What would you do about a LTC resident like THIS! - page 2

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... Read More

  1. by   Furball
    Vitamin H! My best friend on nights!
  2. by   emily_mom
    Defer her attention to other things.
  3. by   nursedawn67
    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!
  4. by   Nurse Hag
    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.
  5. by   Hellllllo Nurse
    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.
  6. by   emily_mom
    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.

  7. 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!!!!!!
  8. by   Kayzee
    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.
  9. by   sunnygirl272
    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.....
  10. by   tattooednursie
    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 . 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.
  11. by   tattooednursie
    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.
  12. by   bagladyrn
    I've already told my son that when the day comes that I need a nursing home, he'd better warn the staff that I'm going to be the LOL in the geri chair by the nurses station, wide awake all night long (every unit has one) since I've worked my entire career on nights, we KNOW I won't be changing!
  13. by   duckie
    I once had a man that was very much like this person you described. He cursed the staff, hit us, kicked us, you name it, he did it. Every aspect of his care was explained prior to doing it, he FULLY understood, the only one he had fooled was his daughter that said, "Daddy would never treat anyone like this if they were not provoking him." Well that's not what his brothers and sisters said. They said he had always been an abusive alcoholic and this was his normal way of life before entering the facility. Sure, daughter would defend him, she lived over 1000 miles away and saw him 2 days 3 times a year. This very sweet man nearly broke my nose when he used the full force of his fist to slam my head against the wall, nearly breaking my nose and knocked me out, the reason, I was putting lotion on his arm. Some people just will not and in some cases cannot change but others no darned well what they are doing and love every second of it cause they know there is not a darned thing we can do but smile and duck from the punches, I just didn't duck fast enough! Good luck honey but don't take it personally.