Mr Garcia has had no choice but to put his wife of 40 years in the care of a nursing facility.  He loves her dearly and visits her for a few hours every day.  The problem is that Mrs Garcia has signs of early dimension and doesn’t really know what’s going on around her.  Her nurses and aides take advantage of the situation only when Mr Garcia is absent.  

The nurses and their aides completely undress Mrs Garcia in the morning with the blinds open and show her no respect in her acticvities of daily living.  As a student who is learning how the nursing facility works and as someone who doesn’t want to cause problems, what are the steps that you could discretely take to make sure that Mrs Garcia gets the care that Mr. Garcia would like her to receive and how do you think that Mrs Garcia currently reacts to the care that has been given to her.

(Make sure to use what you have learned in class today as far as chain of command, privacy, and dignity.  Also, when thinking of a response, make sure you respond with empathy to Mrs Garcia’s situation)

29 Responses to What would you do?
  1. As a new student to the nursing facility, I would talk to the higher chain of command at that facility, so I would speak to the charge nurse about the issue I have seen. The nurses and their aides have completely taken advantage of Mrs. Garcia who is confused and unaware of her new environment. The nursing staff at that facility have neglected taking care of her properly. The nurses and their aides should always close the door, blinds, and curtains when caring for a resident. Mrs. Garcia deserves proper privacy when being cared for. Mrs. Garcia may be experiencing a loss of dignity and feels exposed when the nurses undress her with the blinds open.

  2. I would go to a nurse who is also working with the patient and let them know of the situation. While helping change and take care of her I would first make sure the blinds and doors are shut to give her the privacy she needs and make sure that she is comfortable the situation before taking any further steps in the process.

  3. In this sort of situation, I would report this problem to the nurse that takes care of Mrs. Garcia. If that nurse is the one abusing her, I would go to the night time nurse. When it comes to taking care of Mrs. Garcia, I would go ahead and close the door and the blinds to give her complete privacy. Then I would ask her if she was comfortable enough to continue helping her get cleaned up.

  4. In this sort of situation, I would explain the problem to whichever one of the nurses taking care of Mrs. Garcia that is not the one taking her for granted. When taking care of Mrs. Garcia, I would make sure the blinds, doors, windows, etc. are all closed to give her the privacy that she deserves as well as making sure she is comfortable with everything I would be doing. Mrs. Garcia probably feels a lack of privacy and that she is being taken for granted but due to the dementia, is unable to voice what she really thinks or has a hard time remembering that happened for her to tell others, such as her husband.

  5. In this situation I would probably talk to another nurse on the floor about the unacceptable care. I would make sure that someone who is higher in the chain of command could take over the situation and make sure Mrs. Garcia gets the best care that she can. I think that Mrs. Garcia probably feels neglected and is disappointed with her care. She probably feels scared to accuse her nurse of bad care even though it is her right to have better care then she is getting.

  6. I would tell one of the nurses who are not involved with the situation and tell her everything that has been happening. If I was the one helping Mrs. Gracia get dressed I would first knock on her door and ask if its okay to come in, and then say my name so she knows who it is and then greet her by her preferred name and proceed to explain to her what I am doing. After that I would close the door and shut the blinds to make sure she gets the privacy she deserves. I would make sure she is comfortable at all times and proceed to helping her clean up. Even if Mrs. Gracia wasn’t aware of what was going on I’m sure Mrs, Gracia did not like the way the other nurses were treating her and found it unpleasing.

  7. If this were to be going on I would tell the nurse in care of that patient, and if that nurse is the one mistreating the resident I would then go to the second shift nurse. Say the issue is on going and is created by multiple nurses/ CNA”S then I would go to the director of nursing. While taking care of Mrs. Garcia I would make sure that she has the proper privacy in her home and that the door is shut and that the blinds, and curtains are closed. I would make sure the resident is very comfortable, and I would let the resident know what I am doing and continue to help her get cleaned up.

  8. In this situation I would report to the nurse and make her aware of what is happening with Mrs. Garcia’s privacy and treatment. When taking care of Mrs. Garcia I would make sure the door is properly closed as well as the blinds so she feels safe and that she has as most privacy as possible. I would then ask her if she is comfortable enough to proceed with getting dressed and any further cleaning procedures that are necessary.

  9. Since the nurses and aides are abusing their power, I would go to the Director of Nursing because the chain of command lists them as above the nurse and the aide. I would make sure that the blinds are closed while she is being dressed, to provide privacy. I would also make sure to treat each of her daily living activities with respect, allotting enough time for each activity. This would make Mrs. Garcia more comfortable because she is given the privacy and dignity she deserves.

