So there is a little lady had a head injury and forgets she Just went to the bathroom n asks every 5 min she doesn't sleep ever if u ever tell her she just went she won't believe you and shell get combative..shell go in her Room and go herself setting all her alarms off n I have to go answer them in the middle of med pass so she won't Fall she won't wait for a cna and they are all frustrated we tried a bladder med but so far its not helping and trazadone but its not helping is there anything we can do?
systoly 1,756 Posts Specializes in LTC, Memory loss, PDN. Has 23 years experience. Dec 15, 2013 as stated above, rule out acute, medical problemsif behavior continues, device an individualized plane.g. , staff could take turns watching this pt. for20 min. intervalssometimes distraction works, such as taking the pt.along for rounds and have them carry stethoscopeor take noteswhatever is within the pt.'s abilitynot being alone works sometimes
nurse4lyfe37 13 Posts Dec 16, 2013 Well she doesn't have a uti ...its been months like thus...I just started there ..we try distractions but no matter what shes doing shell ask any and everybody around to take her we have to block her room off with the med cart
schnookimz 983 Posts Dec 16, 2013 But someone has checked her urine right? Because she could have had a uti for months...
chrisrn24 905 Posts Dec 16, 2013 But someone has checked her urine right? Because she could have had a uti for months...Yep like ESBL
Nascar nurse, ASN, RN 2,218 Posts Specializes in LTC, Hospice, Case Management. Has 37 years experience. Dec 16, 2013 Once UTI is ruled out try a psych consult
sharpeimom 2,452 Posts Specializes in ortho, hospice volunteer, psych,. Has 20 years experience. Dec 16, 2013 Would she fold something simple like towels? An old lady down the hall from my Grandma years ago spent hours "ironing" towels and shirts using an old iron whose cord had been removed. She'd then fold them or put them on hangers. She also helped scrub he bathroom sinks in the common areas and washed the big kitchen pots after someone else drew the water so it was a safe temperature and not too hot.A neighbor's mom who has AD loves to knit and mend things. She also loves to fold cloth diapers. Three of the employees at her SNF use cloth diapers on their babies. They bring their washed diapers in, the laundry staff sticks them in the dryer long enough to de-wrinkle them, them the lady folds them. She does lovely mending -- almost no sign of a tear. Keeps her busy.
Long Term Care Columnist / Guide VivaLasViejas, ASN, RN 142 Articles; 9,982 Posts Specializes in LTC, assisted living, med-surg, psych. Has 26 years experience. Dec 16, 2013 Well she doesn't have a uti ...its been months like thus...I just started there ..we try distractions but no matter what shes doing shell ask any and everybody around to take her we have to block her room off with the med cartPlease be aware that it is against the rules and regulations of most (if not all) states to deny a resident access to her/his room. That is their HOME, and a survey team would probably take the facility apart for that unless it were very meticulously care-planned. Don't go along with this unless you know for sure that it has been.....check with the resident's care manager and the DON.
nurse4lyfe37 13 Posts Dec 17, 2013 Ok ...I thought it might b wrong ill look more into it ...it wouldnt surprise me tho because when I asked for the policy n procedure manual everyone looked at me like I was crazy some people said it was in a book at nurses station then it was locked in an office ...2 days n a dozen people questioned later they fund out its on intranet ...im like wow management doesnt even know where it is and obviously no one has ever read it ...plus meds are all In one drawer not seperated by time n dates never used...all shifts use same card n punch out from any place in the card n card says give 3 tabs mar says 2 ...I try to fux by notifying pharmacy the card is wrong if not I change it in the med book but am told we cant do that by my orienter ...when I found the policY it says to do exactly what I was gonna do But there's no way to keep track if someone missed a dose or what not since we all pull from the same card I feel this is a major set up for errors. Im baffled then I found policy book n its useless cuz even the times are wrong in it...book says 9 1 5 9 but they do 8 2 6 8 10 ...isnt the facility supposed to follow their own policies? States due to come any day ive only been there a week ...its such a mess I just.want to fix it I mean the nurses dont even know what to chart for medicare n the guidelines they typed up are not even close to sufficient none of them chart to the medicare diagnisis or what the redident is covered for as a firmer mds I see that ..double or triple charting also bp`s in nurses note ,mar ,and bp log im so frustrated but I love the residents
Runninonempty 12 Posts Dec 17, 2013 You've gotten a few great tips here I've had a few residents who do the same constantly need to use the restroom one particular resident can self ambulate and wipe herself so if we all work together we put her in the common bathroom and just watch since she's pretty independent and the more confused residents can be distracted sometimes I will just change the subject like saying "oh I saw your son came yesterday how was your visit" and sometimes this alone makes them forget they wanted to go to the bathroom and then I have others I can explain they will go as soon as someone is available and I show the clock and just like I have done with my kids at home tell them "when that arm hits number 6 it will be time to use the toilet".
