LTC ...I have a question

Published

How many times a day do you change a residents diaper?

My mom is in LTC as a Respite Pt....she was just placed there. They only seem to change her diaper in the morning and right before they put her in bed for the night. She is incontinent to urine....she uses a bedpan for bowel movements.She will use the bedpan in the morning before she is dressed for the day.

She is complete care ...needs a hoyer lift for transfer.

She is Alert/Ox3....she is can forget at times....ex. telling someone to change her diaper

BUT....she is fully aware! and can talk. She has MS....

I dont understand why I need to ask the staff to PLEASE change her in the afternoon . WHY?????

Would you leave a "baby" in a diaper for over 12 hours before you change the diaper again?

And one more question....does your facility use crank beds? Full crank beds....head of bed needs to be cranked, NO electirc at all.....

I thought I did everything correct before I placed her in this facility....but I guess I did not.

I appreciate you reading this....it is a bad day, when you have to put your mother in LTC.....

Specializes in Med/Surg, ER and ICU!!!.
Lets get real nobody changes a patients diaper every 2hrs with 10-15-20 patients that would not be possible, writing times on diapers doesnt work I worked at a facility that started that and quickly stopped .Administration who doesnt work the floor had thought it up promised familys that patients were changed every 2hrs.then the writing was on the "wall" we had even mora complaints "Mama hasnt been changed in 3hrs!" I have also had cases where patients only wanted to be changed once and refused to be turned we had to chart the refusal. I would say the times that other people have posted would be more accurate. If a patient says no you cant force them.

I guess the aides, LVNs, TEAMWORK, and facilities I work at are superior, because we DO get it done. It may not be on the two mark exactly, but within minutes of it (some earlier, and some within minutes of later). I have worked both as a CNA and an LVN in LTC, I have found that the writing only helps the families, but it is dishonorable, disrespectful, and decreases a persons DIGNITY to ALLOW people sit in their own URINE and FECES for longer than 2 hours. If they refuse that is different, and should be careplanned as such. Nurses documentation. But you CAN NOT tell me that refusing happens that often, and from more than one pt on the floor, come on!!.

I know, I know, the showers, ADL's, PROM, meals, and of course the one or two employees who MUST have their own cancer stick every thirty minutes falls into play here, but you know what, I DO NOT CARE. My facility gets it done, so should others.

:madface: :redlight: :redlight: AND UNLESS THE PATIENT IS UNDER THREE YEARS OLD IT IS NOT A DIAPER IT IS A BRIEF OR PAD:angryfire :angryfire :angryfire

:angryfire :angryfire :angryfire :angryfire :angryfire :angryfire

Thread closed due to subject discussed very well. Getting off topic.

Suebird3

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