Patients who can do ADLs but want nurses to - page 6

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

  1. by   monkeybug
    Quote from WeepingAngel
    In nursing school during maternity rotation, my professor made me do peri-care for a recent C-section patient who wasn't on bedrest. It was SO. UNCOMFORTABLE. She was a year younger than me.
    Honestly, if she was a fresh section it might be difficult for her to do peri care on herself. Mentally uncomfortable for you, but a real physical pain for her!
  2. by   Jenni811
    Pretty sure of someone had to do cares on me and I could id be like no!

    I went to the ER when I split my hand open at work. Long story. Anyway I get to the ER and I'm setting up my own suture trays to prepare for doc. Nurse was like..."Stop! You are the patient." I had plastic surgery suture my hand since it had to be done differently. Anyway normally he worked in clinic and wasn't used to hospital charting. He was like "you can leave as soon as I figure out how to write discharge orders." I was like...ill do it for you! He sat behind me as I wrote my own discharge orders, sent the pharmacy my antibiotic script. Took me 5 minutes and I was out. 20 minutes later I get a call fro my nurse who helped. "You wrote your discharge orders but didn't sign them." I was like..."tube them up to me and ill send it back down." Pretty sure I was the worlds easiest patient. Reason I shared that is because even having the nurse assist with my sutures I felt terrible! I' NO! You have other things to do. I got this. And that stuff is literally a nurses job. I can't even imagine asking a nurse to wipe my butt when I'm 100% capable of doing it.
  3. by   Skayda
    Oh yes. The lol who is perfectly capable of using walker to get around house and uses bedside commode at night; when we come running to answer her call light and we aren't there in exactly one second; if its in the middle of the night not only has she just woken us from a sound sleep but we have to come up from the basement and all the way to the end of the house to her room but knowing it might be life or death we run; only to walk in on her as she's just sitting on commode; "I didn't think anyone was coming so I thought its either do it myself or pee the bed!" I said "That's a great attitude! Do you need anything else?" Her; "I need some help here! Wipe me and pull my pants up!" Me; "Is there any reason you can't do those things for yourself?" (She could and did most of the time night or day!) She goes; "What is your job around here if not to help people?!"
  4. by   imintrouble
    I had to visit this thread again, as I refused to perform peri care on a woman who was capable of doing it herself. She stared at me, and I stared at her. It became a battle of wills. "You will". "I won't". It wasn't quite that bald. I offered to assist her efforts, with the emphasis on "assist". But, I diplomatically said no.
    I have no doubt she'll report/file a complaint against me. Now I have to anxiously wait the days out to see if I'll be reprimanded.

    I felt degraded. Insulted. I know that had I washed her "hoo hoo" as she put it, I would have felt diminished for days.
    Now I'll be anxiously waiting for repurcussions for days.
    I'm not sure which is worse.

    Just for the record, staffing frequently makes nurses, CNAs where I work. Personal care is not foreign or disgusting to me.
  5. by   linzjane88
    Good to see she was using her big girl words....That sounds horribly awkward. Hugs.

    Now wipe me! ;-)
  6. by   nursel56
    Hoping it all works out for you, imintrouble. I wouldn't have done it, either. It's upsetting that "customer service" would ever extend to something like this.
  7. by   Wheels28
    Ewww.....Just Ewww... As a disabled person I do all of my care on my own, I feel so lucky to be able to do so. I could not imagine asking a nurse to wipe my butt when I can do so on my own to me that is so disrespectful, degrading, you are nurses not slaves. The few times a nurse had to do it for me I apologized and thanked her profusely. (She told me no reason to be sorry and its part of her job.)
    I don't know what is with some people but I never even thought of asking that. I would never report a nurse over something so stupid. A nurse would have to do something really bad for me to do that. People who report a nurse over stupid stuff don't realize that they have a family they have to provide for, some are single parents or the sole income of the home, so in doing that they are not just hurting the nurse but everyone in the home. Apparently some people need to learn to respect the scrubs!!
  8. by   calivianya
    Just one of many reasons I will NOT work anything other than ICU ever again... I worked as a CNA on inpatient rehab and while most of those people legitimately couldn't do things themselves (strokes, high spinal cords, crazy fractures everywhere with pins that got in the way), there were always one or two who COULD but didn't want to. I can't stand people like that. I don't mind wiping someone who is sedated and on a ventilator, or even is totally paralyzed on his/her dominant side and can't even stand up without 2+ assist... I mind wiping someone who is perfectly capable of wiping themselves. I had a lady who could walk once but was too lazy to walk to the bathroom and just wanted to use a female urinal... but who made me hold it for her. Seriously?! I ended up doing it because it was too much of a hassle to change the whole bed when she'd flood it, which she would do because she absolutely refused to hold it herself. Funny enough, she could still hold a phone to her ear, change the channel on the TV, eat, etc.
  9. by   dudette10
    The two most demanding patients with basic ADLs who absolutely refused to do anything--but who could dial their cell phones to their daughters complaining that no one did anything for them--also had psych consults. One was up in the chair for meals, almost had us both go down when she all of a sudden lost leg strength during transfer (hogwash, she did it on purpose), and once called me in to move her plate three inches closer to her. I refused, and it took her three tries to do so. She then spent the rest of the shift complaining to her do-nothing caregiver that all the nurses were lazy.
  10. by   smile_through_it
    I had an overweight pt who was a stand by assist and she insisted she needed 2 people to help get her out of the chair so she could go to the bathroom. I went to get the aid and she was shocked bc this patient was very capable of doing it alone. So I walked in and brought the lift and a bedside toilet. I explained that it was not safe for us to strain our backs to get her oob so we would use the lift and put her on the bedside toilet and lift her back to bed. She said shed try to get up first without help... needless to say she got out of the chair completely unassisted! She never tried to pull that one again!
  11. by   carolinapooh
    We get a few like that now and then - just had one go home not too long ago. I don't stand for it if I know it's not pain or some other reason. I actually told a patient once that if we keep doing that sort of stuff she'd decondition to the point she'd have no choice but to rely on the good will of others to do everything for her, including change her diapers eventually - or she could even get sick enough that she'd NEVER get better (I'm an oncology RN). That she could, presumably, end up with a deadly infection from NOT doing anything.

    I don't feed their manipulation tactics. I have other REALLY sick post transplant pts to care for.

    She miraculously "recovered" overnight.