Nursing School Rankings

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Independence, when referring to individuals admitted to nursing homes, would be those that have the ability to complete tasks and make decisions on their own without being harmed or emotionally challenged while attempting to do so. A dependent individual is one that is in need of assistance completing tasks or making decisions and each individuals need for that assistance varies from a little to total care. As a nurses aide, (CNA), it is my job to complete those tasks that a resident (patient) cannot complete alone, this includes helping them make sound decisions when needed.

Issues, like a residents sleep time is very important. I have worked in several nursing homes and not one of them force residents to go to bed at any specific time. There are however, some residents that have doctors orders to be in bed at certain times during each day. These are referred to as mandatory lay downs. As a CNA I don't question those orders, because it is set up for the health of a resident. It's no different than a doctor prescribing medications. Of course that resident has every right to refuse, in which case the nurse would pass the information on to the doctor if it happens all the time. The doctor obviously has a good reason for scheduling bed hours for a resident.

Any resident, at any time, has the right to refuse anything. They can refuse to eat, to drink, to shower or change clothes, to take medications and yes, even to go to bed. I have had residents stay up all night long, refusing to even be changed. Many residents, especially the elderly, wear briefs, (diapers) and they need to be changed frequently. If a resident isn't able to stand then we need to place them in bed to get them changed. If a resident isn't cleaned and changed into dry clothes there is a higher risk of skin issues such as a rash or infection or even open sores. Even worse yet, those sores can turn into open wounds and they are painful and difficult to heal, especially in the elderly. So, yes, each resident should spend some amount of time in bed. Of course there are some residents that have a hard time sleeping at night, but much of that is because they sleep all afternoon.

We aren't trying to take away anyone's independence. In fact, we strive to encourage residents to use that independence, to stay and/or get healthier and to speak their minds. We aren't trying to cut the elderly off from the world. You know, it would actually help if family members would visit residents more often. There are so many that are admitted to nursing homes and then no one ever visits them. Come and see your family member. Take them on outings, if they are able to go. Leaving them here and not visiting can hurt them, too. Nursing homes can and should be an extension of family life. You should still visit frequently because they need that familiar interaction.

Residents have more rights than the individuals trying to help them. As a CNA, I have been punched, scratched, spat on, peed on, kicked and cussed at and threatened. I've had two back injuries and a neck injury from trying to transfer residents and I even had another CNA helping me. It's a good thing the resident was in our care and not at home with family at the time. Yes, I do believe residents have rights. I know they do. Did you know they even have the right to fall?!

I don't believe that all residents HAVE to go to bed at a specific time, but it should be said that many of them NEED to go to bed. Some need to be cleaned up after being in their wheelchairs for hours on end, not to mention that they have been sitting in the same position all that time as well. Their bodies need to rest. I have worked night shift for nearly all the years I've been a CNA. I get there at 10pm and yes, most everyone is in their beds by the time I clock in. Some are already asleep, while others are watching t.v. or reading or eating snacks or whatever. It isn't unusual though for several residents to still be up and about even past midnight. For anyone to say that we, (staff), want everyone in bed so extra breaks or longer lunches can be taken is absurd! Most of us, at least on night shift, are greatful for the 30 min break we have to take because it's mandatory in this state.

I can't speak for all nursing homes, but the one I work in cares for their residents first and foremost. Keep in mind as well that most facilities have only four or five CNAs and one or two nurses at night, depending on the number of residents. Our building has four CNAs and two nurses, if no one calls in sick. We have about 102 residents. Thats at least 25 residents per CNA. Imagine if one of those residents codes (stops breathing). Three CNAs are usually in with that resident doing CPR, one is on the halls answering call lights and the nurse is busy calling 911 and getting paperwork ready for the paramedics. Now imagine if there are, say, ten or more residents up and about the facility. Do we know if any one of them is safe during this code?

There are many social services workers that confront each complaint residents make., even if it's the same resident that repeatedly complains. That's their job. It's what they do. They see to the best interest of the resident. And that's good. The problem is, as I see it, they don't really know the resident as well as we do. They don't know their routines or specific needs or habits. Many residents are angered easily so a call light that isn't answered right away seems like forever to them, even if it is only a few minutes. But social service workers go by a book of rules designed to protect the rights of residents. Again, that's a good thing. However, I personally have never, in 15 years, had a social services rep ask me any questions about any issue or any resident's complaint. Never once. Doesn't that seem a bit odd? They only care about the resident and take every word they say as fact. Many CNAs have been unjustly suspended and some even fired because of this practice. When will CNAs, LPNs & RNs ever have the right to confront the accuser? Probably never.

