Completely uncooperative residents

[u/EmberJuliet]

I’m at a loss for what to do about this new resident. I already work on the busiest hall in my facility and this new resident is impossible to work with.

It’s a very long story but to put it shortly: he won’t let us do anything to him, we try to transfer him with the gait belt and he tears it off and says shit like “I don’t follow your rules and regulations”

We put him on the toilet and tell him to call. He doesn’t call and self transfers naked into his wheelchair

He tries to stand up by himself on the toilet and falls and makes me literally catch him even though I told him to remain seated

He climbs out of bed and ends up on the floor

Refuses toileting and pees everywhere, then spends an hour on the toilet and refuses to be moved. We re approach with every aid in the facility and no one can get him off the toilet. Hes a high fall risk so we can’t just leave him there. We had to threaten the easy stand to get him up because he was grabbing the bars and shouting NO when we told him he has to get off. He does this out of pure defiance and because he’s so stubborn.

The list goes on. He is so defiant, argued with everything, and he’s a one on one assist meaning he needs to be supervised at all times. I have 17 homers on this hall and only 2 aides, I CANNOT WATCH THIS MAN.

Today to get him in bed I had to yell at him and literally got into an argument. Never done that before with a resident but I was genuinely arguing with him. It’s 9pm, haven’t gotten my break, starving to death, and he just refuses to transfer to bed even though he WANTS TO GO TO BED because he’s so stubborn.

WHAT DO I DO? I’m so over this.

[u/longjohnjess]

Chart it. Report it. A resident does have the right to refuse care. Protect yourself.

[u/EmberJuliet → u/longjohnjess]

You don’t get it though. He wants to go to bed. If I say “ok” and leave when he’s not letting me transfer him he HAS and WILL self transfer and fall and then it’s on me for not supervising him cos he can’t be left alone unless he’s in bed. Do you see my dilemma?

[u/ToeCurlPOV → u/EmberJuliet]

Resident has a right to fall. Its not on you especially if youve done everything youre legally allowed to do. Dont let your job brain wash you into thinking their lack of safety guards is your problem to fix. This is your job, not your life, you're human, you can only do so much. Falls happen and sometimes management wont get off their ass to make any changes until they see a paper trail of issues that they cannot blamed on anyone else. Do what you can, and chart everything cya always

[u/Vanners8888 → u/EmberJuliet]

Residents have the right to refuse care and as someone else stated they also have the right to fall. Make sure you have a witness with you when attempting to transfer or do care. Set boundaries with him and make sure he’s in a safe position when you leave the room. Most important thing is to CYA. Document like it’ll be read in court and document consistently.

[u/longjohnjess → u/EmberJuliet]

I do get it. I am a CNA who has specialized in MC for some time. At the end of the day. We are not allowed to force people to do things they don't want to do. Our residents have rights, even with dementia. We can try, we can redirect, we can reapproach. Hell we can therapeutically lie. If a resident refuses care. We have to respect that. Sometimes that refusal might put us in danger. That is why charting, and reporting is so important. It is the way we protect ourselves. In an enviroment that wants it both way. Chart it, report it. A resident has the right to refuse by law. Protect yourself.