Carol works in the dementia unit at a residential care center. Some of the residents are very confused and have trouble remembering things, which makes them challenging to work with. On a recent shift, the nursing assistants were busy helping the residents prepare for visits from their family members for a special family meal at the center. All the activity was agitating several of the patients who do not do well with a change in routine.
While Carol was walking down the hall getting ready to end her shift, she saw another nursing assistant, Barbara. Barbara was holding a resident, Mr. Buxby, by the arm and pulled him into his room, closing the door. Carol heard a loud voice as she walked past. She thought the voice belonged to Barbara, so Carol knocked on the door and asked if she could help. Barbara opened the door and said some uncomplimentary things about Mr. Buxby but stated she could handle the resident. Carol started to go but then turned around and offered to help Mr. Buxby so that Barbara could go ahead and take her break. Barbara left but told Carol to “watch your back.”
Carol settled Mr. Buxby in his recliner and turned the TV on for him. When she left the room, Jan, the nursing supervisor, was outside the door, and Barbara looked irritated in the background. Carol was worried about what Barbara told Jan, but Carol knew she did good work helping both Mr. Buxby and Barbara. Jan thanked Carol for assisting Barbara and getting Mr. Buxby settled.