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Chapter 5 Findings
The analysis revealed that 40% of notes (n=15) had documented evidence of
residents being self-governing, self-ruling and self-determining (Chart 5.9) and
60% (n=23) of sets of documentation showed no evidence of this element of
resident autonomy.
Chart 5.9: Element 1
Self-governing, self-ruling, self-determining
40%
While some residents clearly exercised choice and control over how they spent
their day, these were largely choices in relation to personal care (whether to get
up or stay in bed, have a shower or bed bath, etc.) and not how they wished to
socially/recreationally spend their day.
“Shower refused. Mobilising around the ward independently.”
“Did not wish to get out of bed today. Remained in bed.”
However, in the example below it is not clear from the documentation whether or
not the resident was actually offered a choice about having a shower:
“Personal Hygiene attended to: shower given, hair washed and blow
dried.”
In the following example, the resident’s ability to self-determine was enabled:
60%
Evident
Not Evident