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My parents have been in the nursing home for a little over a year. They share a room and have been in the same room since they have been there. About 3 month ago the nursing home moved a resident (a lady) across the hall from them. This lady was at the nursing home when my parents arrived. She is mentally challenged and has no family. The nursing home has moved this lady at least 3 times since my parents have been there. She yells all the time. And I do mean all the time. My parents say they can't sleep. My mother has trouble hearing and she still hears this lady. My parents are far away from the nurses station and I believe they moved the lady there so that the staff did not have to hear her and deal with her. I have requested that the lady be moved. I have asked nicely. Yesterday I requested it again and the nurse said she would let admission know. She called admissions as I was standing there. Today when I arrived the lady is still across the hall from my parents. So I went straight to admissions. The lady said I can't request that another resident be moved. She said I can request that my parents be moved. I think this is unfair because they have been in this room since their first week. Please advise. Am I being unreasonable?

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I don't think you're being unreasonable but you might be being unpractical. If (as you believe) the lady was moved far from the nurses station due to her disruptive call outs then the location might be a good location to minimize her impact. If the lady stays where she is, your parents might be better off elsewhere even considering the disruption of the move. I would ask to view the room your parents would occupy if they were moved and request some consideration that the loud lady would not be moved into their general area again.

You might want to review the contract for your parents care and see if there are any statements in there about the quality of the care environment. Is there a director of nursing or other administrator more involved in patient care than admissions to discuss this issue?
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I imagine the NH moves her around because they know it is a problem, but the unfortunate fact is that this woman has to live somewhere and she is going to bother her neighbours where ever she goes.... keep complaining & go all the way up the ladder, be the squeaky wheel. In the meantime maybe you could try one of those white noise machines?
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This is what I see as the problem: Although I believe in minimum medicating, this woman apparently should be on calming meds. Look at your States Resident Bill of rights. I believe it it will address that your parents should not have this disturbance going on and the nursing home should be resolving the issue with this woman and your parents should not have to move!! This is why I started Elderly Advocates in Ohio, we are going to help especially the ones that have no families, and go to action to stop the nursing home from passing the buck and making their problem yours!
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Wow. That's a tough one. I am wondering why this lady was moved so many times but can't be moved now? I think you are probably right about the last time. My first inclination was to befriend the ladies family, then you said she doesn't have any. If your parents like their room, I would hate to see them move; plus, what prevents them from moving this lady again or another loud person being near-by. I think I would appeal to management frequently but concentrating on your parents Quality of Life; that they had been happy here and no longer have any peacefulness, cannot sleep, cannot relax, cannot hear their TV, etc. Talk about the "Noise" not the lady. Do it often and go to top Management. And, if they ever have family meetings, Always Go. And, when they have "Care Plan Meetings" always go. Ask them, "When is the next Family Meeting?", When is the next "Care Plan Meeting" and if they don't have one scheduled (it the law, they are supposed to do it) request one. Again, talk about the need for your parents to be able to rest and relax and hear the TV without noise, don't talk about the cause of the noise. In fact, if there are other sources of noise (like staff laughing, other TVs and radios, call lights, etc) talk about that / talk about the need for a quiet, peaceful, restful environment. I always went to care plan meetings. I always showed up with a list of goals for my Mother (printed out and passed out around the table). If the GOAL is peaceful, quiet rest, ask them what steps they will take to meet this goal and how they would evaluate the success of that effort? (Put that on your paper, too / Goals listed, and for each Goal blanks for steps, blanks for "Evaluation", blank to fill in time frame, etc). And, if you have to contact Corporate, point out that the lady has been moved many times, and that even if they can't tell you why (privacy) at least let Corporate know that it was done. They probably don't know anything about it. Good luck.
You could also add that you are "worried about the lady, not having family to advocate for her, for her to have the benefit of peaceful rest. She sounds like she's frightened, or agitated, or uncomfortable or upset. Poor thing." . . . and, maybe they can get her some help.
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We had a very similar issue only the person screaming was her roommate. She was blind and I’m sure very frightened. They moved her into the room because it was furthest from the nurses station. They would her on an alarm pad and when she got up, they would ignore the alarm. Then my mother felt responsible for her-was she going to fall? Get hurt? She was constantly worrying and wasn’t sleeping. We talked to no and they said the same thing-couldn’t or wouldnt move her. We asked to have Mom moved and they never had another bed available. We have an ombudsman program through our State and I called her. Things got changed. This ombudsman program must be posted for all residents to see so they Can call for help. Believe me, no no wants the state to come in to “fix” problems. We had to resort to this because the roommate started screaming all the time and my mother was getting chest pains and that was the end of the game. Good luck
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jazzie6015 Sep 2018
Good for you! Agree 100% the way you handled it. Good advice!!
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You are not being unreasonable. Your loved ones have the right to live in a secure, dignified environment free from unreasonable stressors such as the noise and disruption you describe.
Furthermore, the poor lady who is making the noise and disruption may be undertreated for anxiety and dementia symptoms. She too deserves to live in a secure, dignified environment and be adequately cared for.
Please consider contacting the Long Term Care Ombudsman office in your local county government to discuss your concern. You'd be helping your loved ones, and also bringing attention to the needs of the disruptive lady who has no family to advocate for her. Don't give up ... the situation is not acceptable, and the nursing facility should be working on a better solution. Good luck!
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jazzie6015 Sep 2018
Great answer!!
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Yes. Tell them your parents fear for their safety. Sometimes that wording..."fear for their safety," forces them to address it differently.

Good luck.
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I would use some of these suggestions: Record the yelling and the duration of it, measure it on a decibel scale online, contact the ombudsman for the facility, and if none of that helps - tell the facility that if your parents have to move, it will be to a different facility. I’ve heard that non-stop yelling, there is no tuning it out. Good luck.
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jazzie6015 Sep 2018
I agree 100% well said!!!
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I can imagine how frustrating this is for you, and I can see why you feel it's unfair. I can also empathize with the facility's policy on not honoring your request to move someone else . . . .if the shoe were on the other foot and your loved ones were causing a ruckus, you would probably appreciate this policy more than you can in your current predicament. I do think you should take the admissions lady up on the offer to move your parents if the screaming is intolerable. It is really actually quite nice of them to offer this option to you and so much better than having them say that they can't help you as there is no other room available into which to move your parents. It's not ideal and it may not seem "fair" but it is a decent offer of a viable solution.
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You have to be reasonable that lady have the right to live in her room just like your parents do.  Consider moving your parent or maybe you can knock on her door and visit her she might just need a friendly smile and someone to listen to her.
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jazzie6015 Sep 2018
I don't agree. All patients have a right to peace. If one is disturbing others they obviously need to help her with her issues. The quiet one is the one that is able to abide by rules. The other one has an issue that need a addressed that she can't follow rules.
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