Quick question about Assisted Living

Nurses General Nursing

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I just finished my CNA training and am scheduled to take the state test on Monday. I did clinicals yesterday as well as today. I thought it was horrible because we were at this really gross nursing home. It smelled of feces and none of the residents spoke English, so nobody could communicate effectively with them. (yes, I did talk to them during my clinicals.) I was constantly changing diapers. All of the residents were totally incontinent and out of it--they seemed so depressed. It was like caring for dead people. This is NOT the career I want. I am going for Physician's Assistant, and being a CNA is good for my application. I want to be able to TALK to at least some of my residents...at that nursing home I felt like I was violating them..

I've heard that assisted living places are nicer than nursing homes to work at. Is this true? I really want to know if I'm going to be constantly changing diapers at an assisted living facility. I have an interview tomorrow at a Sunrise branch and have heard some bad things.

I also shattered my elbow in a car accident and all of this lifting has made my arm terribly sore. I don't know what to do!!

Thanks.

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Specializes in LTC.

Who says you can't talk to them while you provide care?

... just because they're "out of it" or don't speak english doesn't necessarily mean you can't communicate with them at least a little bit.

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Who says you can't talk to them while you provide care?

... just because they're "out of it" or don't speak english doesn't necessarily mean you can't communicate with them at least a little bit.

Of course I talked to them! I explained what I was doing the entire time. What I'm saying is, I want to be able to have a CONVERSATION with who I'm helping.

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Specializes in LTC, Correctional Nursing.

There has to be other nursing homes in your area though. If you don't care about the money you make, yes, assisted living facilities are nicer and the people do more for themselves. BUT... you will only make a little over minimum wage at an ALF. Nursing homes pay more. I have been a CNA for 17 years and that just sounded like a disaster! If it affected you like that, then my suggestion to you is to talk to your instructor about the place. I know when I went through CNA school (17 years ago) we had a choice of where we wanted to go. Don't give up just yet though. Just push through it. Sometimes we have to do "the dirty work" to get where we want to be. Just take some ibuprofen for the shoulder to get you though. Trust me... 17 years of lifting, my back is shot! Good luck!

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:twocents:Assisted Living facilities are not what they are cracked up to be. Some have memory care units with residents who require a skilled level of nursing care & they don't always get that care. Assisted Livings are not heavily regulated like long term facilities are so they "get by" with more. And please remember this, anyone of us could have something happen to us (illness, car accident, etc) which could place us in a long term facility & have us dependent on others to provide every need for us, including "changing diapers". If this place you were at was that bad then by all means tell your instructor about it as there are places out there that need restructuring! But there are some very good facilities out there that need compassionate caregivers!

Thanks,

Jerenemarie

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There has to be other nursing homes in your area though. If you don't care about the money you make, yes, assisted living facilities are nicer and the people do more for themselves. BUT... you will only make a little over minimum wage at an ALF. Nursing homes pay more. I have been a CNA for 17 years and that just sounded like a disaster! If it affected you like that, then my suggestion to you is to talk to your instructor about the place. I know when I went through CNA school (17 years ago) we had a choice of where we wanted to go. Don't give up just yet though. Just push through it. Sometimes we have to do "the dirty work" to get where we want to be. Just take some ibuprofen for the shoulder to get you though. Trust me... 17 years of lifting, my back is shot! Good luck!

There are. I know that this nursing home is very low income. The residents at the one I went to for clinicals were so dejected..only a few had family members that cared and most were so far out of it that no one could bring them back. I almost reported the place though. They do NOT do things properly at all. I asked the CNA in charge of me how to do male peri-care because we never learned that. She quickly showed me a half ass job that did NOT involve cleaning the correct areas. Also, a resident was wet and while she did change her brief, she didn't change the wet pad the poor lady was sitting on. The nurses were all talking about the residents in front of them (ex. "i hate cleaning his poop" or "he is terrible to work with", etc) Excuse me but just because someone is old and doesn't speak your language does not give you a right to talk crap about them in front of them. That's just complete disrespect.

