Weird situation in clinical...advice needed!

Nurses General Nursing

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My patient from last week is still in the hospital this week. He was assigned to a different student so I was still able to go check up on him and see his progress. He is a retired Catholic priest who has suffered a massive stroke. His brother had driven up from a few states over but had to return home. The patient had been in assisted living for several years until the point of this stroke. Anyway, since last week, this "person" has sort of taken up residence in the room with the priest. At first, it seemed that she was an interested party, just a bit unkempt and not very well-to-do. She is there a lot...almost around the clock. She isn't related to him, and claims to have met him at the nursing home when visiting her mother (who is now deceased). Well, I have no problem with that, but she doesn't seem to be there to try to help him out--she doesn't DO anything for him. She is obese, and apparently lives in her car--but now she is staying in the hospital room. She is eating the crackers and stuff that is kept in the kitchen for patients and their families. She even uses the call light to come have a MA or nurse assist her to stand (she is really obese). She has asked nurses to do her accucheck, and even requested syringes to give herself insulin (which was denied). I think she just has found a person who is unable to speak and decided to act like an interested party so she can have a free ride for a few days. What would you do about this situation--or would you just let it go? We really don't have any way to verify her story of how she met him, and there is no family in the area to contact (Catholic priest=no offspring). Have you ever had a situation like this?

Originally posted by Dr. Kate

One of the things you learn as you go along in nursing is that you can't fix everyone's problems. You also have to learn to get the appropriate resources in place as soon as possible.

^5 and AMEN!

Curious, did this happen in Baptist Memorial Hospital? I know you may not want to say but I can't help but be curious about it because this is the hospital that my dad was in shortly before he died a couple years ago, and I found the staffing to be pitiful. The staff itself was very good and competant, but one can only do so much when you have too many patients. And the too many patients per nurse is what I saw there. The whole situation of what took place with my dad's care is the reason I became an activist for my profession.

I do hope that this lady was at least given some referrels for assistance.

I was comatose in the hospital for several weeks, and during that time, a former boyfriend showed up, got the staff to turn over my personal belongings to him (including credit cards!) by claiming that he was my fiance. He was believed, despite the fact that I wasn't wearing a ring, and he was never kicked to the curb. Disturbs me greatly, but I know that the guy was a really convincing liar, and the hospital staff only wanted to be caring toward me and those who loved me.

My advice is to ask her for evidence that the priest might want her there, and if she can't produce it, tell her you'll have to go to his family and see if they want her there. Call his brother, explain the situ, and then take his wishes into account. At that point, you've done as much as you can. If his family wants to protect him, they will.

Originally posted by Satori

My advice is to ask for evidence that the priest might want her there, and if she can't produce it, tell her you'll have to go to his family and see if they want her there.

I never thought of this in the few times I've had similar circumstances. Thanks for the suggestion that I'll use in the future!
Specializes in NICU, Infection Control.

actually, i only have one word: security!!!

Some good advice to contact social services and get them involved. I wonder how often is possibly happening else where. If she is not a family member this would also be a breach of patient rights and confidentiality. Our facility is looking into a method that would ensure that information is only given to family members that they wish. if they are not able to make their wishes know the person with power of attorney for healthcare makes these decisions. I agree that the women needs to go. But perhaps she also needs help so she does not move on to the next hospital down the block. Diane. RN - Wisconsin

Specializes in Med-Surg.

To update this situation:

The lady had been kicked out, but did return. We got her back out the Tuesday before Thanksgiving, and he passed away on Wednesday.

I worked at the county hospital, and it was not at all unusual for people off the street to spend the night in the emergency waiting room, especially on cold nights. In fact, there were a few "regulars" who came in almost every night, registered with some "complaint" and were served supper before they went back to the waiting room for the night!

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