At my wits end...

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I do home health and the client that I visited today is very challenging. He is a quadriplegic who is very demanding about the order in which his care is rendered. Goodness forbid I turn wash his arm before I do his back (just one example of his ways). He has been through practically every aide that is available and now there only a handful who can do his care. He has kicked aide out of his home and has been talked to several times by the office...to no avail.

Today while bathing him, he demanded so many things at one time, that I had to say to him that I cannot think while he is yelling at me and telling me that I NEED to grab this or that. I said it very politely but firmly. After I told him that, he then became silent and would not talk to me. We played this game for a good 45 minutes but I held my ground and continued to do his care.

I understand that some quadriplegics have a need to control every thing. I am frustrated because we have gone through this same song and dance and I am worn out. This is just one example of things that a lot of aides have dealt with. When is enough, enough?

:idea:

Ideas please.

I do deal with people just as you described. 3 in fact. 2 are quadriplegic and one is a one legged blind man. I just let them have control. I don't really try to reason with them anymore or struggle for control. They obviously have issues and I know that I will only be with them a limited amount of time and then I can go on my merry way. Life for that limited time I am with them can be difficult, but soon I will be gone. Their life (because of their situation and inability to cope), ALL THE TIME, is difficult and unfair to them.

I used to dread having to deal with them but now I look at it as more of a "task" that has to be completed (I'm not saying that I am uncaring towards them, its just that I dont let their barking orders at me, rile me up anymore).

I do deal with people just as you described. 3 in fact. 2 are quadriplegic and one is a one legged blind man. I just let them have control. I don't really try to reason with them anymore or struggle for control. They obviously have issues and I know that I will only be with them a limited amount of time and then I can go on my merry way. Life for that limited time I am with them can be difficult, but soon I will be gone. Their life (because of their situation and inability to cope), ALL THE TIME, is difficult and unfair to them.

I used to dread having to deal with them but now I look at it as more of a "task" that has to be completed (I'm not saying that I am uncaring towards them, its just that I dont let their barking orders at me, rile me up anymore).

Very smart boundaries to set with clients. Thank you for posting this!

The funny thing is this world is full of idiots and they become handicap just as easy as good people. You can spend forever trying to get into ones psyche. ( not saying you shouldn't do some but don't spend forever on it) When I've had my feel I just smile ...I don't know why I do this maybe its my realization that yep your an idiot and It helps maybe they calm cause they think IM nice for smiling or they think IM about to snap. :no:

:down: to residents who are mean and manipulative. :rolleyes:

Some people are just bad and mean and horrible and that doesn't change when they need care. All you can do is give them the care you were trained to do, you don't have to be their friend or anything else.

The funny thing is this world is full of idiots and they become handicap just as easy as good people. You can spend forever trying to get into ones psyche. ( not saying you shouldn't do some but don't spend forever on it) When I've had my feel I just smile ...I don't know why I do this maybe its my realization that yep your an idiot and It helps maybe they calm cause they think IM nice for smiling or they think IM about to snap. :no:

I've found that when I smile and be sweet with the mean ones it just makes them angrier.. I usually just ask them about their lives with no facial expression when they get hostile, then they typically become focused on their life and tell me about it and get out of the present.

Specializes in LTC, Memory loss, PDN.
I do deal with people just as you described. 3 in fact. 2 are quadriplegic and one is a one legged blind man. I just let them have control. I don't really try to reason with them anymore or struggle for control. They obviously have issues and I know that I will only be with them a limited amount of time and then I can go on my merry way. Life for that limited time I am with them can be difficult, but soon I will be gone. Their life (because of their situation and inability to cope), ALL THE TIME, is difficult and unfair to them.

I used to dread having to deal with them but now I look at it as more of a "task" that has to be completed (I'm not saying that I am uncaring towards them, its just that I dont let their barking orders at me, rile me up anymore).

I'm with you on this. I usually assure them that I will do things their way (gotta be safe and legal of course), but if they'd like to try I believe I can make things a little better. I don't expect "normal or reasonable" responses, because life isn't normal or reasonable. I tried to not move anything below my head when I had my first quad, lasted half an hour and then cried.

Imagine the highlight of the day is a scalp massage and things go downhill from then.

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