I've been a caregiver for a few years now and I've never had a hard time with this, but one of the residents at my AL AFC is a 30/70% chance of letting me get him changed at night (NOC) and I am really wondering what to do. Redirection doesn't work. I've explained all the risks to refusal and really try to figure out why he doesn't want to, but it's usually a 'don't want to' and that's it. He has very limited mobility and a lot of chronic pain so it is very important to keep him as clean as we can. As there is only 1 person on NOC I do not have the ability to ask for assistance unless I were to wake my manager and drag them out. He isn't a difficult change but getting him to agree is very hard.

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IMO, he needs to be in LTC not Assisted living.
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Reply to JoAnn29

If this resident is refusing care - report to your Manager.

If the resident is 2 x assist, then he is 2 x assist.

If this resident is refusing care often he may require a higher level of care - one where 2 staff can attend him each time.
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Reply to Beatty

Most men appreciate a male Caregiver. Modesty.
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Reply to cinna60

I'd bump this question up the chain of command, asking for a meeting to discuss strategies and following what they recommend is what needs to be done in order to CYA and who knows, they might even have some helpful advice.
Helpful Answer (7)
Reply to cwillie

Are you asking if you can change him now ?
If so , don’t ask.

Say “ It’s time to get freshened up quick “ .
Helpful Answer (6)
Reply to waytomisery

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