Why does this man's personality change instantly

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I am a carer in a residential home, and we have set units what we work on. On this particular unit, there is a gentlemen who is such a pain in the backside! He loves his buzzer, and he loves it when young women come on the unit (hence why I dread it!) Anyway, yesterday, he wasn't too bad at all, he didn't press his buzzer very often and it was all dandy. Me and another carer was getting him onto a stand-aid, and he kept going ''I want to use the hoist'' (goodness knows how that came about!) I explained that he does not have a sling or is not assessed to use the hoist unless in genuine emergencies, and that he is quite capable of using a stand-aid as his wife has tried hard to get him assessed for it, then he went CRAZY! Going ''You have NO idea do you! Seriously if you do not get the hoist, I am going to hit you, and you (pointing to the other carer), we ignored this and just carried on because of this outburst, put him in the bathroom and left him. He only wanted it so that he can take more of mine and the other carers time.

He kept buzzing constantly, and every time we asked if he was finished, he says no. So we turn the buzzer off, and we emptied his bag, then he said he wants it emptying again (the bag was already emptied! Just emptied it there and then) and had ago at the carer, calling us a ******, etc. I said there was no need for him to be like that, and why has he got an appalling attitude. I said to him I am going home in 10 minutes as it was the end of my shift then he immediately said he is finished (he didn't need the toilet - he always does this!), we got him over to the bed, he tried forcefully to pull off his conveen, but I said if he does, I will not be changing it because I do not want to speak or go near him and he can lay in a pool of urine until the night staff come on. He continually buzzed that night before I went home... Literally, the minute I left the door he kept on buzzing. I went in one last time and he apologised (he always apologises! He does this to majority of the people), but I just said "you are always apologising, and you do not mean it. Anyway I am going now because you are a really rude man, and I do not want to be near you", and I just went home.

You must all think I was really rude but he really did annoy me with his horrid attitude and we tried helping him! He continues to buzz throughout the day, knowing you are toileting/showering/feeding people and it is so hard, if you leave it for too long, he will set the emergency off. He has a brain injury, and also vascular dementia. We have reported his violent outburst and continuous episodes of pressing the call bell and taking up our time - so many times but nothing is getting done about it. What else can I do? I am dreading working on that unit again because of his stinking attitude towards me and the other carer.

He was calling me names like thick, I cheated to get into uni, I am dumb, I don't know anything - can't I leave sooner, etc :/ Really sad!!

Specializes in Mental Health, Gerontology, Palliative.
Yep, I was thinking the same...troll alert??

I'd like to think so. Have had some truly appalling issues of care provided by our support workers over the last few months, the OPs example doesnt actually seem too far out of possibilities

And possibly the OP was under the mistaken belief that they would find sympathy for their situation.

Specializes in Mental Health, Gerontology, Palliative.

You ask why this mans behavior seems to change quickly? Apart from the vascular dementia and TBI, perhaps he is picking up on your attitude and responding accordingly.

As others have said, please get educated. And please stop working in this area until you have better answers than knowingly leaving a patient in a urine soaked bed because he ticked you off

Specializes in Mental Health, Gerontology, Palliative.

I'm from New Zealand.

A stand assist for us would most likely be the use of a standing frame.

I thought the OP said they were using a stand assist (I assumed stand lift like you described), and the patient requested a "hoist" (I imagined this as a full body hoyer lift). Not the other way around.

The OP doesn't seem to be from the US though, and I am, so maybe I'm reading that wrong.

Agree that a different form of transferring and PT/OT eval would appropriate though.

Specializes in Geriatrics, Dialysis.

yeah roser13, you are probably right. If the OP came here looking for support she [or he] definitely didn't get the validation they were looking for.

Specializes in retired LTC.
Yep, I was thinking the same...troll alert??
Just reading this post late. Thought of a 'troll' right away.
Specializes in Vents, Telemetry, Home Care, Home infusion.

Closed thread as member received good advice to understand clients condition.

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