We have a resident in our LTC facility that is so demanding. I normally have the patience of an angel when it comes to nasty, demanding residents but for some reason this resident really gets under my skin. She loves to take ativan, tylenol, and ultram. I know pain is whatever a patient says it is and I completely agree with that, but don't tell me at 4pm ( when I'm currently giving you your pain meds) that you will need your PRN pain meds at 9pm! How does she know she will be in pain four hours later?
Tonight she received her once daily dose of ativan PRN. She requested another dose even though we don't have an order. She throws a fit ! I notified the supervisor who is in house and she said to call the doc. I call the doc and get a one time dose of ativan. By time I get to her room she is knocked out asleep. I watched her sleep for a few minutes and debated whether to wake her up. I did decide to wake her up because I knew if I didn't she would eventually wake up and call me to give her her meds.I have tried to do non-pharmalogical techniques with her, doesn't go for it. We got psych involved and that hasn't helped. We ruled out any other underlying medical issue. I expect my supervisor to back me up but that was a no go. Just so sick of it sometimes.