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Question
A 72 year old male client with a diabetic foot wound is admitted to your unit. The client is awake, alert, and oriented x3 & has orders to be OOB to the bedside commode with a 1 person assist.
The client complains that the UAPs do not come immediately & has stopped using his call light & now yells from the room when he needs to use the commode. When the staff are in the room, he curses at them and tells them they are stupid and slow. The staff report that they respond as quickly as they can and that the client is often already on the commode when they arrive, but is still yelling.
1. Is avoidance (assigning different staff to care for the patient) an appropriate conflict resolution strategy in this situation? Why or why not?
2. Will you as the manager/leader encourage the nursing assistants to confront the patient directly?
3. What coaching or role playing might you use with them if you choose this approach?
4. Devise a strategy that will address the issue, including what is and what is not negotiable.
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