LO's that KNOW IT ALL

Someone does need to make that call to the ombudsman. The residents needs are much more important than what the family wants.

What a pain!!! Until the doc grows some testicles, it's not likely to change. :barf01:

First the doc needs to grow a pair. He had went to med school and not her. I really cannot stand when family dictate what meds the pr will and will not take. I can understand if there is a real concern from previous experience (pt experience not their own).

Call the ombudsman and help that resident get their needs met. Good luck to you.

right!!!!!

what a pain!!! until the doc grows some testicles, it's not likely to change. :barf01:

Be sure you document effectively. You are the patient's advocate. Documentation and good assessments are for the patient's benefit and your protection as well. There is a chain of command in which the MD can be over-ruled if the patient is not receiving appropriate care. CYA - cover your assessment.

I don't work in an LTC but don't they have family conferences, including social workers, docs, nurses, therapists. Get the gang together and hear her out and then tell the real story about what is nec. to give her mother the best care she needs. And tell her like it is.

Manipulative families sometimes need a talkin to! Ya Know?

Has anyone clued the doc in to what this family member is doing yet? Maybe he isn't aware.

I don't work in an LTC but don't they have family conferences, including social workers, docs, nurses, therapists. Get the gang together and hear her out and then tell the real story about what is nec. to give her mother the best care she needs. And tell her like it is.

Manipulative families sometimes need a talkin to! Ya Know?

This was always the key when I was in LTC. Mostly it wasnt a talkin to they needed, but some honest and open education.

Best to you!!

I feel your pain. I was looking thru one of my peds patient's recent clinical results for an H&P and found a note from an ER doc that read something to the effect of "discharged pt to home, grandmother called back and said the pt was to be admitted, vital signs stable, labs w/i normal limits, no ill signs/symptoms noted" but by golly they brought her back in and he admitted the kid. What the heck? When did Granny get admitting privileges? We had a drug seeker that lived on our floor for months, came in every few days with some new ache or pain that had no rhyme or reason. Finally one of our docs refused to give her any more narcotics, and she was suddenly well enough to go home and hasn't been back. When he refused her narcotics, one of our RNs drew him a pair and labeled it "Sack Of Courage". He carries it around in his wallet. I'll see if I can't get a copy for the OP's doc, maybe he just needs to be reminded they're in his pants somewhere.

This was always the key when I was in LTC. Mostly it wasnt a talkin to they needed, but some honest and open education.

Best to you!!

I agree,but the OP problem for the family member who"knew"everything sometimes needs yes education but assertivness as to why the choices for the patient are made.

So ktwlpn.....why do you say "someone" needs to call......why do you not do it yourself if you feel so strongly about this?

I see your point if you've tried to explain to this person that just because she had something happen because of a med doesnt mean everyone reacts to it the same way. I also know the type of person you are referring too and no matter how much education they receive they will still always insist on being right and stick by their decisions.

There are some family members out there that do want to be involved and do want to do the right things for their loved ones and sometimes its a matter of education and I think we need to remember that sometimes when we have patients or families that refuse certain treatment plans.

I do really wonder why if you do feel as strongly about this woman not doing what is best for the patient that it is your obligation to call and be a patient advocate.

Many LOs feel a loss of control because they can no longer take care of their relative, and unfortunatly, they tend to micro-manage. I have run into family members like this even in Case Management. I currently have an elderly patient whose EMT daughter thinks she has a medical degree. She thinks because she has a "Power of Attorney" for her mom, who is perfectly capable of making her own decisions, she can insist that I "check with her" before asking the doc for anything. I had a sit-down with her and gave her a "reality check": her mother is my patient, and until I make the assessment that she is not capable of participating in her own care, I will continue to deal directly with my patient. I did agree to keep her in the loop by advising her of what I am doing, but that is a courtesy that I give to all my patients' LOs. The PCP, who has been dealing with this daughter for years, thinks I walk on water now. This should have been his job a long time ago, but I also understand his concern that he needs to maintain a good relationship with the family in order to keep this patient, so I will be the "bad cop".