(I realize this is late, but I just joined this site a few days ago. I worked part-time in a rehab center for the elderly and the infirm until recently -- and this story is why.)
Happy Valentine's Day!
Hope y'all had a good one, too. I received a valentine from the charge nurse tonight. It was a little glittery bag containing a box of those chalk-based candy hearts with the sayings on them and a "Complimentary Carp", which is a little piece of paper shaped like a fish with my name on it and a space below it where the giver circles one of four reasons for the award. My circled reason was for "Being There". Other choices were "Making Their Day", "Finding Time To Play", and I can't remember the last one.
Me and three other aides and an LPN each got a Complimentary Carp because we were "There" when this five-hundred-pound dude fell off his commode, which was too small for him, and shat all over himself in front of his wife, his children, and his grandchildren. (They were all there because he was just getting admitted.) We couldn't lift him to a sitting position, even though there were five of us; plus there was yellow, greasy shit everywhere and it reeked, kind of a sweet 'n sour smell, so we had to clean him up on the floor and then go upstairs and get a Hoyer mechanical lift (picture a big "toy grab" arm like what you try to grab those toys in that one machine with).
The whole thing took twenty-five minutes and I kept thinking how horrible it must be for this guy, who had just gotten admitted, in front of his whole family, to have to wait there in his own excrement while five strangers ran around trying to figure out how they were going to move him.
We finally Hoyered him into bed. His bed was an air mattress that cycles air through different parts of the bed at different pressures, adjusting to the patient's weight to help prevent bedsores. The bed began to deflate because he was so heavy, so we had to lift him back to the commode and spend thirty minutes moving a twelve-hundred-pound bed down from the third floor. That bed has its own crane that can lift up to seven hundred pounds.
The guy now just shits in bed. He's too big to use the commode, and he won't fit in the bathroom anyway. We use a bedpan, although he seems to shit without knowing it, and it gets everywhere. Besides, it's impossible to place a bedpan accurately on anyone that big; after the poop leaves the sphincter it has to travel out between twenty-four inches of clenched butt-cheek. Multiply that by pi or whatever, and that's a huge butt-crack, which means the turds can pop out anywhere. Lots of times they don't make it all the way out and someone has to dig in there because otherwise the poops just sit there between his cheeks, roiling and pupating. So that's how I earned that prestigious award.
Anyway, the guy turned out to be a jerk. All he does is chat online with his gambling buddies, arguing with them about some British soap opera called "The Eastenders" and munching on these two-foot-long summer sausages he asks the aides to get for him.