This is just a general question which has arisen in my Mum's case with the carers who visit her four times a day. She has AD and severe arthritis.
Sometimes she doesn't want them to touch her or to change her pad. Obviously this is necessary as she is only changed once ever 4 or so hours. I can usually persuade her to let them do it by explaining to her why it needs to be done (thankfully, at the moment she is still amenable to reason).
She also suffers from chronic pain and doesn't much like being hoisted. Again she can be encouraged to put up with it for a short while in the interests of her getting on the commode and going to the toilet. She is likely to get constipated otherwise. I can understand that the carers take fright if she definitely says she doesn't want them to do it, perhaps midway through hoist, but, again, she could be persuaded sometimes if you say the right thing. They seem to be very concerned about infringing her human rights but at what point does this become dereliction of duty and a risk to her wellbeing? The same goes for washing.
This question must also come up where people are living alone, neglecting themselves, not wanting to wash, etc. At what point can Social Services step in and say this must be rectified?
And also, with care homes....in respite my mother was often left all day in bed because she complained of pain or feeling tired. She does suffer from chronic pain but I did get her up at home, even if she slept most of the time in her armchair. At least I could take her out which perked her up.
What happens if a person's behaviour is extreme and they are non-compliant and even aggressive? Do the carers just let the person go unwashed, etc.
I wonder if anyone has any thoughts that can clarify what is a very grey area.
Sometimes she doesn't want them to touch her or to change her pad. Obviously this is necessary as she is only changed once ever 4 or so hours. I can usually persuade her to let them do it by explaining to her why it needs to be done (thankfully, at the moment she is still amenable to reason).
She also suffers from chronic pain and doesn't much like being hoisted. Again she can be encouraged to put up with it for a short while in the interests of her getting on the commode and going to the toilet. She is likely to get constipated otherwise. I can understand that the carers take fright if she definitely says she doesn't want them to do it, perhaps midway through hoist, but, again, she could be persuaded sometimes if you say the right thing. They seem to be very concerned about infringing her human rights but at what point does this become dereliction of duty and a risk to her wellbeing? The same goes for washing.
This question must also come up where people are living alone, neglecting themselves, not wanting to wash, etc. At what point can Social Services step in and say this must be rectified?
And also, with care homes....in respite my mother was often left all day in bed because she complained of pain or feeling tired. She does suffer from chronic pain but I did get her up at home, even if she slept most of the time in her armchair. At least I could take her out which perked her up.
What happens if a person's behaviour is extreme and they are non-compliant and even aggressive? Do the carers just let the person go unwashed, etc.
I wonder if anyone has any thoughts that can clarify what is a very grey area.
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