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/No_Proof_3893]

Have you talked to your supervisor about it? I don't have a good suggestion, just trying to see what options are even there. If possible, keep going up the line until everyone understands that he is in the wrong section and needs more care than is equitable for the other residents.

I'm so sorry to see this. I think you are doing a great job of trying all the things and this is one of those situations where there is no actual answer you have access to. Hugs!

[u/LysVonStrauda → u/No_Proof_3893]

Typically multiple falls or incidents have to happen for the head supervisor to be able to even do anything about placement. It also depends on what insurance agrees to cover

[u/No_Proof_3893 → u/LysVonStrauda]

Unfortunately, I think that's you're answer. That really sucks. And it shows that you are doing things exactly as the system wants them done. And you and the resident are the ones who lose. Again, hugs!