Looking for what others think is appropriate use of the call bell in ALF. I'm looking for a way to manage over use of the call bell. This is regarding an able body person who may or may not have memory issues. The call bell can be activated as much as 12+ times in a shift. All non urgent/emergency issues. Try re-enforcing call bell is not for requesting a drink, pull my covers up, turn my tv up, down, off, on, what's for dinner, did I eat my dinner and repeated request for PRN (knowing that it is too soon, will tell you what previously said about when they had it and when they can have it again.) need to come to nurses station to request PRN (because this is a constant request). Yes pain med has been increased, has been to other doc's, has had multiple test, exams, etc. Pill seeking?? Attention seeking?? Is on psych meds, does see the psychologist when willing, but often refuses. Never applies any of the interventions suggested by psychologist. Where is the line drawn. Don't want to violate resident's rights...
About the only way the family is involved is to tell the reisdent to behave. They don't come too often and don't stay long. I think the behaviors had pushed them away. They use to take the resident out, but the resident refuses. Don't know if they would consider going to activies. Good suggestion. I'll have to get social services involved.
Specializes in Gerontology, Med surg, Home Health.
Perhaps the time has come for that resident to move into skilled facility where someone is available 24/7. Do you have a residency agreement which delineates the services offered for the monthly fee?
Yes pain med has been increased, has been to other doc's, has had multiple test, exams, etc. Pill seeking?? Attention seeking?? Is on psych meds, does see the psychologist when willing, but often refuses. Never applies any of the interventions suggested by psychologist. Where is the line drawn. Don't want to violate resident's rights...
311ltc
31 Posts
No, the resident's have call bells in their rooms also.