live in is, but surely HH maybe available for respite care. Good luck and keep us posted.
    That's what I would suggest. It is not safe for the pt or your staff to have a higher need pt like that.
  5. by   banditrn
    I'm sure that the wife was informed of the criteria when her husband was admitted, so she shouldn't be 100% surprised when you talk to her.

    I agree with the others, that offering alternate solutions will be a great help to her.
  6. by   texas_lvn
    How did everything turn out? Please keep us posted. Thanks.

close