Paul's Passing Thoughts

Sundowner Rebellion

Posted in Uncategorized by Paul M. Dohse Sr. on November 21, 2020

Every long term facility is unique in regard to the residents who call those places home. That is, in a manner of speaking; to be more precise, many never accept long term facilities as their home and will let you know it often. At least half, if not more, of long term facility residents would rather be living at the home taken from them before they were placed in a long term facility by their families. Those facilities receive the lifelong fruits of the resident’s labor in exchange for end of life care. For better or worse, most residents feel imprisoned at long term care facilities. Now, because of COVID-19, they are imprisoned within the prison.

Before COVID-19, long term care facility prisons were a good place to be as far as prisons go. Many have really good food, spacious courtyards, activities, visiting medical specialists, and in-house nursing care. Family and others were free to visit at any time. Right now, all of that is restricted and residents are actually confined to their rooms 24/7. It’s solitary confinement. Before all of this, there was a joke circulating around that prisoners in correctional facilities have more rights than long term facility residents. Humor is funny because to some degree there is truth in it; unfortunately, there is no humor left in that particular joke.

So, has the isolation policy worked to prevent COVID-19 in long term facilities? No, not at all. And isolation has done more to kill residents than COVID ever could. Isolation policies at long term care facilities has been a colossal disaster. COVID outbreaks are dominating a majority of facilities. ER doctors and nurses would be horrified if they could see the protocols being played out in real time. Many units that were entirely occupied by residents of the “independent” classification are now all either heavy one-person assist or two-person assist. It is very unlikely that they can be restored to independent status. That’s what isolation does. Especially in latter life, mental and physical heath will deteriorate quickly. The body is made to work and do things, and we are social beings. Isolation first breaks the will and well-being of the residents, and than comes the COVID. The results are not good.

The biggest mistake was restricting families from the facilities. Family members who visit their loved ones in the facilities are a certain type of individual; they more than likely would have helped the situation greatly on many levels. Family restriction was/is a policy monstrosity on apocalyptic levels. Experts can be really, really stupid, and government often makes stupid look good.

And before I move on, I might mention that courage is a peculiar thing and prevalent in humanity. For the most part, it is the specialists who won’t go near the facilities. I won’t reveal which specialist was portrayed yesterday, but labels cannot trump neglect when it gets to that point. Abandonment by aides and nurses is only about 25%. Several have caught the virus more than once and the second time is worse. This past week, I worked with two nurses who almost died from it. Both were young, healthy, and a little less cocky, but not much.

This article is about a particular unit where the residents took a stand. I said every facility and units within facilities are unique, and in this particular unit, there is an unusual amount of sundowners. They are defined this way:

While most people are “winding down” or relaxing as the day reaches its end, those with sundowner’s syndrome become increasingly active.  Sundowner’s syndrome has links to dementia, a condition that affects memory, personality, and the ability to reason. It is also known as sundown syndrome or sundowning.

The symptoms of sundowner’s syndrome typically occur between the hours of 4:30 in the afternoon and 11:00 in the evening.

These include:

        • confusion as to the location and identity of people
        • mental confusion that does not respond to reasoning
        • paranoia
        • sleep disturbances, such as inability to sleep at night, possibly leading to excessive sleep during the day
        • sudden changes in behavior unexplained by any other trigger
        • trouble speaking and thinking clearly
        • visual hallucinations
        • wandering
        • yelling or aggressive behavior

In regard this unit? Yes, all of the above. Yes, at about 4 or 5 pm, they all come out of their rooms and start wondering around. Creepy? Definitely. Like nothing I have ever experienced before? No doubt. But wait, they are all in isolation and confined to their rooms, right? Well, good luck with that. As the other aides and I watched the nurses try to instruct them to return to their rooms, we could only smile and shake our heads; not going to happen. Then, several of them went to the dining area and sat down at the tables. Some sat quietly, others, not so much. Requests to return to their rooms was met with comments like, “You think you’re hot sh** don’t you sweetie?” I mentioned to the nurses that at least they were practicing social distancing. They didn’t seem to be amused.

There wasn’t anything we could do. It was a sundowner rebellion. Perhaps there is something to be learned from their example.


2 Responses

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  1. Tatiana said, on December 26, 2020 at 6:18 PM

    Merry Christmas to you. You seem like a good person. I want to respond to the video above posted Dec 11, 2020. I was raised in New York City the child of two narcissits without conscience. I was the scapegoat of the greater narcissist my mother who beat me from age 3 with her fists, starved me and gave me hard candy which i choked on once-turning blue and needing my father to put his hand down my throat to crack it-it was a lifesaver ironically-and which she continued to give to me-I choked several more times. Narcissists which you Christians call demons or Jezebels I belive have no conscience. They choose to do neveil and they cannot be healed they belive themselves to be perfectr. My parents held no compassion for me but they did tell me to sit back and tolerate the abuse by blacks bused into my school “because of how they suffered twenty years ago.” I said, :they were not even alive twenty years ago. It is unfair. They should be responsible and kind as I am expected to be. I became a conservative at 12. I understood right from wrong and knew that blacks shouild not be harassing me on my turf. All the pretty white girls were petrified to go to school because we were repeatedly threatened and the black girls wement. Thankfully my father put me in a private school a year later but still. I remember this it was the 80’s it was also the first time that anyone beat me outside of the narcissitic clan when a black kid grabbed my hair and snapped my neck back. I understand the danger of BLM unlike the idiot Pacific Northwesterners who never lived with violent black people. And i do not believe all black people are violent but the blm protesters are. And There are a great many things i learned being born to narcissists and one of them is that Freedom is my greatest value. I put nothing above it. The censorship by the Democrats is scary. The stupidity of the millenials is frightening. I completed my Master’s degree with the millenials in 2009. They all asked me what we were measuring none could analyze anything and i was absilutely shocked. University had changed so much since the early nineties when you were required to be smart to EARN an A. None of these people earned their A’s they demanded them. It was all about persuading the professor to give them an A even though they did not merit it. I am sorry to blame your generation but the baby boomers were slefish narcissits in the 80s so you created a generation of monsters. Gen x-my generation was a generation of latchkey kids and we turned out to be the greatest generation of entrepreneurs-because we were not spoiled and we were smarter. I left the uS because i could not stand to see the microcosm of narcissism played out in the macrocosm of society. I just couldn’t take the disgusting behavior anymore so I wanted to leave the uS at 29 but i ended up leaving in my 30s. I never looked back and i will be 50 in 9 days. But please understand the word liberal. The BLM movement-boweLMovement as I call it- and democratic party is NOT Liberal. Liberal people are tolerant. These people are hypocrites-tolerating certain groups and censoring others. I choose to stand with conservatives agianst the censors. They are abusers and terrorists canceling people and making people lose their jobs for disagreeing with their grossly illogical rhetoric. They have no ability for reason or logic. And I have no tolerance for censorship. I belive all people deserve a voice and ALL poor people need assistance and inclusion and all people should be treated with respect not just blacks, or gays.


    • Paul M. Dohse Sr. said, on December 31, 2020 at 10:02 AM

      Have been buried in a COVID unit all week and behind on moderating. Sorry for the delay. I passed these through and will read them later. Blessings, paul.


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