Demented resident - we'll call her Mary - is always cold, often combative with care. She's freezing when she first wakes up. Incontinent of bladder. Her saturated chuck gets nice and warm.
She. will. not. get. up. The other nurse - I will NOT do this - tells the aides to get her up regardless. She's fighting and cursing and an aide ends up hurt and Mary ends up weeping in the nurses' station and asking me, "Why did you let them do this?"
She thinks she's been beaten up. Well, she kinda has been.
Now, I know she can't lie in her own waste all day and needs to get up. But how do we do this? (My co-nurse is pissed at me for suggesting that fragging her out of bed isn't the way to go. "They didn't DRAG her out of bed!" Of course they did, numnutz.)
I read the entire thread, but did not see this- why not get her to roll side to side to change her Chux, maybe put on a bedjacket to warm up, and let her be?
My other thought is that if she's cold in the morning a few extra blankets added at midnight might make a big difference in her morning outlook on life.
Specializes in Nursing Home ,Dementia Care,Neurology..
Good point Canoehead,we often just change them in bed( I assume a Chux is some sort of incontinence pad?)However they can be just as combative being changed in bed as getting up.The bottom line is they just want to be left alone and not fiddled about with by us young wippersnappers!:trout:
What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
Specializes in LTC, home health, critical care, pulmonary nursing.
What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
Specializes in Nursing Home ,Dementia Care,Neurology..
Oh, and yes, we call the plastic bottomed-cotton topped bed pads "chucks" or "chux," I guess 'cause you chuck 'em into the dirty bin.
Cheers Sue that's what we call 60X60's. Another question what is a UM, I'm guessing unit manager .Is there a thread somewhere with all the abbreviations on it for us confused Brits!
Specializes in Nursing Home ,Dementia Care,Neurology..
What if your UM threatens to write all the CNA's up if they don't get these people up by 12pm everyday? What if she takes it upon her self to drag a resident out of their room (while in the w/c of course), and force them to eat in the dinning room even though they are visibly upset. What do you do then?
I would call that abuse!! there's no way residents should be treated like that:angryfire As for writing staff up,well over here the residents are supposed to have the choice as to when they get up although in practice the non compos mentos ones seem to get very little say in the matter.This should be documented,by more than one person and sent to whoever your regulatory body is there.Why do people think they can treat the Elderly like sub humans!!:angryfire :angryfire :angryfire :angryfire
Specializes in LTC, home health, critical care, pulmonary nursing.
I would call that abuse!! there's no way residents should be treated like that:angryfire As for writing staff up,well over here the residents are supposed to have the choice as to when they get up although in practice the non compos mentos ones seem to get very little say in the matter.This should be documented,by more than one person and sent to whoever your regulatory body is there.Why do people think they can treat the Elderly like sub humans!!:angryfire :angryfire :angryfire :angryfire
Cheers Sue that's what we call 60X60's. Another question what is a UM, I'm guessing unit manager .Is there a thread somewhere with all the abbreviations on it for us confused Brits!
60 milimeters?
A UM must men unit manager. This American is guessing, too.
canoehead, BSN, RN
6,909 Posts
I read the entire thread, but did not see this- why not get her to roll side to side to change her Chux, maybe put on a bedjacket to warm up, and let her be?
My other thought is that if she's cold in the morning a few extra blankets added at midnight might make a big difference in her morning outlook on life.