chele9633

I work as a hospice runner so i don't ever get to build a relationship with the pts or staff but i have found that in LTC some of the nurses are very abrasive and don't want to give much info or act like you are bothering them. I think they feel somewhat threatened like we are going to come in and take over. Thats not the case at all. We are all looking out for the quality of life for each pt therefore, we are all on the same page. I think it gets better each time you show your face and I think you should "kill em with kindness". As for you feeling like u did nothing, thats not true. Just your presence to comfort and oversee each pt is doing something even if they cant respond to you. Listen 2 ur gut and use your skills to access them. Use the flacc scale to assess their comfort level. Trust me, if someone is not ok, you'll know it. Not only that, dementia pts have good and bad days. You may have caught them on a good day. Keep your chin up!!! They need you:heartbeat

thanks what i said, it all related to his alzheimers/dementia!!!

I know this is a last posting but i think i would have probably used End stage dementia or Alzhemiers. B/c he could have had some aspiration pnemonia which lead to resp distress. If he can't swallow, a total for all adl's and possibly been treated for a uti recently and has had a weight loss, i think that DX would fit him. Thats what i would go with. Also it sounds like you have documnentation of a decline all based on is advancing dementia. I don't know, just an observation!! thanks michele