Problem patient and family

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:eek: We have a patient in our facility who's family are a pain. The patient is heavy care, behavior problems and needs constant attention. The family is worse. There have been 2 "anonymous" reports to the state board. 1 for leaving the patient sitting in urine for 5 hours, came back unfounded. One day after that, a new report-one of the lpns hit her in the face. This one will come back unfounded because there were witnesses. She was in the hospital for 10 days in July and 8 days in August. She only had 2 days left until we didn't have to take her back. The family had her discharged so she could come back. #1 if we give her such awful care why bring her back-answer they want a lawsuit. #2 Why don't they have a family member with her at all times. Before the last incident she had a personal aide with her 24 hours a day with the facility picking up the cost. This time no one can go in this room without 2 people. If she is in a lounge someone must be there at all times. We have to chart word for word what we say and what her family says. The day she came back her daughter came in yelling, "What the f ing is going on? etc." The patient had transferred her self to the toilet and wanted off. Pt laughed the whole time we were cleaning her up and transferring her. The daughter says that her mom says things like this,"so and so punched me in the face" This person cannot speak in words much less sentences. It takes forever to find out what she wants. Is there any thing else we can do to keep the facility safe? :banghead:
Oh, I almost fell off my bench here at the computer reading your post! :chuckle It brings back such memories. Why do we love it so much when the state gets to see the "real" stuff? And cusses them out, to boot! :chuckle

Do you guys have an Alzheimer's unit where you work? It sounds like that would be the perfect place for this lady.

I remember having a male patient who was just mean. There were one or two female CNAs that he would let work with him. Everybody else was "fair game" and he would just double up his fist at an opportune moment and haul off and hit you, so we always figured that he probably knew what he was doing. He was another one where there needed to be two nurses at a time when with him for any reason. A lot of times he refused his meds and he was on Coumadin. I was told by the social services person and the DON that we were the only facility that would take him because of his behavior, but we were a Jewish home, he was a holocaust survivor and had no other family, so they wanted to care for him.

I wish we did have unit. Our dementia patients are scattered throughout the building. We have one who will walk down the hall with her shirt off. She is at the front station where visitors come in. Imagine the looks on their faces when they see her.:eek: Another directs the traffic-she is also at the front station. Others aren't quite as bad but I really don't think the visitors like being accosted by naked women or being told where to go. :uhoh3:

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Specializes in med/surg, telemetry, IV therapy, mgmt.
I wish we did have unit. Our dementia patients are scattered throughout the building. We have one who will walk down the hall with her shirt off. She is at the front station where visitors come in. Imagine the looks on their faces when they see her.:eek: Another directs the traffic-she is also at the front station. Others aren't quite as bad but I really don't think the visitors like being accosted by naked women or being told where to go. :uhoh3:

We had a elderly lady who also had some psych problems. When it got dark out she would stand in front of any one of the large picture windows looking at her reflection and talk to it. Sometimes she would scold herself and the venom and cursing came out in a steady flow. We all would stop and watch her doing this, but it was very sad.

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Specializes in Everything but psych!.

If you ended up being in a nursing home, what kind of patient would you be?

I figured that if I end up being demented and in a nursing home, I would definitely be the one who would be pinching and cussing. What about you? :chuckle

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I have been a very nice person and am flexible with things. When I am old and in a nursing home I want to be one of the ones that tell everybody off! :lol2:

The patient I first posted about threw a fit the other day and kicked a cna in the knee. She has been off since Thursday. We have a airhead for a housekeeper on the weekends and the pts daughter and granddaughter were there and not only did she go into the room alone she also let the little girl use her mop. Of course her mom didn't say anything then but I am sure she will. One of the few times I have come down on an employee that hard.

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We had a elderly lady who also had some psych problems. When it got dark out she would stand in front of any one of the large picture windows looking at her reflection and talk to it. Sometimes she would scold herself and the venom and cursing came out in a steady flow. We all would stop and watch her doing this, but it was very sad.

The patient who directed traffic fell the other day and broke her hip. She caused a lot of problems but I hate it when that happens.

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