  10. Because the nurses and the aids are the ones abusing their power, I would go above the nurse’s head to the Director of Nursing to explain to him/her the patient’s rights that are being violated. Mrs. Garcia must feel uncomfortable in her own home because the nurses are not giving her the privacy she deserves by not closing the blinds while they help her change. Mrs. Garcia is in a very vulnerable and confused state, and if she is not given the respect she is entitled to, she can become very frightened and agitated. As her aid, I would make sure to close the blinds and doors while helping her change. I would make sure she was comfortable with me and open to me and assisting her with her activities of daily living. I would let Mrs. Garcia perform the activities of daily living that she is still able to carry out so that she can still feel some sense of independence.

  11. If I were dealing with a situation like Mrs. Garcia’s, I would report the issue to the nurse on staff unless she is the one who’s abusing the patient, then I would report it to the second shift nurse so she could report it to the DON and fix the situation. While taking care of the patients, I would make sure to close the door and all the blinds giving her the privacy she deserves. Once I do that, I’d ask her if she is comfortable and finish helping her get ready and cleaned up.

  12. First I would go to the night nurse to discretely address the situation. If nothing changes and the problems persist, I would go to the director of nursing and explain the problem and the mistreatment given to Mrs Garcia by her current nurses. I think that Mrs Garcia feels embarrassed and uncomfortable because she is exposed in her home. I’m sure Mrs Garcia feels helpless and confused, and upset that she cannot trust or rely on her nurses. As her aid, I would respect her and her privacy, and make sure she was as comfortable as possible. I would allow her to complete everyday activities if she was capable and give her the utmost respect.

  13. Because the nurses and the aids are the ones abusing their power, I would go to another nurse and explain to him/her the patient’s rights that are being violated. If the situation does not get taken care of by the other nurse, I would go to the Director of Nursing. Mrs. Garcia must feel comfortable in her own home but because the nurses are not giving her the privacy it has untimely become a violation. She deserves to have privacy by having her blinds shut when being undressed, which the nurses did not do. Mrs. Garcia is in a very vulnerable and confused state, and the nurses took advantage of that. As her aid, I would make sure to give her respect for i am in her home. I would close the blinds and doors while helping her change, and also let her perform the activities of daily living.

  14. I would first report my observations to the nurse and if he or she didn’t do anything and the pattern of poor care continued I would report to the director of nursing. While I was caring for Mrs. Garcia I would make sure to ensure privacy and respect her wishes. I would do my best to gain her trust which may have been damaged by other caregivers. I would explain the care I would be giving her and encourage her to do things to the best of abilities. She is a patient and deserves the correct care, respect, and privacy any person expects in a nursing home.

  15. I would first ask the CNA if I could assist in closing the blinds, and making small changes in his/her power to better the care for their patient. If this does not work, I would go to the charge nurse to report my findings about the abuse of the resident’s rights.

  16. First i would go tell a nurse that is trust worthy and tell them of the other nurses who are not taking good care of the patient. When taking care of Mrs Garcia I would knock on the door and when entering the room I would address her with her name and let her know its me coming in. I would then let her know what Im doing and make sure to close any blinds or curtains. I would respect her privacy and any of her comforts or anything she doesnt like. I doubt she reacts well to any of the care she currently gets with the other nurses. She is most likely uncomfortable.

  17. The first thing I’d do would be address the issue to the nurse in charge. The problem of the situation is Mrs. Garcia most likely feels uncomfortable in her own environment and that’s something that shouldn’t happen. You have to respect her privacy when coming into someone else’s living environment. You have the address the situation with the proper steps that are needed to take proper care. Which includes knocking on the door and letting them know what you’re there for. Before undressing or taking care make sure the blinds and the curtains are closed to help make them feel more comfortable. With that state of Mrs. Garcia she might not comprehend that issues so it’s defiantly needed that you’re following the steps and make sure everything is how it’s suppose to be.

  18. First, I would talk to the nurse in charge and inform them of the issue so that they know about the violation occurring. If that nurse happened to be the one abusing Mrs. Garcia, then I would go to a nurse that is higher up on the chain of command. The nurses should be respecting Mrs. Garcia’s privacy and properly taking care of her.

