Nursing Home Alert – Big-Time Alert Of Diapers And Nursing Homes
This is an article that everyone needs to read. The facts are these, that sometimes a nursing home will actually teach and train a new resident or patient to be incontinent. How does this happen? How can something like this happen in this day and age? I will type here how this happens with an example of a forty-five year old female patient who entered a nursing home for short term care for therapy.
Here is the story:
At the hospital, the patient was not incontinent, never had accidents and was able to sleep and live without wearing diapers, just like in the regular world. Then the hospital transferred the patient into a good nursing home so that she could get short-term therapy for an injury to her left leg. She would need the therapy, physical therapy in order to learn to walk again. She now had the use of only one leg.
Immediately when she got to the nursing home, the nurse, who would be caring for her, asked if she wanted to wear a diaper. The patient hesitated answering because she thought that question was odd. After all, she did not need a diaper, nor did she want to wear a diaper. The nurse proceeded to say things like, well, in case you have an accident. The patient was basically, politely talked into wearing a diaper while at the nursing home, even though it was against her better judgment to begin wearing diapers at her age since she did not need diapers.
As in all nursing homes and hospitals, when patients are wearing diapers, they are told to go in their diapers. After all, that is what a diaper is for, correct? So this patient, at times, would just go in the diapers, using herself to have a bowel movement, since she was wearing the diaper. What it amounted to was that it was easier to dump in the diaper than it was to get a nurse to come to help her out of bed, then help her to the bathroom. The patient became increasingly afraid of falling and was made o think that diaper would stop falls and the diaper would also stop the patient from calling the nurse to help her to the bathroom. After all, make the nurse happy because she is the one who will be around most, for emergencies and all.
But from the beginning with this particular nurse who talked the patient into wearing a diaper, the patient and probably many other patients were put in diapers for the convenience of the nursing home, not for the convenience of patients. The patient did in her diaper one day and the nurse became a little upset about what happened, and then the nurse convinced the patient that she had an accident. When indeed, the patient had no accident, but instead the patient dumped in the diaper BECAUSE she was wearing a diaper and because when the patients rang for help, they had to wait and wait for someone to come and help them. Family members witnessed how long it took a nurse to come there one day, just to change the diaper. So the nursing home gave so many mixed messages to the patients that the patients eventually became confused as to why the heck they were in diapers to begin with.
So, many times, nursing home patients are automatically put in diapers for convenience. The homes make the patients lose their dignity — they do not need diapers yet they are emotionally forced to wear diapers. This is a large, important issue that city officials need to look into. And when looking into it they need to realize that patients are reluctant to disagree with the nurses that give them daily care. So if a nurse even hints that a patient should wear diapers, guess what? That patient will be wearing diapers before you know it.
First, the diaper was put on for the sole convenience of the nursing home, and the patients were talked into wearing diapers IN CASE THEY HAVE AN accident. So patients complied by saying, okay, put me in a diaper. But what some patients did not realize was that by wearing diapers, that gave the staff more permission to not come quickly when the bell is rung because the staff knows the patient in in a diaper and they will not have to clean sheets if there is an accident. In other words, accidents are approved of, rather than having a patient in no diaper and rather than having a patient need to be escorted back and forth to the bathroom which TAKES more time for nurses to do, they encourage the patients to wear diapers.
By wearing diapers, ambulatory patients who just need assistance going to the bathroom, are encouraged to be LESS independent. They are now encouraged to stay in bed more simply because they are wearing diapers. The less bathroom trips , the more bed time, and the less bathroom trips, the less walking a patient does. After a week or so, the patients wonder why they are not as strong as they were when they were in the hospitals and no one makes the connection that the diaper is actually making them weaker and weaker because they are out of bed that many times LESS. As each day in the diaper passes, the patient becomes less independent and more dependent on staff to change diapers. nursing care minneapolis
This whole procedure is wrong. There are SOME patients that need diapers due to medical reasons , but for the most part, many patients are simply talked into wearing diapers for convenience. It is insinuated that if they are wearing a diaper they will not have sheets accidents and it is insinuated and implied that the staff will be happier with the patient if the patient is wearing a diaper. Happy staff equals happy patient, correct? Incorrect. Just because the staff is happy that they have so many less trips to the bathroom, that does not mean the patients are happier. The patients are taught and trained to be incontinent and they are taught and trained to be happy that they are wearing diapers JUST IN CASE.
What happened to your relatives in the nursing homes? Were they put in diapers for convenience? Are they still wearing diapers? Do they seem less independent now that they are wearing diapers?
I am not speaking about regular patients who NEED, who medically need to be in diapers because they are incontinent, I am speaking of patients who have not been and who are not incontinent, and these patients are politely convinced, persuaded by staff to be in diapers. And all the while the staff is politely insisting they wear diapers JUST IN CASE, the nurse says, if you want to , it is your choice. It is your choice if you want a diaper. She states that to the patient and keeps stating IN CASE you have an accident. Basically , she is instilling the idea in a patient that she will have an accident and it is better for the patient to have a diaper. The patient agrees just to please a staff member.
Yet the moment a patient agrees to please these staff members, that is the moment that the patient becomes less independent. And is not the purpose of rehab to have the patient MORE independent? So the nursing home is giving the patient a mixed message. The first message is that you are there for short-term therapy, and yet, you need to wear a diaper JUST IN CASE.