pt enjoys pericare too much...

Trauma-tizedRN · Nov 2, 2004

Lotsa weird ones out there...

Always remember this one frequent flyer we used to get. 40ish female, bilat AKA's, non-compliant diabetic with obvious psych components. Constant returns for uncontrolled diabetes. Loved the peri care....perm staff refused, but she'd wrangle a few students into it. Anyway, her favorite trick was to shove the call light up her hoohah. First time she did it I was her nurse. Light went off, I go to see what she wanted. She says, "I didn't push the call light" I see the cord disappear under the covers and assume she is accidently laying on it....I follow the cord with my hand, pull back the covers, and the damn thing is in her lady parts. She grins and thinks it's pretty cute and swears she has no idea...blah blah. This becomes her favorite trick. We could not come up with a system she wouldn't shove in there too, and we couldn't take the damn thing away according to risk management. We ended up taping a plastic bag over it. She was eventually admitted to the state psych hospital where I hear she shortly thereafter died. :uhoh3: The general public would never believe these characters exist....LOL

nurseneesy · Nov 2, 2004

Just talked to my sister, said things may be better. She was taking care of her and the woman asked her why nobody liked to clean her and my sister said "because you make them feel uncomfortable with your comments, acting horny all the time". She had no response to that, but did apologize to the aide that works my sister's shift. So guess time will tell. Thanks for your responses...I agree too that pts need to do as much as they can for themselves and we need to help them help themselves.

:stone I hate when pts. are nasty talking and acting as well. I usually just say Mr. x, that isn't very nice, and you know better(for those that aren't confused). But isn't telling the pt. that "she is acting horny all the time" inapproiate. Sounds like she didn't even know she was truly offending them or being nasty. And even if she did, This really doesn't sound professional, it is degrading. Do our hormones stop because we are in a LTCF? I don't like that behavior either and would try to make her understand but, there should be some way or policy to address this issue,other than calling her "horny". Sex is one the needs on Maslows hiearchy of needs, we are the professionals and she is in our care as our patient. :)

laurakoko · Nov 3, 2004

eeeeeeeeeeeeeewwwwwwwwwwww. I HATE THAT. I had a male pt, able to walk to the restroom, that would #1 and #2 on himself, to be touched. We found this out as we saw his face as we cleaned, how often he did it! He would also find out who the aide was for the day and do it MORE on the days if it was a CNA he liked!!! YUKKY. Gross. Some people........ :rolleyes:

nurseneesy · Nov 3, 2004

eeeeeeeeeeeeeewwwwwwwwwwww. I HATE THAT. I had a male pt, able to walk to the restroom, that would #1 and #2 on himself, to be touched. We found this out as we saw his face as we cleaned, how often he did it! He would also find out who the aide was for the day and do it MORE on the days if it was a CNA he liked!!! YUKKY. Gross. Some people........

That is disquisting:uhoh3: This is the kinda pt. that needs a good valium(hee-hee). I wish there were something in place for the patients but have no idea. I remember in nursing school(just 3 yrs. ago) that these little old men( that were coherant) would grab our butts and other stuff and try to talk dirty and we would correct them after the shock wore off. Later we would laugh( on break) that they are lying there in a diaper and trying to get lucky. It was funny and disquisting at the same time. The confused ones are truly pittiful, because you know this isn't how they acted when they were still with it( I was working with an mid to late stage alzheimers pt.)

I still think the ones that aren't true pervs should be treated with respect and dignity. I wish I had a solution, but I don't. The occasional one that really grosses me out, I never go into thier room without an aide or another nurse, and feel sorry for the aides that have to provide thier ADL's.

