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its, the extra little bits, like even to do their hair and take your
time.”
(S02)
“X is not totally dependent but quite dependent on our system.”
(S11) (Barthel 2)
220
Chapter 5 Findings
The observations revealed that many residents are back in bed by evening report
time – that is the routine:
“There are now 21 residents in bed. Those that are still up are
relatively independent and need minimal assistance. One lady who
is still up is left up at her family’s request. The night staff arrive for
report at 7.45pm and handover is given in the staff room.”
(Obs – Day 2: 19.30-20.30hrs)
Staff participants expressed that the routine or the flexibility of the day is
determined by who they are working with:
“I’ve seen where routines fall out and people get excited then. I
wouldn’t be too excited if a routine fell out, there would be staff
who would like - if someone gets sick it’s mayhem.”
(H01)
“Very routine, everything done at certain times of the day and even
now some of the staff they just can’t go away from that…. I say ‘oh
they’re alright leave them up for a while’ or I’ll say ‘they don’t
want to go back to bed’ and then next thing you turn around five
minutes later and they’re back in bed, someone’s, you know and
they’ve heard what you said but they just go straight on and do it
anyway.”
(H02)
“And then you could work with someone who is very – really wants
to give the patient every bit of space and you know because you’re
going like this you don’t want to talk and it’s good for you because
it makes you flexible and that.”
(H04)
“You know it really depends on who you are on with…”
(S02)