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When I worked as a CNA and later when I had a dear friend with Alzheimer's, I noticed when there was a diaper that needed changing, if the CNA's or nurses could see a family member in the room, they waited to see if the family would change the patient. If a member got up and said "well I'll do it" "they're not coming yet" they will wait until you walk out in the hall and tell them they need to change the patient before they will come. I don't know if it's laziness or they just don't want to change the patient and have to clean them up, but it seems like they wait to see if anyone else will do it. It's nasty work trust me. I had one patient once, that waited until I changed her wet diaper and once I put a dry one on her, she would then have a BM all over herself! Wouldn't tell me at all. Made her husband so angry that he'd walk out when she did that because it embarrassed him. He'd go sit out in the lobby for awhile before returning to the room. I never saw another nurse in there cleaning her in all the weeks I took care of her. If you have a resident in a NH sitting in a common area and they have just had a BM in their diapers, I would suggest calling 2 of the CNA's to come take the patient to their room and take care of the matter. Talk to the head nurse on duty for that shift and see if she can help you move him to the room.
Why do you say that this resident does not have dementia? This behavior of sitting in pants with feces in lobby, sounds very much like dementia or some kind of mental health issue. The facility is responsible for either finding the proper method to attend to him or locating a place that can better serve his needs. What do the visitors do? I would think that kind of thing would only happen a couple of times, before family members were up in arms. And I don't think their excuses would do much good.
Sometimes I think that resident's rights is used as an excuse to not do the right thing, and instead to let them do as they please. If this can include sitting there in poopy pants and offending everyone else I wouldn't think any family would really want to pay to have a person living there. Why do bad nursing homes always smell bad like urine and poo? Its the first thing you notice.
I wonder whether his family knows that he has had incontinence of stool and has refused cleanup a certain number of times? One thing I have been surprised about is when this happened to my mom and I was never told. Not an emergency call, but why didn't the nurses at least call and tell me that it happened twice this month? Or the companion call and let me know it happened at church? I would purchase whatever incontinence products were needed if I had known, and made sure she used them. Why are accidents like this part of the package a resident can refuse to allow someone to clean ASAP?
He does this on any ahift. We cant leave the desk except bathroom breaks. We monitor doors as well especially after hours..it isnt my position to attend to the resident. Its the nurses who dont handle this situation i feel the way they should. Theres that gray area of the resident cant be forced, but when an entire area rather large smells and badly there should be rules the resident must listen to the nurses when asked to be changed. Its a health issue. Some residents are not cooperative they just dont care and this resident does not have dementia this its an issue with some. We have lock down units for these individuals.
I agree with Sunnygirl, let the Staff handle the situation and I understand it might be difficult to disappear because you man the front desk. Do you have a sign you can put up that says "receptionist is away from the desk, will be right back" so you can leave then that way the resident doesn't have an audience so he can act up.
Do you know if this resident does the same thing with the other receptionists on the other shifts? Does he do the same thing in his unit's common area?
I noticed my Mom will be very stubborn if I am in her room, but after I leave the nurse/aide is then able to do what they need to do.
They may have the on set of dementia. I did have a nurse attend to him, but he refuses to go to his room to change.You cant make a resident do so m ethinf he doesnt want to in a NH. In this case , i dont understand, sonce its offensive to the whole lobby area. He comes out to lobby to sit so he cant be changed out there. The problem is there is one nurse who knows how to handle him by being creative in her answers and believe me i wished she was there! There are CNA 'S who either don't know or cant be bothered. Toss up. Im in the lobby as reception so I'll have to get creative with him my self then to move him to his unit. Thanks to all for your answers! Appreciate it..
I would let the staff know and then let them take care of it.
I have found that if I am standing by, my cousin will not function as well on some things. When I would follow her to the car after a doctor appt. she had more trouble getting from her wheelchair into the car. When I walked away, the attendant had no trouble with her. I'm not sure what it is. Distraction or something. But, I wouldn't try to handle it. Let the staff do it. They have lots of experience doing it.
I would ask about the incontinence and see if diapers are now in order.
Two people. One escorting on each side...helping patient up so staff can wash that area of the floor. Might work if you're very matter of fact and assertive about it.
I'm assuming the person has dementia since he/she is sitting in their own feces not wanting to change their pants.
Can you lure the person to their room? Whisper to them, "Can I talk to you for a few minutes?" then lead this person to their room?
Or maybe even tell them that they have a phone call, just to get them up. Then before they take the "phone call" lead them to their room so you can change them. Hopefully by the time you're done they will have forgotten about the phone call depending upon how severe the dementia is.
Get creative. Don't make it about changing their pants. Find some other way to get them to their room.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Do you know if this resident does the same thing with the other receptionists on the other shifts? Does he do the same thing in his unit's common area?
I noticed my Mom will be very stubborn if I am in her room, but after I leave the nurse/aide is then able to do what they need to do.
I have found that if I am standing by, my cousin will not function as well on some things. When I would follow her to the car after a doctor appt. she had more trouble getting from her wheelchair into the car. When I walked away, the attendant had no trouble with her. I'm not sure what it is. Distraction or something. But, I wouldn't try to handle it. Let the staff do it. They have lots of experience doing it.
I would ask about the incontinence and see if diapers are now in order.
Surely the NH has a procedure in place. What do they do...?
Eyerish is exactly right. Get creative.
Can you lure the person to their room? Whisper to them, "Can I talk to you for a few minutes?" then lead this person to their room?
Or maybe even tell them that they have a phone call, just to get them up. Then before they take the "phone call" lead them to their room so you can change them. Hopefully by the time you're done they will have forgotten about the phone call depending upon how severe the dementia is.
Get creative. Don't make it about changing their pants. Find some other way to get them to their room.