ktwlpn 20,149 Views
Joined Aug 17, '00.
Posts: 4,647 (32% Liked)
Someone got Butt hurt by the internet again,sorry
OK- I am really intrigued here.
You accidentally ingested the weed that caused you to fail a drug test?
I am sure this is possible, just like at some point some kid's dog actually ate his homework.?
This scenario is playing out where I work.Most facilities have policies against family members working together ,this is why.You also can't have it both ways.Either you become an independent adult and go out job searching on your own or you stay there and under your mother's wing.Make a choice.It sounds like if you don't like the new job your mom can manufacture another position for you anyway,what have you got to loose?.I bet the two of you are detested by your co-workers,can you see how this is wrong?
We are an LTC,we are non-profit.That rate is all inclusive.Physicians are required (and reimbursed by insurance companies and Medicare ) to see each resident on a monthly basis in LTC but most of ours are in the building at least weekly.As an LTC we do care for residents with complex needs (skilled needs) We offer specialized wound care,palliative care,respite care and have a small rehab unit.We have a great therapy dept,(PT,OT and ST) Labs are drawn at the bedside,we also offer portable radiology services.We a number of specialists who round regularly in the building (podiatry,derm,psych,cardiology,opthamology,dental ) and a staff who co-ordinate and transport residents out for appointments.Laundry,barber/beauty shop is available,fees are nominal.Basic supplies are included as well.In this state two RN's must be in house at all times.Each unit is staffed by a team of nurses (RN or LPN)and certified nursing aides.In this state in LTC a nurse must admin.all meds and treatment.Traches,PICCs and wound vacs are not un common.Our staff are skilled
[QUOTE=Parakeet;9008186]Like I said earlier, I am not spending all of my time proselytizing. However, if I see an opportunity to speak, I will do so. I had a pt. just this past week ask me how to pray, so in answer to her request, I talked with her about prayer...
It really does not come out logically when you think of other religions that wage holy war and force their beliefs on people, are commended or excused, but a Christian who dares to share their faith with a pt. who asks them to; somehow the Christian is in the wrong?
Should not we who do profess Christ follow in His footsteps? It seems only here in the U.S. do we dance around the bush of political correctness]quote
Again,you are NOT qualified to offer spiritual support as an aide OR nurse,delegate it and tend to the rest of the patients(christians and heathens alike) Don't compare this conversation to martyrdom around the world-it's illogical.We are talking about you working as an aide right here.Let the Jew down the hall call for assistance to the bathroom while you are praying with another patient and see where you end up....
I'll also agrees the use of hospice services in facilities like you are dealing with,everything the other poster said is true.A hospice agency will provide a nurse's for your mother for about an hour a day anywhere from 3to 5 days a week....That's it. Not sure what your sister believes LTC is but it's where people like your mother belong.In a safe environment cared for by people who are trained to anticipate her needs despite the fact that she can't voice them.And they will provide support for you as she declines.
You have to remember memory care ALF are NOT medical facilities and often the caregivers aren't even CNAs (but trained by the company- and poorly at that).
Many (not all) of these places exist to drain the elderly and frail out of every penny they have and in return give as little as possible by way of every day care. $1000 a week is absurd. I bet you still have to provide diapers, wipes, shampoo, soap, medication, and other sundries on top of that!?!
She belongs in LTC with staff who are trained to care for her.Is this a 'for profit'? When her funds are depleted watch how fast they can " no longer provide her care"...Most of your concerns are spot on with places like this,they are not regulatedlike LTC ,the staff often are clueless.However you need to accept her cognitive decline,if she is incontinent at night she should not be wearing pajamas or clothing.Access for incontinent care needs to be fast and comfortable for HER.You really don't want the staff to wrestle her every two hours through the night,likely causing upset and injury.I am betting the heat is turned up as well.You can provide leg warmers for her.I don't like to see the unit walking around in nightgown at 4pm,I would put a stop to that for my mother.She should be undressed when she is going to bed,not hours prior.
While I understand the holistic approach I know a geri-psych consult is invaluable at this stage.I see two issues here.First is her sleep pattern.What is the impact on her and the family from this? Is their rest interrupted as well? This and incontinence seem to be the common triggers that lead to LTC.The body's clock is disrupted by the damage the disease causes the brain.We just go with it-we make sure the resident gets meals and plenty of liquids while they are awake. awake.The masturbating and aggressive behaviors need to be addressed and can be treated.There are no risks,the disease is terminal and the goal should be comfort right now....It is also important for the family to accept they can not control this,they need to consult with experts.
Talk, Discuss, and Share your experience at your favorite Nursing School.
Advertise With Us