I have a new patient under my care at one of my facilities that I case manage.
This little lady is a typical dementia patient with some manefestations of psychosis, she goes from being calm to screaming out all hours of the day, has sun downers.. etc. She is medicated with the good stuff and in all honesty she is doing MUCH better after a few tweeks of the meds.
My issue? The family. I have done.. count them... 5 visits this week with an extra visit in the evening by our prn nurse and also a "meeting with the SW". My visits are not patient centered. the family is there waiting for me asking me the same repetitive questions. Its like a broken record. I have talked to the same person today as a matter of fact for another hour of my time to visit the same stuff from Monday, Tuesday, Wed, Thurs, Friday. I get the same over and over questions.
I finally had a hear to heart with them and explained I feel somehow I am not meeting their needs. I took a spiral notebook out and asked them give me their goals for the patient and them. Guess what? I got 3 all of which are being met.. currently.
I can't fix the broken, but I am on my last bit of patience with these folks. If they are not there during a visit, they want a call. These calls take 20-30 minutes and its all repetitive.
My social worker is doing the same. but it seems like I am not meeting their needs.