Ok...here is the deal. I have a pt who is alert/oriented x 3. The problem is that she CONSTANTLY cries, yells, whines, lies, manipulates and she drives everybody crazy....and when i say crazy i mean her family, staff, and other residents and other residents families. I get complaints from multiple people every single day i work. She will not even attempt to do anything for herself....even though she can do some things like roll in a w/c or feed herself. see...her family kept her at home several yrs ago and waiting on her hand foot and toenail so shes been in and out of other facilities and ours is the only one thats kept her this long . the others wouldnt cater to her like this. anyway....last night was a bad bad night. she started screaming and waking my whole hall up which then got other residents who are demented up and roaming and wandering around and agitated. she was crying b/c she was out of KOOLAID! i GOT HER 2 bottles of juice and she said that i hurt her feelings b/c i put it where she could get to it and would have enough for later. So then....i go in to talk to her and i asked her what the deal was....she just cried and yelled like she does for the entire 8 hours im there. she doesnt act like this when im off. if another nurse has her...she will ask where im at and why im not there and when am i coming back to work...etc etc...shes even had other nurses call me on my day off just to see where i am and when ill be back. but....as flattering as that can be.....she still annoys me with this obsessive crying. she said to me that nobody takes care of her..that everybody takes better care of the other residents than her...which is not true. she keeps my cnas tied up for at least 3 hrs of their shift if not more...they do all the can to please her to keep her from crying and nothing works. shes on all kinds of psych meds which do not help. its impossible to redirect her behaviors. her urine is clear..so no uti....her hubby told us shes done this as long as they have been married.....50 lonnnnngggg years!!!!!!!!!. ...so anyhow...when shes like this...i just cant take it but so long. i asked her if she even cared that there was other sick people around her that needed help too.....and i told her this behavior was not acceptable and that she was in a good place with people to take care of her 24/7 and that everyone was trying to do everything they could do for her within their means. well...my god...you woulda thought i cussed her out. she cried more and said that she was out of kool aid again. i also asked her how it would make her feel if she had a roommate who behaved the way she does....and she said she wouldnt like it and that she wouldnt trade her roomie for nothing.....well....no doubt...her roommate is a freakin veggie who has never walked, talked or nothing! she cant say to her to shut up. I finally got her to settle down and talk about something else......which was that she got her shower day switched.....she was pleased about that. the thing is...she can turn this on and off like a freakin light switch! listening to this bs nonstop days and days in a row drives me insane!!!!! most of the time i can ignore it and im good...but it stresses everybody out...and they come to me and say " cant you do anything with her????".....and like i said...i get this from staff, families and other residents on a daily basis and the fact is...i cant. theres nothing i do that works and ive tried every approach i know of. im never hateful to her and even when ive had enough im always nice to her as hard as it is. i give her what she wants, i call people for her, i push her where she wants to go, i give her meds, i fix her in the bed, i fix her in the w/c, i fix her feet, i take her out to smoke, i give her candy, i give her snacks, i do her hair, i do her makeup, i put her lotion on her, i turn her freakin tv channels even though she can use her own remote!, i talk to her, i redirect her, ...you name it...i do it. it wouldnt be as bad if she was one who couldnt help what she does...but she has complete control of this. she has even said to me that if she cries and yells that she can get what she wants. we are supposed to do behavior modification stuff on her...which doesnt work. psych follows her.....and nothing they do helps either. her family only visits for a few minutes b/c they cant stand it either.....soon as she starts up when they get there....they leave. they always come tell me " well..shes starting up again, i cant listen to this im going home. "......and out the door they run. any suggestions?
