I received a patient via ambulance from home....elderly....covered in feces from head to toe....dx: Ams according to family. Patient had bruises all over her body, rash across her back, nodules on right leg, feces applied all over face and body "as cream to keep away the bugs", ambulance crew reports this is not the first time-patient just brought to a different hospital. Crew also reports feces all over apartment. I DIDN'T KNOW WHERE TO BEGIN!
A few minutes later, DIL and GD show up dressed to the NINES! Don't know what happened, didn't see her on Tgiving, hadn't talked to her this week, reports patient won't go to doctor(and they can't make her), no caregiver, patient lives alone-NO HISTORY OF AMS. Patient's son finally comes and tells me there is no way mom can live with him due to hard wood floors and her falling all the time. At this point, I am burning up....don't want to talk to them at all....go in with a tech and clean patient from head to toe. Do my best with her mouth-she was obviously eating them...finally return for medical history....paperwork with meds last updated 1998....patient's teeth falling out, makes her own meals, provides own care, obviously no one there monitoring or helping.
After patient is cleaned, despite best efforts and soaking....fingernails still have feces under them...and breath stinks!! No family member wants to touch her or get near her face...I am asked what am I going to do about it? I get additional cleaning supplies, mouthcare items and towels and hand them to family....they look at me aghast and ask me what they are supposed to do with it? I suggest additional cleaning...they do not take this kindly. Meanwhile, I am getting additional patients who need me. This family followed me everywhere, where could they get a nursing home (where they wouldn't have to payfor anything), what kind of home care was available, who would I reccommend to keep it cheap and under medicare? PERSONALLY, I JUST WANTED TO CALL AND REPORT ELDER ABUSE! For the next two hours they sucked my lifeforce as I ended shift.
With no social worker on after 5pm, and no one to back me up I didn't report call . No one in charge wanted to get involved....what would you have done? I knew she'd be admitted...had a whopping UTI! I requested social worker and intervention from floor case management.
That family really got to me! I was feeling violent around them and just wanted to slap them! I need some suggestions on how to handle this type of situation. It's horrible that a family with obvious means could let this occur to their mother/grandmother!
Some suggestions please, murder is not an option.