After residents eat, aren't they supposed to sit up in bed for a bit? At this place they just laid them down in bed right away.

Thanks! I'm done with clinicals now--it just really opened my eyes at the horrible care some people receive because some nurses are too lazy to do their job.

:twocents:Assisted Living facilities are not what they are cracked up to be. Some have memory care units with residents who require a skilled level of nursing care & they don't always get that care. Assisted Livings are not heavily regulated like long term facilities are so they "get by" with more. And please remember this, anyone of us could have something happen to us (illness, car accident, etc) which could place us in a long term facility & have us dependent on others to provide every need for us, including "changing diapers". If this place you were at was that bad then by all means tell your instructor about it as there are places out there that need restructuring! But there are some very good facilities out there that need compassionate caregivers!

Thanks,

Jerenemarie

I understand this but I just don't have it in me to do it. I admire everyone who does--without you all nurses could NOT do their jobs. I just wish more nurses and doctors would appreciate the HARD work a CNA goes through.

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you might consider hospice or home care if you are seeking out more one on one care..

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Good CNA staff are the backbone of all health care facilities, they do not get the respect & recognition they deserve! There are bad doctors, nurses & CNA staff everywhere, the problem is that they get the attention (via the media, etc) for doing a poor job vs the good staff who are excellent in their work, know what I mean?!?

Jerenemarie

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Specializes in LTC, Correctional Nursing.
There are. I know that this nursing home is very low income. The residents at the one I went to for clinicals were so dejected..only a few had family members that cared and most were so far out of it that no one could bring them back. I almost reported the place though. They do NOT do things properly at all. I asked the CNA in charge of me how to do male peri-care because we never learned that. She quickly showed me a half ass job that did NOT involve cleaning the correct areas. Also, a resident was wet and while she did change her brief, she didn't change the wet pad the poor lady was sitting on. The nurses were all talking about the residents in front of them (ex. "i hate cleaning his poop" or "he is terrible to work with", etc) Excuse me but just because someone is old and doesn't speak your language does not give you a right to talk crap about them in front of them. That's just complete disrespect.

After residents eat, aren't they supposed to sit up in bed for a bit? At this place they just laid them down in bed right away.

Thanks! I'm done with clinicals now--it just really opened my eyes at the horrible care some people receive because some nurses are too lazy to do their job.

So... go out there and make a difference! That should make you WANT to help them all the more. I worked at a LTCF that has the worst reputation in this town. It was all low income, the CNA's didn't want to work, they complained all the time, there was always some kind of drama going on. There were roaches (and I would find them sometimes actually IN the patient's bed when I would make my rounds at night! I reported them anymously several times while I worked there. I worked anytime I could, and often would have the worst assignment that was in the building. We were short staffed all the time and I can count on one hand the CNA's that didn't argue with the nurses and actually do their job. I could only offer those residents compassionate care, a kind word, and to convey to them that I actually do care. I went the extra mile and would even handwash some of my ladies bras because she would send them to laundry and she would never see them again! Many of them had no family... they were, what I call "dumpers." My kids and I would go up there on my days off and visit with many of them... every Christmas, we "adopted a resident" and got them a gift (and trust me, they loved getting things like kleenex, lotions, underwear, etc...). I can tell you that even though most of the ones that I worked with had alzheimer's, they knew who I was every time I was there. If I was on another hall, I would see one and they would actually get upset because I wasn't their CNA for that night. It might have not been much to some of them... but I know for a fact, that I made a difference in some of their lives. That's all you can do. Go in there and make a difference. That's what nursing is all about. Helping others. Sometimes, a smile and a gentle voice will get you so much further in life. Even if they don't understand your WORDS... they do understand a gentle voice, a kind hand, and a smile. Always smile. Always.

And that's my :twocents: ;)

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student4lyf_lpn you truly are a precious human being! i give you a standing ovation
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