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I can say that because I quit, I shouldn't do night shifts

Because I have been working in nursing care for a long time, there is something I can say now.

"That response was wrong."

There was an event that I thought so.

At that time, one user was still in a mild state of dementia.

One night shift day, the leader of the night shift playfully hit the head against the user, and the user became furious.

Of course.

If a caregiver suddenly hits you on the head, I think anyone will be angry.

However, the subsequent response was even more problematic.

Whether I felt that the user was too angry was "annoying," I forcibly took him to the room and locked it from the outside.

There is no toilet or portable toilet in the room.

The user was banging on the door many times and shouting loudly, "I want you to open it."

Still, I couldn't open it until morning.

I heard later that my hand was swollen because I kept knocking on the door.

Later, when his family took him to the hospital, they found that he had broken his right hand.

This matter was heard by the director of the facility.

The leader received attention.

However, the story after that became a story that "I am not locked up" before I knew it.

Even if the user claims to be "trapped,"

I have dementia.

I was cleared up with such words.

And the detailed story disappeared before I knew it.

Looking back now, I think this was really bad.

Because I have dementia, I can't trust what I say.

You don't remember because you have dementia.

I have dementia, so it can't be helped.

If you think like that, you can't protect people with dementia.

Rather, because you have dementia, I think you need to carefully confirm your complaint.

Of course, there may be errors in the memory and perception of people with dementia.

That is why it is necessary to confirm the facts, including the actions of the staff, rather than ending with "because of dementia."

The scariest thing about this case is that the complaint was erased for the convenience of the staff rather than the user's complaint.

Care staff is in a position to protect the life and dignity of the user.

I'll lock you up because you got angry.

Lock it because it's noisy.

I don't trust the person's claim because I have dementia.

This is not care.

I myself have not been able to handle everything correctly while working in nursing care for a long time.

That's why I can say it now.

"I should have thought it was more strange at that time."

And in order to prevent the same thing from happening in the nursing care field, I think that such a story should not be omitted.

# care The Caregiver # nursing _ care Dementia Care Elderly abuse# Physical restraint # Darkness of nursing care # Caregiver # Nursing facility # Night shift # Nursing care problem # Dignity of user # Dignified care # Dementia # Caregiver # Caregiver # Reality of nursing care # Story that can be said now # Thinking about nursing care # What is care # Welfare

6 days agoEdited to

... Read more介護の現場において、特に夜勤は利用者一人ひとりの状態に細心の注意を払いながら対応する必要があります。私は自身の経験から、認知症の方に対して適切な対応を怠ることが、いかに重大な問題を引き起こすかを痛感しました。 認知症の利用者様は、自分の感情や状況をうまく表現できない場合も多いため、職員はその言動の背景を理解し、尊厳を守ることが最優先です。頭を叩くなどの身体的な接触は、たとえふざけた意図であっても、利用者様の不信感や怒りを招き、精神的な苦痛を与えます。そして、それをきっかけに閉じ込めるなどの身体拘束は重大な人権侵害です。 私も現場で、こうした行為の禁止と、認知症ケア技術の向上の必要性を強く感じました。認知症の記憶や認知に曖昧さがあっても、本人の訴えを軽視せずに職員同士で事実確認を徹底し、家族とも連携を図ることが欠かせません。 さらに、夜勤は人員が限られ、緊急対応を迫られる場面も多いですが、焦らず冷静に、利用者様の尊厳を守る行動を心掛けることが大切です。職場でのコミュニケーションの活性化や研修の充実も不可欠です。 今回の経験から、認知症ケアは常に改善の余地がある分野と認識し、元介護職員として皆様にも同じ過ちを繰り返さないための意識づけになればと思います。介護現場は利用者様の生活の場であり、その安全と尊厳が守られてこそ、本当のケアが成立すると信じています。

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