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Monday, March 03, 2008

"Aging In Place"

Completely exhausted and don't see any sign of it letting up any time soon. This is the second job I've had that I've kept for more than about a year and a half but things around here get stupider every day thanks to the fact that my boss Alvin N. Chipmunkk really doesn't know jack shit about health care (he ran a failing landscaping business before one of his buddies hired him as an administrator here) and he kowtows to all the family members who insist that their falling-apart loved ones don't need more care.
We currently have one woman who fell a dozen times within a week. We're doing night checks on her. I don't know why the hell she isn't being assessed for neurological problems. She's o.k. if she is the one that calls us, but the idea of taking her to the bathroom at scheduled times is right out because she can be a real bitch if she hasn't called us.
This is supposed to be the "independent living" part of the facility. People who are here are supposed to either be able to handle most things on their own with a modicum of assistance, such as having medications delivered or a stand-by assist for a shower, things of that nature. Or they are supposed to have home care because in this part of the facility there is one aide 24 hours a day for some 200 apartments and a nurse for 8-10 hours. We aren't supposed to act in an assisted living or health care capacity--that's what assisted living and health care are for! But with Alvin, these rules aren't really enforced. He's more about telling the families what they want to hear and kissing ass to the CEO's, who also don't happen to know jack shit about health care, just about the bottom line.
I'm waiting for this woman who keeps falling to break her hip or such. Or for one of these people that keeps leaving the stove on to set the place on fire. And then there are people like the demented lady who takes off her Depends and then the inevitable happens. At least the family finally got a part time aide for her, but when the aide isn't here, she will do things like leave her stove on. She once got out a wine glass which she subsequently broke. She was found stark naked trying to clean up the pieces of glass. Its a miracle she didn't cut herself.
But CEO Gloria Bee thinks that "aging in place" sounds so very wonderful. And it does sound wonderful. And maybe it could even work--if she would listen to the people who have to deal with it! But that ain't gonna happen. Any more than junior CEO Agnes Tin-Horne is going to stop throwing her weight around or Alvin is going to grow a backbone when it comes to pushy family members. In the end they will lose frustrated staff (we're already a skeleton crew) and replace them with the kind of "crack crew" that the good workers at the casino where I used to work ended up being replaced with. In other words, some crackhead that walks in off the street. And beyond that, the residents will be the ones who end up suffering all for some paper-pusher's idea of something that sounds great in theory but in reality is far more complex than they can possibly imagine.

2 comments:

Tom & Icy said...

That is one of the worst job for women both physically and emotionally. That's worse than the nurse that goes around to cells and checks prisoners vitals.

Unknown said...

I think it's kinda six of one and a half dozen of the other. Here I don't have to deal with sleazy comments from inmates, but I do have to deal with crabby and/or semi-incapacitated people that are frustrated because their bodies are failing.