How do I deal with this patient's family members?

Specialties Home Health

Published

I am a CNA in FL and would like you nurses opinion on this matter, if you will.

I have been with this Home Health Agency since December, and have had this particular patient for 5 months now. She has Dementia, but mostly independent requiring supervision on a variety of tasks and activities.

We get along REALLY well. She likes me a lot and always tells me "thanks for making my day so bright" everytime I leave her house. I also like her a lot. We have fun together...:yeah:

Anyway, she lives with her son who is bound to a wheelchair because of a car accident yrs ago. He does mostly everything for himself. At first he didn't bother us at all. But lately he's got into a crazy mood (I think he's jealous of us having too much fun :angryfire), and he's doing everything he can to either slow down my tasks or prevent me from doing it. The other day he said I could not wash her clothes, and she had wet her bed really bed. I stuck R (Refused) on my Daily chart for that day (laundry). Then another day he told me to go easy on the paper towels (he doesn't just say it.. he YELLS at me). Then I started using one of my patient's hand towel as a bib, instead of "wasting" his paper towels. He comes around her and SNATCHES the towel out of her chest... to which my patient turned to me in a desperate face...:uhoh3: I told him to leave the towel where it was. He turns to me and yells "WHY?". I told him he had told me to not use the paper towels, he said "for this you can use". I said "I prefer using the towel because it shields it better all the way down to her legs"... because she makes a big mess especially on cereal days!:o Anyway, another day he came around the table, where my patient was sitting and eating lunch and I was sitting on the chair right next to her, he whams her against the table, trying to push her chair closer to the table (it wasn't that far away)... she screamed in terror! The only thing that came out of my mouth was "OH GOSH!". I could NOT believe what he had done. The way he treats his mom. The way he gets in between us.

Well, I told his sister -- my patient's younger daughter who lives 6 houses away on the same street -- all about this, that her brother is being an old fart, he tells me not to feed her this or that (things that she usually eats but now somehow he forbids her!), and the sister told me "please don't call your agency and tell these things, because if you do, I will have to drop your agency". I had told her I was unhappy with the conditions I was having now, all of a sudden her brother puts on a mood and creates a big problem for us. The one who pays for it is my patient and I'm very concerned. I'm there to do my job, whatever is on my aide Assignment sheet by my RN supervisor, I'm following it to the letter. I'm never late, I never miss work, I take my work very seriously, I enjoy what I do and excuse me -- but I do a DAMN good job! :specs: I'm proud of it! But at the same time I don't know how to deal with this old fart that is unhappy about life and is jealous that his mom and I are enjoying the time we have together... we walk, we watch TV, we play games together, we read, we laugh and tell jokes... I don't know why a family member could have a reason for a complaint about this! Anyway, I need the hours too as I am going to start nursing school now in May, and to be honest... I'm not ready to quit my job just yet, because like I said, I'm enjoying it very much. But I don't know how long I can stand this situation with the family members. I don't want to get in their business... the sister keeps telling me that her brother because of the accident, blahblahblah, that I have to have patience with him... I told her "I don't have to have anything for him... he's not my patient... I just want him to leave me alone so I can do my job properly"! Am I asking too much????

Tomorrow I have to go there again in the morning, and after that I'm going to my agency to drop paperwork for the week... but I am very tempted to tell the supervisor there about these things. But at the same time I'm afraid I won't have this patient anymore. I like her and I think she deserves the care I'm giving her. And I count on these weekly hours... I don't know if I can get another patient like her again.

What do you nurses think of my dilemma???? Should I put up with this problem or what?

Thanks a lot for reading... sorry it was too long! ;)

We had several elderly with fragile skin who bruised easily. At least one had a medical condition that predisposed them to bruising. Our DON advised us to use towels as padding when we assisted with ambulation to avoid incidental bruising. We reported all bruising to the doctor who was aware that the staff was not manhandling the patient.

THanks Muffin and Cali!

Yes, I thought about reporting to Adult Protective Services already... my agency said I don't have to because they already documented.

