Resident Not Allowed to Participate in Own Care During Compression Device Application
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact and had a history of acute respiratory failure with hypoxia and chronic lung disease, was not treated with dignity and respect while attempting to participate in his own care. The resident had an order for leg compression devices to be applied twice daily, which he was capable of applying himself. During one incident, a registered nurse applied the devices but did not allow the resident to assist, despite his knowledge and ability. The resident attempted to adjust the fit of the device to ensure it was snug, as required for effectiveness, but the nurse scowled at him and told him not to help, insisting that she was responsible for the task. The resident reported feeling dismissed and not allowed to participate in his care, which led him to file a grievance regarding the nurse's behavior. Staff interviews confirmed that the resident was generally able to apply the devices himself and that he should have been permitted to participate. The facility's own policies and the resident's rights documentation emphasized the importance of treating residents with dignity, respect, and allowing them to participate in their treatment, which was not upheld in this instance.