What would you do about a LTC resident like THIS!

Nurses General Nursing

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Ok . . . she is a/o and confused at times, and says horrible things to the staff, and is out if control! The other day, I was nothing but nice to her. I took care of her every need, even when she rang the call bell every 5 minutes. I was getting tired of it, so I explained that by ringing for me so much she was taking away from other paitents care. and she replied with "Well, you don't take very good care of me. If I could get up out of this chair I could jump on you and KILL you!" I was quite hurt by this statement. That is not all that this particular resident does. She shouts at her roomate, and she goes out into the hall screaming at everyone that goes by, even at night when others are trying to sleep. When you tell her that others are trying to sleep, she only shouts louder. It was very embarassing tonight. At about 7:30 this evening she is scooting herself down the hall SCREAMING "AMANDA, AMANDA!!! You never take care of me! Your a mean mean person, I hate you, and I wish you didn't work here!" All the a/o residents know me by name, so they knew who she was yelling at, and families visisting who know me by name. She was making me sound like a very bad person. She does this to alot of the aides and nurses. WE are nothing but nice to her! Nothing will make her happy. Does anyone have any tips on how to handle residents like this? I am getting frusterated, and feel like I am not doing anything right for her, and I am getting sick of the verbal abuse. How do I make a person like this satisfied.

CAN YOU SAY HALDOL!!!!!!!!

Vitamin H! My best friend on nights! :)

Defer her attention to other things.

Specializes in Geriatrics, LTC.

As a CNA maybe you could ask her "what can I do to help you feel better...do you need something?" I know it's a far stretch but sometimes they will surprise you and actually tell you. :) Good Luck!

I say Vitamin H for her and Vitamin A for the Staff (ativan). Good Luck you are in a bad spot. I am sure the administration is very helpful on how to handle her. :)

Just about every LTC facility has at least one of these types of pts. Some have MANY of them. Putting up w/ them is part of what nursing is.

The "powers that be" that keep putting more and more restrictions on "chemical restraints" should have to take all these pts into THEIR homes and care for them.

I agree. Many are overmedicated, which can make problems worse. I had my grandma's meds reviewed (when I knew enough) and they had her on 14 meds. All kinds of contradicting things. They knocked her down to three. She even started talking again for a short time. But, she is much better than she was.

It's sad how they do this to people. I hope the big heads realize that this will be them in 20-30 years.

Kristy

I have always said that I would not be the sweet L.O.L. in N.A.D.

I will be the screamer yelling POLICE POLICE 911!!!!!!

It can be very hard to be patient and kind to someone with dementia, but they do not know how rude their being. Does she have family who visit? So many of our elderly are just put in long term care and forgotten. How about activities in your facility? And than there are always the standby PRN's such as Ativan, but is she a fall risk taking this medication?Is she now on any drugs that may need adjustment? Try to be patient and don't take her words personally. I'm sure everyone knows your doing everything you can. That's evident just by answering her call light every 5 min. :)

Originally posted by baseline

I have always said that I would not be the sweet L.O.L. in N.A.D.

I will be the screamer yelling POLICE POLICE 911!!!!!!

i, personally aspire to be the Little ole lady letch...flashing the male residents and grabbing the workmen's dinghies.....

Specializes in Mostly LTC, some acute and some ER,.

Thank you guys for all your support!

I will try to put myself in her shoes tomorrow when I return to work. I have no clue about her meds, because I'm not the one who administers them :D. I will enquire about her meds to the nurses though, hopfully something can be done. I get frusterated and feel hopless very easily, so, because of her, on many occasions I had to step outside to cry or just calm down.

I really appriciate your advice.

Specializes in Mostly LTC, some acute and some ER,.

Well . . . I aspire to be the same kind of little old lady as sunnygirl. Hey! maybe we'll be in the same nursing home flashing and grabbing dingies!!! maybe in the same room! BOY! We'd be a pair.

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