Patients who can do ADLs but want nurses to - page 2
I've been coming across more and more patients that are perfectly capable of taking care of their personal needs, but simply don't want to. Example: ringing the call light to ask for the box of... Read More
Feb 19, '13Ugh! A big pet peeve of mine. I work in the ER and everyone thinks they are dying!! I had a pt the other day that unfortunately an admit hold because we had no beds. I had to put the pills in his mouth and he didn't even put the straw in his mouth, I had to do that too. MADE ME CRAZY. there was NO reason he couldn't do it. But he could function when his meal tray arrived. Ughhhhhhh.
Feb 19, '13Why haven't you eaten any dinner, Ms. in her 50's Adult?
No, I have trouble using a fork
You have trouble? What do you normally use?
I have NEUROPATHY (no note of such) I need you to put it on the fork for me...
Later I bring piece of chocolate cake with fork into patient and turn and leave the room to peek from outside the door.
Patient picks up fork and quickly eats cake - every crumbLast edit by netglow on Feb 19, '13 : Reason: sp
Feb 19, '13ugh. then there are the ones that need help but refuse and in the end create more work for everyone ( me especially!!). there are plenty of weirdos out there. i am afraid to say something and the pt actually does need help or gets really confrontational ( which i woukd hate at work!) so, i rarely say anything .
Feb 19, '13I tell them the goal is to maximize their function so we will know if they cn take care of themselves at home or need to go to a nursing home. That Term gets their attention. Only with those I know who are capable and playing helpless.
Feb 19, '13To edimo - I apologize for the LOL. I'm a great one to bemoan the use of unfamiliar abbreviations; I freq have to ask about some just like you did. (I really questioned something earlier today on another post re a nsg job position.) I AM NOT computer-speak saavy. I only learned LOL recently just be being here on AN - I figured it was a safe one. I've should've known better ...
Likewise, each nsg specialty seems to have its own language. It took me forever to figure out NSTEMI (smile, all you cardiac nurses). So LOL seemed to fit very nicely into LTC. Hey - I work LTC but I had NO idea what NOC was (11-7 shift) until I saw it here!!!
Feb 19, '13Quote from amoLuciaOh, no worries! I haven't been here long and am just starting to become familiar with some of the more frequently used abbreviations...hey, you learn something new everyday!To edimo - I apologize for the LOL. I'm a great one to bemoan the use of unfamiliar abbreviations; I freq have to ask about some just like you did. (I really questioned something earlier today on another post re a nsg job position.) I AM NOT computer-speak saavy. I only learned LOL recently just be being here on AN - I figured it was a safe one. I've should've known better ...
Feb 19, '13"Oh, it's okay Ms. Smith, your doc doesn't have any restriction on you...pulling up your own blanket, pouring your own water, wiping your own butt....so you just go ahead and do that if you need to. I would feel bad if you were waiting on me to make sure it's okay."
Feb 20, '13I always pulled the card that once they got back home, they would have to do it on their own again.
Plus I hate taking care of people that wont take care of themselves. Not the people that cant but the people that have the means and ability to but dont.
Feb 20, '13These are some great suggestions! Of course I have my pokerface on but this infuriates me to no end! I always get the men who are perfectly capable of holding the urinal to their penis but want me to do it for SOME reason or the women who just roll over and want me to wipe them. And again, these are patients who are otherwise ad lib.
Like someone mentioned earlier, I think there are some strange infantile/regression issues going on there. I would be mortified to have someone doing my peri-care, if I can do it, I would MUCH prefer to do it myself, thank you very much!
I always ask, "So how do you do this at home?" Or "How are you going to take care of yourself when you get home? Is someone going to be doing this for you?" Usually, that kind of straightens them out but not always. I'm definitely using some of the earlier suggestions next time this comes up!Last edit by bigsick_littlesick on Feb 20, '13 : Reason: added more
Feb 20, '13Oh the memories this post brings back for me! lol
I can remember having some real head butting arguments with some pts over who was going to wipe.
"If you can reach down to scratch it, you can wipe it", Is my motto! Weather the pt likes it or NOT!
Feb 20, '13I can be too blunt sometimes but I have said to a pt with a sore eye 'what did your last slave die of?? Overworked and underpaid!!?? Let me make it perfectly clear, this is a hospital not the Hilton, if you can't wipe your arse because of a sore eye next time wear eye protection!'
Mind you this pt is a regular ambulance surfer and they refuse to do anything for themselves!!! Hello, 12hrs after major brain surgery and I was performing my own ADLs
Feb 20, '13Landing in the hospital is like being a stranger in a strange land for some of our patients. They don't know what is expected of them.
Sometimes a nurse needs to do a little training and educating.
Regression, depression(big cause) or some dementia that is not obvious at home can cause this problem too.
I used to work with a lot of elderly patients who could function OK in their own familiar home, but would be unable to do most of their ADLs in the hospital.
Feb 20, '13Saying, in a sincere voice, "I am very concerned that you're not able to do that. I'll be calling the case manager to look into your options for nursing home placement if you're not going to be able to take care of yourself at home." Miraculous cure often results.