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CoffeeRTC, BSN 20,020 Views

Joined: Jan 22, '03; Posts: 3,737 (24% Liked) ; Likes: 1,815
RN LTC; from US

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  • Mar 28

    I think it sounds like a great idea BUT we've interacted on here for many years now. I just have to wonder, with your strong personality, if you can really allow yourself to be the passenger rather than the driver. I speak from experience and my own strong personality! Good luck with whatever you choose. No doubt, long term care is getting harder and more thankless every year.

  • Mar 12

    Not to minimize this but at least it's an acute care setting so you know eventually he'll be leaving. Imagine working in a SNF where people like this are there for years. I'd get the doctor involved as well as social services.

  • Feb 28

    Quote from Eris Discordia BSN, RN
    OP,

    That makes my former trauma level 1 and transplant PICU and peds CVICU with ECMO experiences seem like a serene walk thru a floral meadow during a butterfly release on a balmy, spring day.

    Dang.
    ROFLMAO if I don't laugh I'll cry. Makes my days of having 2 Balloon pumps and a DKA on an insulin drip with hourly blood sugars seem like ice cream, rainbows, and unicorn farts.

  • Feb 28

    They must have never done it. Otherwise they'd know why it's so hard to manage a dementia unit (and I've done it, so I have a pretty good idea).

  • Jan 9

    Hi - I'm a Director of Nursing in long term care. Yes, if she is competent she can very well decide to go home. If she is competent, she should also be able to manage figuring out HOW she is getting home and HOW she is going to survive at home.

    She can demand to go all she wants, but she can't demand you or anyone else take her & take care of her. (Sorry, I know this puts you in an awful spot and one she's likely really going to give you a hard time about).

    Some thoughts:
    Is she getting good care where she's at? Or is this frustration about not being taken care of well? Maybe a different facility might be a better fit?

    Does she have the funds to go home with a private care giver 24/7? It is easy enough to buy or rent a hoyer lift for home use.

    Does she just need an outlet to voice her frustrations about being dependent and deep down she really knows she's in the best place to meet her needs?

  • Jan 9

    I'm sorry I can't give you an answer on what to do with the meds but just keep an eye out that she isn't taking those meds in addition to what she is prescribed. My friend is a correctional nurse and she says neurontin is sought after by the inmates. Apparently if you take enough you can catch a buzz. Especially in a drug rehab..some people will do anything to get high.

  • Jan 5

    Quote from CrunchRN
    I WANT to believe something this ridiculous could not be real.
    I am exactly the opposite. I want so bad for this to be a real story.

  • Jan 5

    I can't even...I. Just. Can't.

  • Dec 18 '17

    Convince yourself you're going for the food and then hope they put out a good table.

  • Nov 27 '17

    Well handled, NurseDisneyPrincess!

    Reminds me of a story when I worked in Chemical Dependency Treatment 30 years ago. A Patient said he'd pay any staff member $100 to give him a ride home. Of course no staff member took the Patient up on the offer except the Program Director who said, "I'm holding out for $150". I was shocked and asked him why. He replied, "Anybody who'll pay $100 for a ride home will surely pay $150!"

    The good news is the Patient never got a ride home, completed treatment and had a long sobriety.

  • Nov 27 '17

    I found it useful to be told that the resident had a tape recorder hidden in her nightstand drawer that she activated when she turned the call light on.

  • Nov 14 '17

    Quote from Nursing617
    Resident had an iv catheter to have morphine administered subcutaneously via a butterfly needle on the abdomen. Before the nurse administered the morphine, he mentioned out loud that he had to get the heparin first (referring to the flush). I then witnessed the nurse flush the iv butterfly with the heparin, then the morphine, followed by the heparin flush.
    That sounds like clysis to me. When I worked in a SNF, we would use clysis on some of our older residents who had horrible veins. It's easier on the resident than having to be re-stuck all the time for a blown IV. I don't necessarily see the problem.

  • Nov 7 '17

    Don't suppose there is a local TV station that would be interested in this situation? A little public outcry could go a long way.

  • Oct 13 '17

    she knew, she wanted confirmation.

  • Oct 12 '17

    Sounds to me as if you were just managing her symptoms to provide comfort. I've suctioned hospice patients and given oxygen.


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