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Depends on what it is. I like to picture what I did as a news story…if I’m comfortable with the world knowing what and why I did something (reasonable, rational, common sense) then I can “justify” my “flexibility” with the rules as wisdom and discernment.
Depends on what and also agree with the last person. But overall just be careful bc you’re responsible for these peoples care and you don’t want to allow anything that could cause harm. Just remember that there are rules for a reason even if they don’t all make total sense in the moment and these peoples family are trusting you with the care of their loved one.
Chief
No poor things I am with you ! Let them live whatever time they have left !
If they want to stay up an extra hour to watch an old Bonanza on TV, sure. Live a little. If they want you to pop out to the liquor store for a 5th of Jim Beam so they can drown their sorrows, no. The potential for harm outweighs the live-and-let-live. If they want to do something you know is bad for them, you have to be the caregiver and tell them why they can't do that. It's hard, especially if this is a "homestretch" situation, but you know what's best and why it's best. Do what is best for the patient.
I would say it depends on the situation. If it is something innocent that won't harm them (i.e. sneaking them some ice cream) vs. something that is a safety issue I don't see the harm. It must be a scary and depressing time for them so I'm sure little extras can go a long way in making the patient feel better. You have a tough job. I give you a lot of credit. Just be careful in your decisions.
When I worked in a NH we had patients with odd exceptions to the rules. One drank every single night and yes the NH did his shopping ..but this was at his request and clearly noted as an exception in his chart.
When we are old..we will all have different interests, wants.....to be out in a NH and everyone does the same thing every day with no exceptions for who you are is a terrible existence. It was one of the good things I admired about that NH...that they cared and did make accommodations for what is important to that person.
Chief
I love that !
Patient centered care! People have a right to live at risk, unless they have concerns with capacity. Patients also have rights, something to remember when trying to reinforce policies or limits to ensure that their rights aren't impacted.
Not dumb at all. Let them free to be