I have a patient on my caseload who is my first really confused patient. She has a #NOF and has been in hospital about 1 week. This lady is a real handful, she will not move out of bed at all. Initially this was because of pain, but now she has become very stubborn and will not move for anyone. The physio and myself will go into her room about 2-3 times per day and spend anywhere from 10-20 minutes trying to convince or "trick" her to get up, but she wont budge and despite our best efforts she is now developing a chest infection.
I consider myself a rather patient person, but this lady has been very trying. It is a difficult situation because I know she needs to mobilise to get out of hospital and not end up in a nursing home. But we need to have some form of consent to be able to help her with this. When we try a 2x max assist but she fights it and screams for us to stop every time despite us giving her all the advice and education we can. Its dissapointing to think that she could have been back at home already had she not developed this confusion and that there isnt a lot more that I can do to help her, even with all of her physio-relevant impairments...but i guess that happens sometimes.
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3 comments:
That sounds fair enough as your trying all you can to help her and she is not willing it definetely isn't your fault. The best you can do whilst she is on your ward is keep persevering from my persspective and hopefully she eventually complies.
Has she been assessed for any other underlying condition? Parkinson's...etc...
is this confusion, very all of a sudden, as in during her inpatient stay, did she used to very cooperative and then all of a sudden change behaviours??? if so have the nursing staff or any other staff member considered a UTI?? especially in the elderly, this can often be a cause of an acute onset of confusion...
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