Monday, 27 August 2007
patient with dimentia
In my rural prac, i had a patient who needs transfer assessment for discharge. She has early stage dimentia. She is 1xminimum assistant supine to SOEB.I thought that a bed rail will be benefitial for her transfer at home sinceshe lives alone. However, she refused it and stated that she can 'grabeon something' to sit up on the edge of bed at home like a walking frame.I told her that it is not safe and she said 'I will grabe on something else'. I told her that (according to her son) she has nothing at hometo help with bed transfer. Then she said she will grabe her frame. I I dont think I am going to win this case because she will just simply goon and on around the circle with me.Anysuggestion here?
Subscribe to:
Post Comments (Atom)
1 comment:
I find that dementia patients are often the most challenging as you are never able to become a familiar face to the patient. Perhaps your patient may have a family member or friend that your patient is familiar with. If so, next time ask if they can sit in on your treatment session and maybe they will be able to convince her to have a bed rail put in. Get them to explain the advantages of the bed rail to her and ask her to trial the bed rail with you for one treatment session. Maybe once she is convinced that the bed rail is useful and that it is not disturbing her surrounding environment she will be able incorporate it at home. Just a thought although you may have already tried this yourself. Good luck!
Post a Comment