Interesting week

This week started with some very interesting incidence:

Incidence #1

Mr S, a sarcastic old man, complains about everything, likes to take charge of everything, gives himself only 2 options: home or hell, was quite independent in terms in mobility, however, he insisted in putting himself W/C bounded. He requested for bed exercise, but I refused to give it to him if he doesn't cooperate with me. The goal is to "make" him to get in and out of the w/c independently. One day, he did it. Then I ordered bed exercise for him. The over the weekend, he claimed that the room is too drafty. He decided to d/c himself, called his own ambulance and went home. None of us knew about that until Monday morning.

Since when patients are allowed to d/c himself? And call his own ambulance?


Incidence #2

Mr F, alcoholism, some parkinsonism features, a very cooperative man, wants to go home and manages himself. The whole team including himself agree that inpatient rehabilitation will benefit him the most. An empty bed was available at inpt. rehab, and he was supposed to go on tuesday. Then he goes, "I don't want to go today. I am not ready yet. Can I go on Monday? I will go home today, then go to inpt. rehab on Monday."
We were all stunned.

Um... nnooo... once you go home you are discharged and can never go to rehab.
"Then I will go home tonight. And have the ambulance pick me up at home on Wednesday morning."

We all think that he just wanted to drink at home before going for more rehab. But who knows what is going through his mind.

Since when hospital turned into a hotel? And ambulance turned to a limo?


Incidence #3

Mr H, a very very nice man, DDD and resolved shingles. d/c plan is going to inpatient rehabilition. A bed space for inpt. rehab B was available. Then he goes, "I am not going to inpt. rehab B. I have been to inpt. rehab A, they've got my chart, and they know me there. I am not going anywhere except inpt. rehab A."
So the d/c coordinator swabbed him with another patient so that he can't go to inpt. rehab A.
Then when we told him about the news while the wife was present, she said, "My husband is not going to inpt. rehab A unless he has got a semi-private room."
Luckily the patient himself says something a little more reasonable, "Dear. (pause) shut up."

Incidence #4

Mrs M, a very nice spanish speaking lady, waiting for long term care. We and they have been waiting for soooooo long for a vacancy at LTC, around 2 months. Imagine staying in ACUTE hospital for 2 MONTHS???!!!! It's ridiculus. Then a vacancy FINALLY came up. It's there since last thursday and we can't contact the son to sign the paper and accept the offer.

When contacted, he said he needed 48 hours to decide. WTF????!!!!

Finally he signed and accepted, the LTC was in an outbreak. Mrs M is not leaving.

And she is STILL here. Man honestly she's here longer than I am.

Sundowning--- a new word I learnt here, describing the decreasing of cognition over the day.