nurseneesy · Nov 3, 2004

Lotsa weird ones out there...
Always remember this one frequent flyer we used to get. 40ish female, bilat AKA's, non-compliant diabetic with obvious psych components. Constant returns for uncontrolled diabetes. Loved the peri care....perm staff refused, but she'd wrangle a few students into it. Anyway, her favorite trick was to shove the call light up her hoohah. First time she did it I was her nurse. Light went off, I go to see what she wanted. She says, "I didn't push the call light" I see the cord disappear under the covers and assume she is accidently laying on it....I follow the cord with my hand, pull back the covers, and the damn thing is in her lady parts. She grins and thinks it's pretty cute and swears she has no idea...blah blah. This becomes her favorite trick. We could not come up with a system she wouldn't shove in there too, and we couldn't take the damn thing away according to risk management. We ended up taping a plastic bag over it. She was eventually admitted to the state psych hospital where I hear she shortly thereafter died. The general public would never believe these characters exist....LOL

OH MY GOD, THIS IS ONE OF THE WORST NURSING STORIES I'VE EVER HEARD. :uhoh3:

. Do they not give her a physc. eval after that repeated raunchy behavior? That is one horrible image I won't be able to shake. :imbar All I can say is bless your heart and I hope that is the worst thing that has happened to you.

z's playa · Nov 3, 2004

AAAAAAAAAACKKKKKK! gag..gag! :uhoh3: I would NEVER have been able to keep a straight face. I would have excused myself and left the room. But thats just me.

moz · Nov 3, 2004

I'm thinking the woman must be pretty with it and manipulative if she had enough senses about her to apologize to the aide when she came on the next night- but I won't debate that because she's not here to be assessed. I would not have said something like that to my grandmother, who does have dementia, nor any other pt with mental problems. Maybe what should have been said was "I believe the other staff members dislike intensely providing your perineal care because you want it DEEPER, HARDER, THERE, THERE, THERE and although I do recognize that you are a sexual being, and that is a need on Maslow's Hiearchy, (I did go to nursing school) it is not my responsibility to fullfill it for you."

Come on, let's be honest- sometimes it is beneficial to be to the point and speak in terms people understand.

moz · Nov 3, 2004

...but I also agree it was unprofessional, said to anybody.

HAngel · Dec 10, 2004

...but I also agree it was unprofessional, said to anybody.

agreed, unprofessional... but with the whopping 40 hours of training for NA's, I'm not sure what people expect. Professionalism isn't addressed in NA school, as NA's aren't to be treated like professionals according to most... I'm not trying to sound like a jerk, but I honestly think this is the truth... They're not addressed in a way that is professional, typically, they learn nothing about professionalism in the brief education, and they're not encouraged to act as professionals (but rather as scut workers who not only have their assigned duties but also are to be at the beck and call of all patients and staff)... again, not trying to be a jerk, but sometimes I think staff and mgmt expect NA's to have the professional attitude of the nurse while they are not treated or trained to function in this capacity...

Hangel

lovingtheunloved, ASN, RN · Dec 11, 2004

agreed, unprofessional... but with the whopping 40 hours of training for NA's, I'm not sure what people expect. Professionalism isn't addressed in NA school, as NA's aren't to be treated like professionals according to most... I'm not trying to sound like a jerk, but I honestly think this is the truth... They're not addressed in a way that is professional, typically, they learn nothing about professionalism in the brief education, and they're not encouraged to act as professionals (but rather as scut workers who not only have their assigned duties but also are to be at the beck and call of all patients and staff)... again, not trying to be a jerk, but sometimes I think staff and mgmt expect NA's to have the professional attitude of the nurse while they are not treated or trained to function in this capacity...
Hangel

I'm a CNA, and granted, we weren't taught how to respond "professionally" to these situations. However, I know better because my mama taught me MANNERS. I can't imagine someone thinking it's okay to tell a patient that they're "acting all horny." That's not taught professionalism, that's common sense.

chayslip · Dec 17, 2004

I hate to tell you this but CNA's are professional and are trained that way, at least in the state of missouri. I have worked as a CNA and CMT for a long time and I was trained on resident rights as well as RESPECT for my fellow workers. All residents are to be treated with respect and dignity no matter what department you are from!

chayslip · Dec 17, 2004

I hate to tell you this but CNA's are professional and are trained that way, at least in the state of missouri. I have worked as a CNA and CMT for a long time and I was trained on resident rights as well as RESPECT for my fellow workers. All residents are to be treated with respect and dignity no matter what department you are from!