I think it's all too weird that these bruises keep happening. Especially when I get there on a Monday morning, when on Friday my patient didn't have bruises. I observe her a lot, I notice she does not bump on things when I'm there. She has a sense of balance and direction. I sometimes think I"m crazy or people are trying to cover up and make it look pretty to me. But deep down I know it's not right!! It's so funny when I get there my patient completely changes, she is bright and happy, and her daughter says as soon as I leave she completely changes and gets really quiet.

I wish my agency was more involved, and I feel like they are not really caring about her condition, which worries me. I am definitely looking for another agency. I want to work for serious and caring people, like I am.

I must find some other serious place to work. I care and I like what I do and I want to continue doing a great job. Thanks guys!

Specializes in OR, HH.

Regardless of whether or not your agency has documented everything you need to Cover Your A--!!!! I am really suprised that they are taking this sooo lightly. They are more liable if something happens than you are. What would the harm be in calling APS. Your agency sounds like they don't want to lose her as a client by reporting, but if they end up in a lawsuit they could lose their business, etc.

Is there another health care worker with her when you are not there or is she left for all that time with her son.

It sounds like you are her only advocate and you need to call APS. Sounds like she really likes you and if you don't do the right thing this could affect your career for years little own your conscious.

Muffin... I appreciate your words, but I'm not taking this lightly. I just don't know exactly what to do, who to talk to, I'm brand new in this career. That's one of the reasons I joined this forum, because I felt like something wasnt right and I wanted to hear the nurses opinions from this forum.

Yes, it seems like my agency is only concerned with the profit. That's the impression I get. They try to keep everybody's patients even though there are problems. When you aproach them and mention that something isn't right, they say "well, it will get better... " or "we have already documented this", or "keep going back because we don't have another aide to send them to substitute you".

To answer your question, there is a CNA that goes there once a week, she's from the hospice. She only stays with my patient 1 hr that day. But basically the patient stays with her son all day at the house. Or when the daughter comes and stays with her. But lately the daughter told me that her mom has been locking herself in the bathroom for long periods of time. When she goes check on her mom, she just standing there... To me, it means she is unhappy and scared of everybody.

It makes me really want to cry when the daughter comes at the end of my shift with her mom's medication, and making her mom take her pills. She yells at her so bad, she has absolutely no patience. I have documented this down on the paper as well, and my agency is aware of this. To me this is plain abuse to the extreme. My patience has already escaped once, I think last December. She wandered for 4 -5 hours until the police found her a few miles from her house. DCF was called but now the daughter told me that they dropped everything. They had to installed door chimes on all doors to make sure she would not escape again. But again, nobody pays attention to her. That's why she likes when I go there, she feels at ease and happy that somebody gives her attention.

How do I contact this place and how do I report it? I don't even know how to start... can you guys shed a light? Is the agency going to be notified? I am afraid that if they are, they are going to tell the daughter and that woman is going to eat me alive....Thanks, again...

The woman does not have to eat you alive if you remove yourself from the case.

I know... I just think I will miss my patient and she'll miss me... :crying2:

Specializes in OR, HH.

I know that you are not taking this lightly. You are doing exactly what you should be doing, and reaching out and asking others for advice. If you didn't care about this lady you would have just walked out.

You can call your local directory (or even look in your phone book) and ask for Adult Protective Services. Call them (it can be annonymous) and explain what you have seen.

I apologize for any misunderstanding.

I agree with Cali, you should remove yourself for your own safety.

Thanks so much... you guys are just great!

I will do that.:up:

Specializes in OR, HH.

Just curious... why is this lady seeing a hospice nurse?

Specializes in OR, HH.

Just wondering... why is this lady in hospice????

I don't know why. I know that a hospice nurse goes there every week to take her weight and blood pressure and oxygen level and ask questions. The Hospice CNA goes there once a week, I think, but only for 1 hr. My client's daughter says really that CNA doesn't help in anything, I don't know... I never met her and I don't get involved in it because it's not part of my agency. Why do you ask about the nurse? (sorry I don't know anything)

and I know my agency sent the RN there only once at the beginning of the patient assignment. I never seen my RN there, and the client's daughter said she never went there to check on the progress, whatever

+ Add a Comment