re: CT Nursing Home Lawsuits Involve Lack of PT

Karen — Sat, 20 Jun 2009 02:30:14 GMT

Was this man confused? If he was that is a contributing factor for his refusal. Also if the Price is Right is on a lot of patients will refuse therapy as well as a favorite soap opera.

Desiree, is three days enough time? Some will decide after three days to d/c, however we should be available everyday because maybe on the fourth day he would want therapy. If therapy is not offered everyday how do we know he does or does not want it.

If the patient does not like the particular therapist is also a contributing factor. Were other therapists available to assess the patient.

Patient care does not start and end with the CNA's. If a therapist takes ownership in a faciity they will see a need and fill the void (within reason). Walking a patient to the rest room when asked is within reason. You don't need to assist with everything else as long as nsg knows where the patient is.

If therapy is ordered and is not provided who is a fault?

re: CT Nursing Home Lawsuits Involve Lack of PT

desiree — Tue, 16 Jun 2009 02:53:17 GMT

I would document his refusals and inform the charge nurse,possibly come back at a later time.If he still refuses after more than 3 days,i prb.would d/c him from skilled PT services. while under my care,i would try to explain to him why skilled PT services are warranted,but also keep in mind that it is the patients right to refuse..everything should be well documented. as far as the resident needing help,the CNA should attend to the patient,so it sounds like negligence on the nursing aspect.