Also, for anyone to suggest that healthcare workers are "badly trained and demotivated (unmotivated?) staff with a very low status" is not only rude, but somehow bitter. That is just a terrible thing to say. We work our butts off in this arena! We have taken care of more people through our years at work than most do in an entire lifetime. We try to improve the lives of our residents. We have saved lives with our knowledge, promptness and teamwork. We have all been through classes and earned our licenses and have learned even more since then. Most of our knowledge was gained through actually doing the work and we never stop learning. Every single resident has different needs and they have to be addressed individually. You don't learn everything in a classroom. My very first patient was a vent patient with no ability to move any of her limbs and didn't talk. She just watched you. It was kind of creepy for me at first. No one ever said anything in class about vent patients. No one ever told me how to treat hospice patients or post surgical patients, etc. They taught us the basic needs like cleaning a resident, how to make their beds, how to take vitals and things like that. Even after 15 years I am still learning new things that might benefit my residents. We, (most of us) are highly motivated people with lots of compassion for our fellow man and some may think we are of low status, but hey, you're still depending on us to take care of your loved ones. It takes a special breed of individuals to do all that we do. Some CNAs have had bad experiences and that is a sad thing, but please don't include all of us in your low opinion of nursing homes. Our facility isn't one of those fancy, decorated to the ceiling places. In fact, it probably is one of the oldest places in our state. We definitely aren't the Ritz! But we do our jobs, we do the best we can and for the most part we are a great team of caregivers. We are already serving many from the "baby boomers" generation. One never really knows when or if our help will be needed.

There are reasons facilities have rules and schedules, just like any household would. All of it is for the safety and health of the residents. My mother will be 76 years young in February and with God's blessings we will have her around for a very long time.  I have enough experience now to be able to care for her at home, along with the help of my sister.  She will never be moved to a nursing home.  For others, it is the only alternative.  Everyone should be able to understand that.  We want the best for our family members and if a nursing home, rehab, assisted living, group home, whatever is better than home then that is what you do.  If I did have to put any family member or friend in rehab or nursing care you can bet though that I would be making several trips a week to see them and to be sure they are getting what they "need". 

There are thousands of nursing homes across our great country.  It's up to you to seek out the one that might work for your loved one.  Keep in mind, if you will, that just because a building is all dressed up and snazzy looking and all the aides have matching scrubs it doesn't mean residents are being treated A+, if you know what I mean.  Look at the faces on the residents.  Do they look calm or drugged?  Do they look stressed? Do they look happy?  Ask a resident how they like the place.   Look, smell, watch aides interact (or not).  You will usually know in your gut when you find the right place. So I guess I may have said enough or maybe too much, but I really don't like the insults.  Not any person in the health field deserves such comments.gschool.com'>nursing school admission essay samples</a> <a href='nursingschoolsinillinois.info'>nursing school backpack</a>To<a href='top10nursingschool.com'>nursing school application</a> <a href='nursingschoolsinillinois.info'>nursing school advice</a>Deal<a href='top10nursingschool.com'>nursing school admission essay samples</a> <a href='top10nursingschool.com'>nursing school backpack</a>With<a href='nursingschoolsinillinois.info'>nursing school books</a> <a href='top10nursingschool.com'>nursing school application</a>Burnout<a href='nursingschoolsinillinois.info'>nursing school after undergrad</a> <a href='nursingschoolsinillinois.info'>nursing school bc</a>In<a href='top10nursingschool.com'>nursing school accreditation</a> <a href='top10nursingschool.com'>nursing school bay area</a>Your<a href='top10nursingschool.com'>nursing school accreditation</a> <a href='nursingschoolsinillinois.info'>nursing school books</a>Nursing<a href='nursingschoolsinillinois.info'>nursing school buffalo ny</a> <a href='top10nursingschool.com'>nursing school books</a>Job<a href='nursingschoolsinillinois.info'>nursing school austin tx</a> </p>

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