Sunday, August 31, 2008
On occasion, this resident will ask for something: pop, water, bananas. Or they'll tell you they want to get up or go to bed, but this is rare at best. The other day, however, the resident looked at one of our male aides and said, "You need a shave." And he did. I told him he'd better go shave because if the resident commented on it, it needed to be done. He promised the resident he'd shave before coming to work again.
I hope I never stop being amazed.
Saturday, August 30, 2008
"But you can't help it," I said.
"No. You can't."
"They should go to hell and mind their own business," I said.
She laughed. "Yeah. They should."
I'd like to know who made her feel bad about being incontinent. Don't they think she feels bad enough about it? Who wants to be wet all the time? Who wants to smell like urine until someone comes to clean them up? Who wants to have someone else clean them up?
This is another one of those Karma issues. I wonder if they'll remember how bad they made her feel when they're lying in their own urine, waiting to be cleaned up.
Friday, August 29, 2008
I don't know how it normally is, but all my experiences with skunks have been just like that. They don't seem to be afraid of humans. They aren't aggressive toward them, but it doesn't seem to bother them that we share space with them. I've even had them continue walking toward me after they've seen me instead of walking away. My understanding is that if they stamp their feet at you, you'd better head for the hills, though.
Thursday, August 28, 2008
- Take a deep breath
- Make sure their call light is easily reachable.
- Make sure their water/other drinks/snacks are easily reachable.
- Make sure their telephone is easily reachable.
- Take out any dirty clothes or trash.
Resident's can fall out of a bed trying to reach for things that are too far away or they can trip over a sock dropped on the floor. You would be amazed at how easily they can hurt themselves doing things that you do without thinking. Sitting up in bed is sometimes a huge challenge in itself. I think we all learn this stuff the hard way, but it would be better for all involved if we didn't.
Wednesday, August 27, 2008
I'm only thinking about this because some nurses seem to think that they shouldn't give antibiotics to a DNR. Sorry, I call bullshit. DNR doesn't mean that the resident has to suffer. DNR means that if they are crossing over, we don't try to stop them.
Tuesday, August 26, 2008
verbatim into my notes. It made me think real hard about how it is to deal with someone who's dying and may or may not acknowledge the fact.
Sunday, August 24, 2008
The worst thing is trying to calm a resident who's convinced we're doing nefarious deeds behind closed doors. What do you say? They think you're lying when you tell them that you're not making hamburger out of people and serving it to them for lunch. What ended up happening is that the charge nurse called the doctor who allowed the resident to have a pill for agitation. Two hours later, the resident was in bed. I hope they slept through the night and are feeling better today.
It's like a domino effect. One falls, tipping the next one over until eventually they're all lying flat. I wonder if by medicating that resident we broke the chain. I hope so. We don't need two nights in a row like this.
Saturday, August 23, 2008
Friday, August 22, 2008
Tuesday, August 19, 2008
Patrick on Guitar, me singing.
58 songs. (I sang all but one.)
4 1/2 plus hours.
Finished at 1:00 a.m.
Only missed getting 25 stars.
We have Legendary Status now.
If you see me online, Fear Me.
Don't know if I can talk today because I haven't tried yet. I couldn't last night.
Monday, August 18, 2008
My answer was "I have."
Fifteen pounds so far. Another fifteen and I'll be at my goal (which is still on the heavy side for my height, but I think I need a little extra weight to do this job. Being a CNA requires a power lifter's body, not a fitness model's.)
The key is not taking in too many calories and getting exercise outside of work. This job will help you lose weight, but it won't do all the work for you.
Saturday, August 16, 2008
I had one of these conversations last night and I went ahead and reported it to the charge nurses. They told me the resident had been having chest pains the night before and that the last time they had the angina, two days later they were sent to the ER. Could be a connection... or it could just be the full moon.
Thursday, August 14, 2008
- Don't ever wish that a difficult resident would change.
Because the truth is that they will change, but it will not be for the better and likely it will be a precursor to their death. They may be easier to handle and less combative or they may not. In any event, wishing for that kind of change in another person is counter productive. Big changes in nursing home residents seem to lead to their ultimate demise. Wish for more patience and knowledge to deal with the devils you have rather than wishing for the devils that you don't.
Wednesday, August 13, 2008
Tuesday, August 12, 2008
Monday, August 11, 2008
"Hi," I said. "Can I take your vital signs?"
"Well, sure," says Resident A.
"You can take mine, too," says Resident B.
"OK," I said. "I'll take Resident A's first so I can keep them straight."
"She's gonna keep us straight," says Resident A. "She's gonna make us walk the line."
"Resident A, are you teasing me?" I asked.
Resident B looks at me and says quietly, "No, she's not teasing you. She's just..." and shakes her head, tapping the side of it with her index finger.
Saturday, August 9, 2008
It was from a resident.
The two best parts of the story?
- The administrator initially gave them an application for a CNA instead of a CMA. After the resident filled it out, they realized it was the wrong form. So, they read the administrator the riot act. "How can you run this facility if you can't even read well enough to hand out the correct applications to people?"
- The reason for leaving their last job. "I had a stroke and lost my memory."
Friday, August 8, 2008
Back to CNA blogging tomorrow.
Monday, August 4, 2008
On the other hand, some of the residents LOVE it. At least the ones without breathing problems. The one's with breathing problems stay in their rooms with the doors closed and the air conditioning full blast. The rest of them open their windows and let the heat in. For a little while, they're not cold. That is until it's time for supper and we have to go down "freezing alley" to get to the dining room. Traveling down the hallway always gives them the shivers.
Despite the heat, I have some residents who just can't get warm. One of the ladies had two sweatshirts on yesterday. Meanwhile, my hair was wet with sweat when I took it down after work last night. After a couple minutes, I had to go sit outside to wait for my ride because it was too cold to stay indoors.
Sunday, August 3, 2008
Surprisingly, I'm not really sore this morning. Usually after a couple days off, that first night of work makes me all crunchy the next morning.
Bunches of stuff on my mind. I am going to make myself a list since I can't ever seem to remember any of it when I sit down to blog.
A few of them:
Do Not Resuscitate v/s Do Not Treat
The Dying Person's Bill of Rights
Some nurses need to take customer service training
Random thought to end this post:
I've been really good today. I haven't sworn, lost my temper, had a beer or eaten too much. But in a few minutes, I'm going to get out of bed and then I'm really gonna need your help.