I care for two residents in particular who are in beds B and C in a three-bed room (the lady in bed A is very quiet and doesn't take any mind of B and C). Resident C has back pain, contractures in her arms and legs, and a decub on her rear, and will groan or ask out loud for help. Resident B, who is ambulatory with walker and very alert, will talk back to her... along the lines of:
"OoOOOh, it hurts!! When are my pain pills coming?"
"If it were ME, I'd be up getting those pain pills my own darn self. Shut up!"
Resident C asked me yesterday to tell Resident B that she only makes noise if she's in pain, and to please not yell back at her. I politely conveyed this message; Res B would have none of it. Aside from keeping Res C supplied with water to drink, positioned comfortably, and checking in on her every so often, I'm not sure what I could do to ameliorate the situation.
Specializes in ICU, CCU, Trauma, neuro, Geriatrics.
Document what is being said by both patients. Write an incident report of this on a daily basis if necessary and ask for a psych consult for the agressor.
I could never understand why most SNFs have so few private rooms. Imagine after having been independent your whole life, having your own home, maybe only ever sharing a room with your beloved spouse for the last forty or fifty years, and now having your entire existence squeezed into a tiny room which you have to share with a complete stranger.
I think an all-private or nearly all-private (for those few who actually do prefer a roommate) would be an amazing marketing tool for admissions coordinators.
I could never understand why most SNFs have so few private rooms. Imagine after having been independent your whole life, having your own home, maybe only ever sharing a room with your beloved spouse for the last forty or fifty years, and now having your entire existence squeezed into a tiny room which you have to share with a complete stranger.
I think an all-private or nearly all-private (for those few who actually do prefer a roommate) would be an amazing marketing tool for admissions coordinators.
I think that having private rooms is a great advantage for everyone concerned. I see nothing to be gained by having a total stranger knowing the intimate details of another patient's treatment. Then there are some obvious practical situations that nobody ever wants to talk about when it comes to gracious, or not so gracious, living.
Ahem! Have you ever tried to eat lunch while a person in the same room with you is vomiting or expelling the contents of a recent enema? Would you like to sit in a common dining room across the table from someone who reeks of full "adult underwear" that we are not allowed to call "Adult Pampers?" Wouldn't you rather have your tray in a private room?
snowfreeze, BSN, RN
948 Posts
Document what is being said by both patients. Write an incident report of this on a daily basis if necessary and ask for a psych consult for the agressor.