pacify or orientate? Alzheimers... - page 19

So I have worked my third day as a LVN in a LTC facility. Orientated for one day then turned loose...on the alzheimers lock down unit. 21 residents. A little scary, but I am fairly comfortable, so... Read More

  1. by   grace90
    Quote from Jesskanurse
    If therapeutic communication did not work, I highly doubt we would be taught it in Nursing school.
    I know this is an old post and an old thread and the dead beaten horse is decomposing:deadhorse, but this caught my eye.

    There is a lot of things we're not taught in nursing school. I think there's even an entire thread dedicated to things we were never taught in nursing school.
  2. by   grace90
    Quote from Jesskanurse
    Yes, It may be unethical in YOUR OPINION to tell her that... but any ethics board would tell you that you are wrong. As for your last sentence: How do you know what will damage your resident and what wont?? You dont. You are just using your own feelings and displacing them on the patient. You think it will damage her. Who are you to decide this? THAT is why it is unethical. What if there is a stage of the grieving process that she hasn't gotten through just because nurses are uncomfortable seeing her in anguish? I think that is what is happening. You cant have peachy happy patients all the time. Sometimes that anguish is therapeutic for them.
    Is that therapeutic anguish so good for them when they experience it 20 times a day or more?
  3. by   banditrn
    Quote from Jesskanurse
    Go right ahead... I'm very interested to see what you say in regard to me being 'wrong on so many levels.'

    I want to know how you try to justify lying to your patients.
    Jesska - I see that you are 24, so let's say that maybe you haven't had a lot of major life experience yet.

    At 24, maybe you are supposed to be upset at what you perceive to be 'lying' to the patients, but just stop and think about it for awhile.

    What if some LOL is looking for her husband, and he's been dead for 20 years. In her mind he's still alive - and when you insist on reorienting her to the fact that he's dead, she will again suffer the grief that she suffered when he died.

    If you take care of me when I'm like that - and I get closer every day - please let me live in whatever pleasant fantasy my mind has placed me!

    When my mother's sister had cancer, she developed brain mets, and became confused - and thought she was back in the time when her children were young. I told my Mom not to be so unhappy - that it was a much happier time of my aunt's life.
  4. by   rn/writer
    Please keep the focus of the topic on how best to work with dementia patients. It's fine to quote someone else's post, but because this thread became so intense, please address your comments to the membership in general and not to a specific poster.

  5. by   Tweety
    Closed for moderator review.