Patients who can do ADLs but want nurses to - page 3

by destova, BSN, RN, EMT-B | 13,391 Views | 75 Comments

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 tissues that is a whopping 4... Read More


  1. 3
    I 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.
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    These 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
    NRSKarenRN and Fiona59 like this.
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    Oh 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!
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    I 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
  5. 1
    Landing 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.
    NRSKarenRN likes this.
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    Saying, 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.
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    Quote from GrnTea
    Saying, 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.
    And if you're a LTC nurse dealing with a pt like this who's *already* in a nursing home, just imply that they may have to be transferred to that even worse nursing home down the street they saw on 20/20 last night....
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    The strangest thing I've encountered in this area was a pt with orders to straight cath for post void bladder scan greater than 400 cc that admitted she tried to hold in her urine while she was on the bed pan (naturally she was "too sick" to get out of bed to use the toilet) so she would have to be cathed. Many pts can magically void once you tell them they will need a cath if they are unable to go! I've never seen anyone who wanted a catheter before.
  9. 1
    Quote from BrandonLPN
    And if you're a LTC nurse dealing with a pt like this who's *already* in a nursing home, just imply that they may have to be transferred to that even worse nursing home down the street they saw on 20/20 last night....
    LOL.....the twists and tricks we sometimes have to employ to wheedle good behavior!
    Fiona59 likes this.
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    Quote from kmarie724
    The strangest thing I've encountered in this area was a pt with orders to straight cath for post void bladder scan greater than 400 cc that admitted she tried to hold in her urine while she was on the bed pan (naturally she was "too sick" to get out of bed to use the toilet) so she would have to be cathed. Many pts can magically void once you tell them they will need a cath if they are unable to go! I've never seen anyone who wanted a catheter before.
    Ok, that's weird. Unless she thought that by having one she'd never have to get her butt out of bed??

    I found, when working the med-surg floor, that the mere presentation of a 16F foley to most men would create a virtual RIVER of pee


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