Quote from dudette10
You don't mention any other interventions aside from the use of a benzo to help the resident rest. You also don't mention at what time he receives the medication nor when he is directed to bed. If, with the clonazepam the resident sleeps until noon, but the 3-11 nurses are putting him back to bed frequently, is it possible that the man just isn't tired? Also, is it possible that his falls are due to a combination of not enough time awake and the very common side effect of decreased motor function of the drug itself. Sounds like a comprehensive nursing care plan addressing his sleep/wake cycle needs to be created, reviewed, or changed. You could bring it up to those who are involved in the periodic care plan meetings.
I didn't bring it up bc it's irrelevant. He's over medicated. Point blank.
To elaborate the Klonopin is scheduled for 8pm QHS. He is put to bed when the CNAs "get around to it". But usually they try to get him up after lunch in the day shift and back down around 3pm where he stays until 12noon the next day. Mostly bc he is sedated and sleeps until that time. He is scheduled for 0.25 mg of Klonopin at 8am.
The one day he didn't get the Klonopin, he was awake, alert and verbal at 8am med pass. Like he should be everyday.
As far as the reasons behind his falls....he is a patient with dementia. No matter how many time he's is told to use his call bell for assistance when tryin to get out of bed, he never does. The bed alarm sounds often and you have to catch him in he act and put him back to bed. When asked why he is getting up he tells you ....oh I didn't know I was.
He has generalized weakness and is unable to ambulated per self. When he does manage to stand up, he alms right back down again.
As far as the "comprehensive nursing plan" you suggest. You may as well be as stand up comedian for as far as that will go over at this facility I'm working at. The ADON does the care plans
and she only does them about half the time and only bc she has to. Then carrying out the plan would mean the nursing staff Would have to be involved. Also funny. The nurses there are non chanlant, poor excuses for nurses and extremely short staffed.
So to bring it up at a care plan meeting as you suggest wouldn't accomplish anything as we don't have those meetings at our facility.
In short, they are knocking this guy out to make their job easier and it's illegal. And I can't do a dam thing about it.