How do you move a resident in a NH sitting in a common area who has defecated in their pants, but refuses to be changed?

When I worked as a CNA and later when I had a dear friend with Alzheimer's, I noticed when there was a diaper that needed changing, if the CNA's or nurses could see a family member in the room, they waited to see if the family would change the patient. If a member got up and said "well I'll do it" "they're not coming yet" they will wait until you walk out in the hall and tell them they need to change the patient before they will come. I don't know if it's laziness or they just don't want to change the patient and have to clean them up, but it seems like they wait to see if anyone else will do it. It's nasty work trust me. I had one patient once, that waited until I changed her wet diaper and once I put a dry one on her, she would then have a BM all over herself! Wouldn't tell me at all. Made her husband so angry that he'd walk out when she did that because it embarrassed him. He'd go sit out in the lobby for awhile before returning to the room. I never saw another nurse in there cleaning her in all the weeks I took care of her. If you have a resident in a NH sitting in a common area and they have just had a BM in their diapers, I would suggest calling 2 of the CNA's to come take the patient to their room and take care of the matter. Talk to the head nurse on duty for that shift and see if she can help you move him to the room.

Why do you say that this resident does not have dementia? This behavior of sitting in pants with feces in lobby, sounds very much like dementia or some kind of mental health issue. The facility is responsible for either finding the proper method to attend to him or locating a place that can better serve his needs. What do the visitors do? I would think that kind of thing would only happen a couple of times, before family members were up in arms. And I don't think their excuses would do much good.

Sometimes I think that resident's rights is used as an excuse to not do the right thing, and instead to let them do as they please. If this can include sitting there in poopy pants and offending everyone else I wouldn't think any family would really want to pay to have a person living there. Why do bad nursing homes always smell bad like urine and poo? Its the first thing you notice.

Residents rights..cant force them to do anything..im not sure of his family..i never see any visitors.

I wonder whether his family knows that he has had incontinence of stool and has refused cleanup a certain number of times? One thing I have been surprised about is when this happened to my mom and I was never told. Not an emergency call, but why didn't the nurses at least call and tell me that it happened twice this month? Or the companion call and let me know it happened at church? I would purchase whatever incontinence products were needed if I had known, and made sure she used them. Why are accidents like this part of the package a resident can refuse to allow someone to clean ASAP?

He does this on any ahift. We cant leave the desk except bathroom breaks. We monitor doors as well especially after hours..it isnt my position to attend to the resident. Its the nurses who dont handle this situation i feel the way they should. Theres that gray area of the resident cant be forced, but when an entire area rather large smells and badly there should be rules the resident must listen to the nurses when asked to be changed. Its a health issue. Some residents are not cooperative they just dont care and this resident does not have dementia this its an issue with some. We have lock down units for these individuals.

I agree with Sunnygirl, let the Staff handle the situation and I understand it might be difficult to disappear because you man the front desk. Do you have a sign you can put up that says "receptionist is away from the desk, will be right back" so you can leave then that way the resident doesn't have an audience so he can act up.

Do you know if this resident does the same thing with the other receptionists on the other shifts? Does he do the same thing in his unit's common area?

I noticed my Mom will be very stubborn if I am in her room, but after I leave the nurse/aide is then able to do what they need to do.

They may have the on set of dementia. I did have a nurse attend to him, but he refuses to go to his room to change.You cant make a resident do so m ethinf he doesnt want to in a NH. In this case , i dont understand, sonce its offensive to the whole lobby area. He comes out to lobby to sit so he cant be changed out there. The problem is there is one nurse who knows how to handle him by being creative in her answers and believe me i wished she was there! There are CNA 'S who either don't know or cant be bothered. Toss up. Im in the lobby as reception so I'll have to get creative with him my self then to move him to his unit. Thanks to all for your answers! Appreciate it..

I would let the staff know and then let them take care of it.

I have found that if I am standing by, my cousin will not function as well on some things. When I would follow her to the car after a doctor appt. she had more trouble getting from her wheelchair into the car. When I walked away, the attendant had no trouble with her. I'm not sure what it is. Distraction or something. But, I wouldn't try to handle it. Let the staff do it. They have lots of experience doing it.

I would ask about the incontinence and see if diapers are now in order.

NHpatient has defecated in their pants
Surely the NH has a procedure in place. What do they do...?

Make certain they wear depends like it or not. Make depends the only underwear they can put on.

Two people. One escorting on each side...helping patient up so staff can wash that area of the floor. Might work if you're very matter of fact and assertive about it.

Eyerish is exactly right. Get creative.

I'm assuming the person has dementia since he/she is sitting in their own feces not wanting to change their pants.

Can you lure the person to their room? Whisper to them, "Can I talk to you for a few minutes?" then lead this person to their room?

Or maybe even tell them that they have a phone call, just to get them up. Then before they take the "phone call" lead them to their room so you can change them. Hopefully by the time you're done they will have forgotten about the phone call depending upon how severe the dementia is.

Get creative. Don't make it about changing their pants. Find some other way to get them to their room.