Im feeling a little burnt out. I work in a small tcu and have been dealing with my first combative patient.
They are only only in my care for about half of my shifts, but I still go home wondering what else I could have done going home to prevent their behavior even when they are not my patient. We work hard to make sure their needs are met, and they're not in pain but atleast twice a shift they become so agitated they are grabbing, pulling, swinging, kicking, and spitting at staff.
this pt does have some Nuero/cognition issues. When they are calm they can answer questions and make eye contact. But during these episodes they can't make eye contact and aren't verbal.
Does anybody have any tips on how to avoid these types of behaviors? They tend to happen around the same time. So we know when to look out for them but haven't figured out if there are triggers to address. Weve tried making sure basic needs are met (hungry? Thirsty? Bathroom? Pain? Tired?)but they still seem to occur regularly.
Most of us our staff are fairly new to the unit and many of us new nurses, so some advice from those experienced with combative patients would be so helpful.
Sometimes i I wonder if the sounds of all the call lights and noises just get too stimulating. Would headphones/music be relaxing or is that just sensory deprivation? They don't have the cognitive function or the dexterity to perform simple tasks to keep them occupied currently. So those kinds of activity's have just lead to more frustration for them.
I just want want to help them so much but I have less and less patience each shift. I feel awful having such a poor attitude but I'm so stumped and frankly exhausted at the idea they'll be assigned to me before I even get to work.
Just wishing I knew how to keep him and all of the staff safe.