i have a question

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there is a resident at my nursing home that just got back from the mental hospital. He constantly gets out of bed, and its gotten to the point where everyone just leaves him on the floor. I can hardly get him up by myself, but i just feel too bad for the guy just to leave him down there.

my question comes from the fact he is doing it on purpose. I have seen him scoot to the edge of the bed and deliberately slip onto the floor. He want's the pretty women going in there and touching him. He even peed on himself while the urinal was right next to him just so i could change him.

If he doesn't get the attention he wants he starts knocking on the wall screaming hey at the top of his lungs and when we go in there he is completely fine.

whats the responsibility of the nursing home in this case. he is disrupting resident on a daily basis and putting the health of nurse aides at risk with us having to pull him off the floor. Did i sign up for this?

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Did i sign up for this?

Yep, but so did everyone else too.

Let their nurse know (if they don't already), and let them escalate it. All you can do is just make sure they are safe and clean, even if they are urinating on themselves purposefully. If they're being super disruptive, they may end up with a sitter for now until other actions can be taken.

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He may have to be re-evaluated and his care plan updated to take note of him wanting to lay on the floor.

We had a resident on 200 hall who was care planned to be on the floor (on a fall mat), as he would constantly be given neuros and treated as a INA every hour on every shift.

I am assuming that the resident you are referring to is in a type of Alzheimers/Dementia "Unit"? Sounds like he isn't cognitive.

As the previous poster mentioned, Unit CNAs would just do their best to make sure they are toileted/changed properly and that they are relatively safe (not harming themselves or others) while in the Unit. Basically you have a bunch of toddlers you have to take care of, as they are not aware of what they are doing.

You can ask the DON or Lead CNA to put you in other halls in the facility if you are having a difficult time in one particular hall.

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He may have to be re-evaluated and his care plan updated to take note of him wanting to lay on the floor.

We had a resident on 200 hall who was care planned to be on the floor (on a fall mat), as he would constantly be given neuros and treated as a INA every hour on every shift.

I am assuming that the resident you are referring to is in a type of Alzheimers/Dementia "Unit"? Sounds like he isn't cognitive.

As the previous poster mentioned, Unit CNAs would just do their best to make sure they are toileted/changed properly and that they are relatively safe (not harming themselves or others) while in the Unit. Basically you have a bunch of toddlers you have to take care of, as they are not aware of what they are doing.

You can ask the DON or Lead CNA to put you in other halls in the facility if you are having a difficult time in one particular hall.

define cognitive. he can talk and speak he knows what is going on. oh and ill also like to add

NONE OF THIS IS HAPPENING

the facility just pushes asides this behavior despite resident nurse and aide complaints.

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define cognitive. he can talk and speak he knows what is going on. oh and ill also like to add

NONE OF THIS IS HAPPENING

the facility just pushes asides this behavior despite resident nurse and aide complaints.

Just because he can speak does not mean he knows what's going on.

If he's a dementia patient, then he's going to be mentally impaired, have issues rationalizing things, be out of touch with reality sometimes, show signs of confusion, act out in abnormal ways (much like you described in your post), and these are just a few of the symptoms.

While it may seem like he's aware of what he's doing, don't think that he's doing it just to spite you.

You're a CNA though, so you should be able to define cognitive...

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Well ..... he only acts this way with me

Striping

getting up

Peeing on himself

And not with my much older coworker

Can I define that as cognitive

Yes I know Cognitive means he can think for himself but I wasn't sure what they read that made him say that

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And I never said he was doing it to spite me. I did say he wanted the pretty girls to put his hands on him, but that doesn't mean he is doing it to spite me. I'm also so happy you remember everything from your cna handbook after a year you must have an amazing memory

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Just because he can speak does not mean he knows what's going on.

If he's a dementia patient, then he's going to be mentally impaired, have issues rationalizing things, be out of touch with reality sometimes, show signs of confusion, act out in abnormal ways (much like you described in your post), and these are just a few of the symptoms.

While it may seem like he's aware of what he's doing, don't think that he's doing it just to spite you.

You're a CNA though, so you should be able to define cognitive...

There are many different ways people can show they are not cognitive

Thinking there 20 something year old needs a diaper change

Asking where they are

Or stealing someone's clothes

Just cus someone bangs on the wall doesn't specifically mean they aren't cognitive. They could just be wanting attention and acting out because they are not getting it

One resident of mine will be screaming down the hall if we don't get his light the minute it rings.

And he is completely sane

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And I never said he was doing it to spite me. I did say he wanted the pretty girls to put his hands on him, but that doesn't mean he is doing it to spite me. I'm also so happy you remember everything from your cna handbook after a year you must have an amazing memory

I have remembered it for way longer than a year. This is your job, take pride in it.

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I have remembered it for way longer than a year. This is your job, take pride in it.

Ok

Thanks for the advice

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Specializes in Adult Primary Care.

Again I ask, why are you in healthcare?

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I'm so sorry your facility isn't addressing it - it sounds like an ongoing struggle that really is impacting your other patients when this one keeps needing constant checks. We've all been there before, and we all have our limits. I'm sorry that some others on this board don't seem to have compassion for their fellow healthcare workers. Yes, we chose this field and all that comes with it, but that doesn't mean that sometimes we reach our limit.

You asked what your facility's responsibility is in this case, but it seems like you know what they should be doing, but aren't doing it.

That being said, can you ask to work a different section for a few days, or to at least not be put in that section every day? Is there another CNA that happens to love working in that section that you can trade with? Some people work really well with patients that others don't work particularly well with, and it's nothing against the staff member or the patient. It's just life, and recognizing that - as well as when we are nearing our limits - is a sign of STRENGTH.

Hang in there, I hope you find a resolution that is beneficial to you and your patients :)

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