tag:blogger.com,1999:blog-8489009971732520747.post3236522535860716503..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: CareThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-8489009971732520747.post-88340363825671344042009-04-06T20:00:00.000+01:002009-04-06T20:00:00.000+01:00Have any of you actually tried to get medication i...Have any of you actually tried to get medication into someone with dementia who is refusing?<BR/><BR/>I get many patients with dementia on my hospital ward. <BR/><BR/>If the "crush the pills and put it in food" doesn't work then you are screwed basically. <BR/><BR/>Many pills are modified release so they cannot be crushed. Some do not come in syrup form. Some are huge and cannot be crushed nor do they come in syrup form or dispersable. <BR/><BR/>Many medications are impossible to safely get into the refusing patient with dementia without harming them or choking them.<BR/><BR/>If it is pain medication you can get it in a patch form...but other than that it is impossible. Impossible.<BR/><BR/>Now if someone like this is my only patient then I can spend the day trouble shooting and coaxing him. There are a million different strategies I can try. <BR/><BR/>But if I have 20 people due to have their medications at the same time and only a short window to administer how much time can I spend arguing, coaxing, and forcing without harming my other patients even more?<BR/><BR/>The incontinance situation is just bad however. It doesn't matter how aggressive a patient with dementia is or how hard they hit us. They get attended to and remain as clean as possible.<BR/><BR/>I often have patients with dementia who are full of pressure ulcers but they scream and hit and say no when repositioned every 2 hours. It still gets done as pressure ulcers are horrible and get even more nasty if positional changes and hygiene needs are not met.<BR/><BR/>But the medication things stumps me. Sometimes it really is completely impossible. The nurse should still try at every opportunity. But if they try and fail and have other patients to attend to.....Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-6173878133812895692009-03-30T12:42:00.000+01:002009-03-30T12:42:00.000+01:00Do the Consultant-thing for as long as it takes to...Do the Consultant-thing for as long as it takes to satisfy you. I can only imagine how livid you are.Milk and Two Sugarshttps://www.blogger.com/profile/17960085813041665939noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-21319558578549083512009-03-30T09:20:00.000+01:002009-03-30T09:20:00.000+01:00Just abysmal practice. And not even bad practice t...Just abysmal practice. And not even bad practice that can be excused due to lack of staffing or resources, by the sound of it.Spirit of 1976https://www.blogger.com/profile/10314554889217669727noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-30063563725579691302009-03-29T15:38:00.000+01:002009-03-29T15:38:00.000+01:00To me, that seems like a perfectly acceptable reas...To me, that seems like a perfectly acceptable reason to get angry. <BR/><BR/>The Girl said what I was going to say, in that they seem to be turning patient autonomy on its head, and using it to be as lazy as possible instead of using it to promote the patients' well being. <BR/><BR/>There needs to be some disciplinary actions here, so I'm glad you're there to shout a bit and get some things worked out.XEhttps://www.blogger.com/profile/02522455400636588309noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-74316626952873912072009-03-29T14:24:00.000+01:002009-03-29T14:24:00.000+01:00Thanks for the kind words. I would be horrified i...Thanks for the kind words. I would be horrified if I were in that situation. I'm not as good as I should be at professionalism in those kinds of situations. I hope you and/or those involved (social worker) called CSCI too. You can tip off anonymously if necessary. Often they haven't got a clue what is actually happening in residential homes (and nursing homes) - especially as they have moved to 'desk' inspections now - but I won't start on that as I can feel my blood pressure rising as I type.Cathttps://www.blogger.com/profile/12652768793937457682noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-25486745145737675402009-03-29T14:21:00.000+01:002009-03-29T14:21:00.000+01:00that is horrible. I'm so glad that you are there ...that is horrible. I'm so glad that you are there for this poor man.<BR/><BR/>My Mum was sent to an EMI home when she became demented. She absolutely hated it. At the time it seemed an OK-ish place (as so called "care homes" go) and had reasonable CSCI reports. But I went back to look again at newer reports around a month ago, and it seems to have gone downhill badly since Mum died in 2007. The report was OK just after Mum died, but the latest one is appalling.<BR/><BR/>It's such a shame that our parents have to live out their last days in these places. BTW I am disabled, so wasn't able to look after my parents myself. I still feel bad about that.<BR/><BR/>Your blog is amazing - I am always glad when I see it has a new entry in my News Reader. Thank you so much for writing on these very important topics.<BR/><BR/>Best wishes from sunny LiverpoolMaggiehttps://www.blogger.com/profile/13630530599678517169noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-67366036616583729002009-03-29T13:31:00.000+01:002009-03-29T13:31:00.000+01:00Like K, am glad you are there and prepared to inte...Like K, am glad you are there and prepared to intervene. <BR/>Hope you manage to get at least some changes made.Disillusionedhttps://www.blogger.com/profile/03250678226289036634noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-86526570960345802102009-03-29T13:17:00.000+01:002009-03-29T13:17:00.000+01:00I am so glad you are there to get angry, Shrink. S...I am so glad you are there to get angry, Shrink. Seems that anger is possibly overdueKathrynhttps://www.blogger.com/profile/09171138485811816831noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-56694360170374984182009-03-29T12:26:00.000+01:002009-03-29T12:26:00.000+01:00Disgraceful, utterly disgraceful.They should be ha...Disgraceful, utterly disgraceful.<BR/><BR/>They should be hauled up before a disciplinary hearing of the GNC.Elainehttps://www.blogger.com/profile/06847149482684623481noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-56274868917784721102009-03-29T11:56:00.000+01:002009-03-29T11:56:00.000+01:00That is tragic. I hope you give them an (entirely ...That is tragic. I hope you give them an (entirely appropriate) piece of your mind.<BR/><BR/>IMHO, they are using the patient's non-compliance/adherence as an excuse for their own laziness. <BR/><BR/>Does the poor patient have any family?The Girlhttps://www.blogger.com/profile/02368935358031860432noreply@blogger.com