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Post by tschaub on May 3, 2017 9:18:04 GMT -5
We have an upcoming group with a patient that has bad hygiene (bad body odor). What has everyone done for this?
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amydonaldson63
WA - Washington Centering Consortium
#BOOM SITE VISIT APPROVED - Thank you Centering Healthcare
Posts: 83 
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: I want to make a difference in someones life for the better and help educate them about the better way of healthcare. I am passionate about what I do with our Centering Program at Kaiser Permanente. I love the lifelong friendships that I build while going thru the journey of pregnancy for all of my patients. I love the personal care that patients receive and I love to keep our groups fun and current. Coming up on being accredited for a year in Jan 2018 and we have grown so much. Already starting 2 groups a month starting Dec 2017, beat our goal to start 2 by a month. #MicDrop
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Post by amydonaldson63 on May 9, 2017 1:06:01 GMT -5
Hi there I am going to go out on a limb here but if you have someone with bad hygiene, I don't know if I would say anything, maybe they can't help it, maybe that is something the midwife, if she is that concerned maybe ask the patient in private maybe social work can get in touch with the patient, maybe its something she can't help. But I don't think I would say anything to the patient for just some bad body odor, I don't think that is our place, if we say things like that we might hurt their feelings or embarrass them, they will think we are judging them and we Centering isn't about that. If you bring it up to that patient she could drop Centering, then she could have a bad taste in her mouth about Centering Pregnancy and I think we have all heard the saying that word of mouth could make you or break you and especially if you are just starting out I don't think you should say anything to anyone about what you think is their faults, like I said above maybe she can't help it and maybe their are underlying conditions that you have no idea about and you could be pouring salt into a would that doesn't need to be opened. That is just my opinion.
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Post by Tanya Munroe on May 9, 2017 9:53:55 GMT -5
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Post by Sunshine Muse on May 9, 2017 11:03:16 GMT -5
Hi, this sounds hard and the challenge may be affecting other members of your group. I'd recommend trying to assess the cause-I really like what Amy said about not knowing if the patient can help it-which may help you figure out how to approach the conversation. Pregnant women tend to pretty smell sensitive so I'm not sure this can be ignored. I'd say be kind, direct, discreet and resourced. For example if its about not having enough $ to do laundry, naming it without being able to help isn't really helpful  , so be as prepared (to be supportive) as possible. |
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Post by Andrea CCFT on Jun 9, 2017 17:39:30 GMT -5
We have an upcoming group with a patient that has bad hygiene (bad body odor). What has everyone done for this? We have not ever had that problem although I have had that situation but I do have a patient that would like to join a centering group that has Tourettes and has several ticks per minute. I don't know what to do should we just put her in a group and hope that she is not to distracting in a group or should we suggest that private care is best for her. We don't want to discriminate anyone with disabilities but we are not sure how others in the group will feel. |
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smerrell
CHI Staff 
Posts: 243
My job role is: Staff
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Post by smerrell on Jun 14, 2017 8:52:23 GMT -5
This is a great question, Andrea!
I tend to lean on the side of exclusivity and offering patients the option to join group regardless. They may choose not to, but if they do and they keep coming, it means they are getting something out of it! It would certainly take some excellent facilitation skills to navigate and appreciate differences respectfully. This is just my opinion, and ultimately it would be up to you and your team of facilitators to decide what would be best for your clinic.
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, so be as prepared (to be supportive) as possible. 
