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Reply #258: What difference does it make, whether she had negative feelings or fears [View All]

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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Aug-27-10 11:54 AM
Response to Reply #251
258. What difference does it make, whether she had negative feelings or fears
in her younger years? What difference does it make, in the caregiver/patient relationship, if she was a racist, or is now seemingly racist due to brain deterioration? It doesn't. The only things that matter are this--a patient is lying on the floor, how do we help her up and assess her for injuries while not violating her wishes (distasteful and irrational though they may be), and how do we allow the CNA to effectively perform her duties and not be forced into a situation that violates her position's code of conduct? In a health care setting, patients are patients first and foremost--not bigots, or assholes, or nutcases, or homeless losers, or junkies, or criminals--they are patients, and they are not judged by their behavior or attitudes or current state of mind. They are dealt with as they come, not as we'd like them to be.

My quibble with this home is this: putting that "no blacks" order in the chart--the chart is a legal document, and the CNA's hands become tied to some extent. In most facilities, however, common sense rules, and informally the staff might arrange assignments to avoid such conflict, to accomodate both the patient's wishes and the staff's comfort, safety, and right to work effectively. I have seen this done many times. If a patient becomes nasty or upset by a certain gender or race of caregiver, or if they have a bad personal reaction to specific caregiver, you try to work around it. If it's unavoidable or an emergent situation (and yes, elderly found on the floor are emergent--many reasons why), then you do what you have to do according to your job description and license and hope the patient or family doesn't sue. In no case do you judge or treat the patient differently, the same standards of care apply.
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