Mid-Shift Shower

Nellie was an 80ish year old lady with Alzheimer’s. She wore red lipstick and big sun glasses, even just sitting in her room. She had no children, no family so to speak of. She had been married to one man, her entire life. His name was Chuck, however, she rarely spoke of Chuck or acknowledged his existence, she spoke very lovingly of Leroy, her child hood sweet heart. Nurses Announcements Archive Article

All names have been changed and some words are misspelled for pronunciation purposes and curse words have been changed or left out.

She talked about dances they would be going to, hay rides, walks along the river, school and other things like that. We would often ask her questions about Chuck and she would in turn tell us the stories about Leroy. She was just kind of stuck in the Leroy years and had seemed to have forgotten her husband almost completely. Nellie didn't think she was so 80ish, kind of more like she was 16ish and she hated showers.

She would yell and would also often become very combative.

One day while giving her a shower in the rolling shower chair she became upset and started in yelling, "Get that water offa me you fool. I'm gonna call the sheriff. I don't want no darned pneu-monia."

I told her we had to get her all prettied up for Leroy. This was something we often said and it usually eased her and she would be a little more cooperative, however this day she screamed, "I'm a married woman, you wanna tell my husband that?

You tryin to ruin my honor?"

I quickly apologized and told her that I had meant to say Chuck.

She replied, "Who the heck is Chuck?"

I didn't know what to say, so I continued with her shower.

"Listen hear, you get that water offa me, my daddy will get you for this."

I explained that he had fully given permission for her to have a shower, and that we were almost through.

"My daddy don't want me warshed by no preverts." She would occasionally swing out and try to hit me, but nothing too bad or too violent.

I said, "I promise I'm not a pervert, I'm a nurse and I'm trying to get you cleaned up."

She nodded her head, "Yeah, that's what they say ain't it?" At this point I was finished with her bathing and needed to rinse her off.

I explained what I was going to do. She allowed me to rinse her off, and honestly, I thought she was finally okay with the shower, so I proceeded to rinse her hair. I was very careful not to get any soap in her eyes.

As I was finishing, she grabbed the shower sprayer out of my hands and pointed it directly in my face, "Let me wash the filth offa ya, you sinful heathen."

I attempted to get the sprayer from her, but she began swinging it frantically. I stepped back, right into a puddle of soapy water, and flat on my butt I went.

She began to sneer, all the while spraying me with the water.

Every time I would try to get up, I would slip right back down. Finally, I crawled backward to a semi dry spot and was able to use the toilette to stand. I stood up, sopping wet and pulled the emergency light, and then slowly made my way through her arcs of streaming water to cut the water off. (Why didn't I think of that first, I wondered?)

She threw the sprayer at me and I hung it up. I told her I was sorry for giving her a shower, but I had to get her clean.

We both sat there for a moment, then I grabbed a towel and gave it to her. She began drying off, I began sopping water up off of the floor. I kept wondering where my help was.

I had pulled the emergency light some time ago, and I could hear it beeping. "Well, ain't ya gonna get me decent now that you've had yer fun?" I proceeded to assist her with drying off and dressing. I sat her in her w/c and began to wheel her out of the shower room.

At this time one of the male nurses came to help me. I looked up at him, and he was almost busting at the seams. I looked around, through my water splattered glasses.

There was water everywhere. He didn't even ask if I need help, I guess he could tell I was a little flustered. "Sorry, lunch break." He said.

I cut the emergency light off, and Nellie said, "Sheriff, I need to press me some charges on this here prevert. She done poured water on me for a Leroy and a Chuck. She gonna trade me, put me on the market? My daddy ain' t gonna like this one iota. Look at her, what kind of operation is she a runnin'? She got one of them red light houses?"

He couldn't contain his laughter any longer, however he did manage to say, "Let's go work on that paper work, Ma'am we've got some spare clothes in a closet out there, why don't you get cleaned up."

He then proceeded to wheel her out into the hall. Her all the while telling how I had taken advantage of her virtue, him trying to hold in his laughter, but failing miserably. I came out behind him, soaked to the gills and began walking down the hall to the extra clothing closet, wondering why I had volunteered to do this shower. I slipped in my haste, and was sprawled flat on my back, this time with many witnesses.

As I got up, several people were laughing, I looked down then and realized I was wearing white scrubs and pink polka dotted panties. I couldn't get to that closet fast enough.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Nellie is the basis of several of my stories. She is an all time favorite pt of mine and hopefully I will be able to share more of my "Woah Nellie" days with ya'll soon.

Whoa Nellie -- ROFL! Good title for a book ;)

Specializes in Hospice, LTC.

Her name wasn't really Nellie, but when she'd get to cussin' and a screamin' at us we'd say "Woah Nellie." Don't really know why, but it ended up being our pet name for her. She was a tough ol' bird as they say, but you had to love her. She was full of spit and vinegar and I will always remember her.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Her name wasn't really Nellie, but when she'd get to cussin' and a screamin' at us we'd say "Woah Nellie." Don't really know why, but it ended up being our pet name for her. She was a tough ol' bird as they say, but you had to love her. She was full of spit and vinegar and I will always remember her.

Cute :)

We are so privileged aren't we?

Course there ARE things I would rather NOT have been privileged to see/do! heh...

:lol:.....mental note: Don't ever wear white scrubs!

Specializes in ICU and Dialysis.

...Sinful heathen...!?!?!?!:eek:

OOOO you poor thing...i can imagine what u must have gone thru. but you handled the entire situation with great understanding and its amazing that u didnt turn the showers on her...u did good.

That's such an interesting story, reminding me of some dementia patients I've taken care of.

The thing that does puzzle me: Lately I've had Hospice CNA's & the DON's tell me that we can't force ANY patients to shower/bathe, including dementia patients. My argument is that these patients are not competent to make basic medical care decisions, so we MUST bathe/shower them when they need.

What is the concensus here?

Specializes in CCU, Geriatrics, Critical Care, Tele.

Thanks for sharing your story! It brought back many good memories of working in LTC and with my Alzheimer patients :)

Specializes in geriatric & med surg.

Yes it is the ornery ones that we remember most. Thank you for sharing-can just see this happening!:yeah:

What an interesting story! This reminds me of the Alzheimer's patients that I have cared for and also helping them shower. I do have to say I have never had a patient like Nellie take the shower head and spray me though. I have gotten wet up to my knees but this was my fault. Thanks for sharing your story.:redpinkhe

Specializes in Hospice, LTC.

This was a regular routine with this patient. If we were to not bathe her when she refused she would never get a bath. I don't know what the "rule" is. I'd like to though.

Specializes in Hand Therapy.

Didn't they teach you in orientation to wear nude panties with whites ;)