So if many of you read my previous post....I had an issue yesterday. The family that I'm dealing with is giving me problems and is beeing extremely rude and disrespectful to me. The one member accused me of neglect when I asked if the cliant wanted to be changed and she said no. My parents are both RNs and they told me I did the right thing in charting as refusal. Then before I left for the night that same member threatened me. I do my job very well. What else can I do.?

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Document and talk to your supervisor.

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That’s a hostile work environment. So legally if it’s gonna cause you stress you can quit and work for another family. Life is too short. Just make sure ur documents are in order in case of something that could happen.

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For sure you should report it to your supervisor immediately. Abuse or threats are never okay.

Is the patient alert and oriented?
Does the patient know when they are having moments of incontinence?
have you tried a different approach?
example: hello Mrs. Patient before I go I'm gonna go ahead and check you to make sure you are clean and dry. I don't want to leave you soiled because it will cause skin break down.

report to your supervisor because if no care is being provided at all then what are we truly there for?

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Great questions! Not enough info to pass judgment:) I can tell you from experience many times, folks who tend to be confused, are going to say NO when you ask them if they want to take their shower or to be toileted. The whole point of hiring caregivers is because that person is unable to make appropriate decisions on their own and they need the caregiver to help redirect and provide that care. These are intimate tasks that can be uncomfortable if you do not yet have a trusting relationship with the patient. Since I don't know the situation, I will refrain from judgment on either part. What I will say is that if this were in a facility and a state surveyor found residents soiled after having refused care and there was no other intervention attempted than that facility would be cited for neglect leading to costly fines$$ Same, for home health. Yes, residents have rights to refuse however, it is our duty as care givers to provide for those basic needs ie, hygiene so we may have to become creative with how we accomplish this task. If you are having difficulty, talk with the family to adjust the care plan. Ask for suggestions on how they or others have dealt with certain behaviors. No, they should not be rude but we are suppose to be the the experts so try and put yourself in their shoes and be empathetic. It's amazing how quickly a client can be won over by going over a above from time to time. You should talk with your manager about additional training if you choose to continue in this profession that could be helpful.

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Ask for your nurse to assist during your changes. They are your immediate supervisor. Then the nurse has to document also and have a care plan for resisting care.

likehelpful

I'm sorry you’re going through that. You handled it right by charting the refusal. Make sure you document the threat and report it to your supervisor or HR for safety and support. Don’t deal with this alone—escalating the issue ensures you're protected.

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You shouldn't work in a place where you are threatened. You should definitely document it and talk to your supervisor. It really shocks me how rude people will be to home health aids. You are caring for their loved one, why would they be so mean?

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Definitely make sure you're keeping solid records of what's happening. And document those interactions and alert the people you work for. If you're being threatened you need to put that on the record and either have yourself reassigned or have some intervention from your management.

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If you are working again, can you ask for a different assignment?

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Document, Document, Document. Then talk to your supervisor and seek reassignment.

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Chart refusal, report to the nurse, exec, director and/or state if applicable. Also if you notice any sores (ulcers) on her as a result of being soiled d/t refusals, definitely report it to the health department as it is a sign of neglect on behalf of the family member.

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I’m not always the quickest with responses when I’m in them situations because I’d never treat anyone like that myself,. So when the moment I see that family I grab a coworker that has a bit more attitude to accompany me to the room. When there’s 2 nurses they tend not to be so rude.

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My Question is this: you apply for a job that says Urgent and you wait to hear from them.They respond with the standard blow off " we are going with someone with more experience" that says to me that they didn't even look at my resume because I have 25 yrs experience, maybe they wanted 26 😡

I would kindly ask if you have done something to offend or upset them? If they say no, then kindly respond with something along the lines of “Well I wanted to make sure because I was feeling some hostility from family members. If had, I would want to have the chance to rectify the situation. If I haven’t, I would appreciate if people could refrain from negativity.” That will give you one of two possible answers. They will either deny it, and follow it with a “well stop”, or they will say yes, you have, and then you apologize and ask what they would like to see done differently.

Y9u can leave and ask for a different assignment.

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