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Discussion

Am I being irrational?

I recently started working as a private duty pediatric nurse. My pt has a vent, trach, and dx of muscular dystrophy. I feel like he takes advantage of me. I realize he is in pain, but he requests me to turn and reposition him at least 5-6 times per hour. And then after I turn him, he watches me sit down, and then calls me back over to him for something like needing his eyes wiped. I realize I am here for him and to care for him, but he doesn't do this to the other nurses on their shifts. I feel like I'm never able to chart because as soon as he sees me on the computer he needs something. Am I being irrational? How do I stop this? On one hand I feel that I need to cater to every call, but on the other I feel like I'm breaking my back. This is also keeping him awake all night, which causes him to sleep all day. In turn that causes the day nurse to not be able to do all of her duties because family requested we leave him be when he's asleep. Any advice? Input?

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    Maybe the parents could reason with him. It might be that he doesn't trust you yet, since you're new. So he thinks up things to ask for just to see if you're going to respond. assure him, (depending on his level of understanding) that you WILL meet his needs. Encourage him to go to sleep. Maybe play soft music?

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    • Expert

    As long as you put up with his unreasonable behavior and it amuses him, it will continue. If he is capable of reasoning, set boundaries. If he refuses to change, move on to another case. The fact that he does not pull this with the other nurses leads me to believe that you do not need to put up with it.

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