A resident that shouts all the time

rebel_red · Apr 30, 2003

CA,

We have 3 residents on the same hall who scream incessantly. 2 are afraid. When asked why they are screaming they will verbalize thier fears. Sometimes we can "talk them down". We also have a "quiet room" low lighting, soft soothing music etc where you can take the resident and help them to feel relaxed, oftimes there is just too much stimulation for them in the common rooms. We may also take them to their rooms and put music on for them etc. All of this is on their careplan. When the intercessions mentioned above don't work.....they have prn anti anxiety meds ordered. This of course is the charge nurses decision. We must also have fulfilled all the alternate interventions prior to dispensing meds. (And of course it is also duly documented.) Is there anything on this resident's care plan in terms of intervention? One has to be careful because (at least in the states) just setting a screaming resident in a room is considered to be punitive, and is referred to as involuntary seclusion and constitutes neglect, in worse case scenarios abuse.

Our other resident screams (its difficult to make out her words.) when the brief is soiled or she is thirsty, primarily to have physical needs met.

You are doing really great with your resident. Keep finding that inner strength. She may not be able to verbalize it, but I'm sure your manner is a refreshing and affirming change for her.

Good luck and let us know...

Tres

rebel_red · Apr 30, 2003

CA,

We have 3 residents on the same hall who scream incessantly. 2 are afraid. When asked why they are screaming they will verbalize thier fears. Sometimes we can "talk them down". We also have a "quiet room" low lighting, soft soothing music etc where you can take the resident and help them to feel relaxed, oftimes there is just too much stimulation for them in the common rooms. We may also take them to their rooms and put music on for them etc. All of this is on their careplan. When the intercessions mentioned above don't work.....they have prn anti anxiety meds ordered. This of course is the charge nurses decision. We must also have fulfilled all the alternate interventions prior to dispensing meds. (And of course it is also duly documented.) Is there anything on this resident's care plan in terms of intervention? One has to be careful because (at least in the states) just setting a screaming resident in a room is considered to be punitive, and is referred to as involuntary seclusion and constitutes neglect, in worse case scenarios abuse.

Our other resident screams (its difficult to make out her words.) when the brief is soiled or she is thirsty, primarily to have physical needs met.

You are doing really great with your resident. Keep finding that inner strength. She may not be able to verbalize it, but I'm sure your manner is a refreshing and affirming change for her.

Good luck and let us know...

Tres

imenid37 · Apr 30, 2003

Originally posted by Furball
hahahaha...I thought you meant "resident" as in MD.

:roll i thought the same thing!

imenid37 · Apr 30, 2003

Originally posted by Furball
hahahaha...I thought you meant "resident" as in MD.

:roll i thought the same thing!

sassynurse78 · May 9, 2003

I do not know about England, but here where I am, the other residents have rights, a screaming resident would be tried on diffrent medications and if none worked they would most likely be sent to a behavior unit. The excessive noise is a violation of other residents rights.

Care Assistant · May 14, 2003

UPDATE:

A few weeks ago the manager had some officials coming in to inspect the home ect. THE DAY before they were due the manager OUTED this little lady to a new Care home. And she isn't coming back.

Now I call that BAD MANAGMENT.

What is everyone elses views on this.

sassynurse78 · May 16, 2003

I have seen this happen before, yes it is very bad management. I have seen our behavior residents be shipped out when it is time for the state (the licensing agency who licenses our nursing homes) to come in. It is very sad, I think it all comes down to money, they get payment from those people even though they are violating all the other residents rights by keeping them there. The thing that bothers me the most, is that if it is a private pay resident then the management will ignore the behaviors because of money. I have even been told what to chart on so and so, so their behaviors don't look bad on paper. (Of course I don't, I always chart the truth). Right before state comes to certify them they ship them out like they have been handling the problem the whole time. And if it is a private pay they are usually only gone for the two weeks the state people are there. These are the reasons I hate my job, poor management. If only the public really knew how things were done, it might stop.

sassynurse78 · May 16, 2003

I meant to say: These are the reasons I think about leaving Long Term Care Nursing, I hate the management not my job, I love nursing.

Care Assistant · May 16, 2003

Thankyou for the reply Sassy Nurse. I didn't think it was right either.

betts · May 16, 2003

http://www.mmhc.com/cg/featured/f1-index.html

http://www.geroservices.com/thecase.asp

http://www.thn.org/bpm/psychiatic2.htm

http://www.alzwell.com/cguide.html