  19. First, I would try to help the CNA to close the blinds and discretely make changes that would better Mrs. Garcia’s care. If that doesn’t work, I would talk to the charge nurse who is responsible for Mrs. Garcia. That way the superiors of the CNAs would be aware of the violation of privacy and dignity of the resident.

  20. First, I would report to the charge nurse of the abuse that this patient is receiving. I would also ask the nurse that is taking care of Mrs. Garcia if I could help assist her while she is being changed by closing the blinds or door depending on the situation. Mrs. Garcia is in a new environment and deserves the same treatment that she would be receiving when her husband is present.

  21. In this situation, I would tell a nurse that is not taking care of Mrs Garcia what is happening and how the other nurses are treating her. Mrs Garcia most likely feels violated or uncomfortable, though sometimes she may not understand what is happening to her. Mrs Garcia deserves her privacy which includes closing the blinds when she is changing, always closing the door. When taking care of Mrs Garcia, I would always knock before entering, let her know what I am going to be doing, and respect her privacy at all times. The fact that Mrs Garcia may not be aware of what is happening to her is a bog issue that should be addressed and take care of.

  22. The nurses and aides are the ones abusing Mrs. Garcia, I would have to go higher up on the chain of command, the director of nursing. When speaking to the director of nursing, I would report everything that I have seen that violates Mrs. Garcia’s rights. As nurses and aides, we are supposed to provide privacy by closing all doors and shutting all blinds, which they did not do. I am sure Mrs. Garcia feels extremely confused and violated because her rights are being violated in her own home. As her aide, I would make sure she knows that I am listening and understand that problems that she is experiencing.

  23. Knowing that Mrs. Garcia’s rights are being vioalated, I would go to the charge nurse (unless The charge nurse is the one violating her rights) and tell them what’s going on and remind them of Mrs. Garcias rights and how she has no idea what’s going on sometimes because of her condition. It is very wrong to violate her privacy like that as well as mr. Garcias trust. Mrs. Garcia most likely is just confused and emabarrassed. If I were to take over and help Mrs. Garcia, I would make sure I knocked before I came in, and I would make sure I closed the blinds before undressing her. Afterwards I would make sure she had everything she needed and I would ask if she would like the blinds reopened before I left.

  24. First I would report my observations to the charge nurse. If the charge nurse does not take action then I would then report to the director of nursing. I would explain to the director of nursing that Mrs. Garcia’s rights are being violated and that she is being taken advantage of. When I would take care of Mrs. Garcia I would make sure she is constantly aware of what I am doing so that she is not confused. I know she is probably feeling embarrassed so I would make sure to be empathetic, caring, and respectful. I would always make sure the blinds are shut when undressing her, knock before I come in, and I would make sure she is able to participate in any daily activities she wished to do (bingo for example). When caring for Mrs. Garcia I would make sure she is comfortable and guarantee privacy.

  25. The first thing I would do as a student learning is address the situation to the nurse in charge and explain to her what is going on between the nurses and Mrs. Garcia. It is not a good thing to violate the rights of Mrs. Garcia due to her being a woman that cannot function the same as she used to. She is most likely very confused what is going on around her due to her showing sign of early dimension. If I was the nurse in charge of Mrs. Garcia, I would knock on the door and identify who I was before I came in. Due to all of the other nurses that unaddressed her about the blinds being open, I would make sure that the blinds are whatever Mrs. Garcia prefers them to be instead of leaving them open without addressing it to her.

  26. Being a trainee, I would go up the chain of command starting with the charge nurse until the violators were stopped.

  27. I would make sure Mrs. Garcia gets the care and aid that she deserves. Nobody deserves to be treated like an animal, no matter what the consequences are. In this case, Mrs. Garcia is a nice lady that simply needs help, not abuse. I would report this to the nurse and see what she has to say about it. If the nurse is the one causing the problems, then I would look for the people of the higher chain and report it to them. Nobody deserves to be abused.

  28. As a student just learning, I would report this to Mrs. Garcia’s nurse or second shift/night time nurse, depending on who is abusing her. I would make sure this issue is taken care of with the DON because her right to privacy is being taken from her. I’m sure that she has no idea what is going on or that she is being treated poorly, but this is not the kind of care that her husband is paying for. I would make sure she has complete privacy whenever necessary.

  29. If i witnessed that I would go to the charge nurse first to talk about the problems Im witnessing with the nurse and then if no changes are made If go up the chain of command and talk to the DON talking about how I saw the patient getting her privacy rights ignored and being abused or neglected and then I would talk to mrs Garcia and make sure I can do whatever to make her feel comfortable and safe


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