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View/Open - ARAN - National University of Ireland, Galway

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Resident participants described relying on staff:<br />

192<br />

Chapter 5 Findings<br />

“Well, you see, the way it is with me is that I have to be helped out<br />

<strong>of</strong> bed and I have to be helped into bed. That’s something I have to<br />

depend on the staff. …usually they’re very good, very good but<br />

then there’s so many they might be way up the top they mightn’t<br />

see me.”<br />

(R02) (Barthel 16)<br />

One resident participant was adamant that they would remain independent:<br />

“No, no. I do it all myself because opposite me in the toilet there’s a<br />

wash basin and I turn it on while I’m undressing and the water will<br />

be warm by then so I’ll give myself a good wash then and the<br />

occasional time then I’ll get a shower, you know in between.”<br />

(R04) (Barthel 12)<br />

It was also revealed that capacity was not always determined by what a resident<br />

actually could or could not do, but by staff facilitation and encouragement for<br />

them to maintain their actual capacity. Sometimes residents just wanted a small<br />

bit <strong>of</strong> help and did not want to be fully dependent on staff.<br />

While some resident participants only wanted a small bit <strong>of</strong> help or assistance,<br />

the majority <strong>of</strong> staff and resident participants talked about how staff take control<br />

<strong>of</strong> the daily activity:<br />

“I mean automatically it’s just done for them.”<br />

(H02)<br />

“We just washed her and dressed her and sat her out in the chair<br />

ready for the physio.”<br />

(H02) (Barthel 8)<br />

A nurse participant recognised the dilemma <strong>of</strong> encouraging residents to do things<br />

for themselves by not taking control:<br />

“And I’m thinking the easy option is to go up and give it to him but<br />

I left it and I kept watching him and he drank half the cup himself.”<br />

(S02)

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