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178<br />

Chapter 5 Findings<br />

recognition <strong>of</strong> the resident’s past and present life, which may shape the resident’s<br />

wishes. There are life histories.<br />

Figure 5.3 reveals the overall results from the analysis <strong>of</strong> the residents’ sets <strong>of</strong><br />

documentation (blue column is evident and red column is not evident). It can be<br />

seen that the element most lacking in the documentation was element 6 (“There<br />

is open and respectful communication between residents and staff and sharing <strong>of</strong><br />

information”), whilst the most evident element was element 7 (“There is<br />

recognition <strong>of</strong> the resident’s past and present life, which may shape the resident’s<br />

wishes. There are life histories”). These findings will now be described in detail<br />

and further examples from the residents’ sets <strong>of</strong> documentation can be found in<br />

Appendix 20. Pseudonyms to protect anonymity are used throughout.<br />

100%<br />

90%<br />

80%<br />

70%<br />

60%<br />

50%<br />

40%<br />

30%<br />

20%<br />

10%<br />

0%<br />

Element 1 Element 2 Element 3 Element 4 Element 5 Element 6 Element 7<br />

Figure 5.3: Results from analysis <strong>of</strong> residents’ sets <strong>of</strong> documentation<br />

5.7.1 Element 1: Self-Governing, Self-Ruling, Self-Determining<br />

This was judged to be evident if the resident had been involved in making<br />

choices or decisions about their day or treatment. Examples included<br />

documented preferences for time <strong>of</strong> getting up or bed time, meal preferences,<br />

hygiene preferences, and preferences for treatment or refusal.

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