Quote from yousoldtheworld
I have 14-17 total care residents a night right now (gotta love perpetual short staffing) and 7 showers a day
The phrase "total care" is interesting. I have one gent, a WW II vet, who might well be total care, even though he can walk with his walker down long hallways, and can even feed himself generally. But he is combative and strong and is difficult to get to the toilet, clothing changed, or his room or bed when it is deemed necessary. He needs total care in directing his activities. He lives from breakfast to late 9-10 pm on the couch of the living room.
Another lady who I call total care lives in her wheelchair and bed and needs to be fed and every ADL needs to be done to her and she cannot communicate anything except a few gestures (airkisses and grimmaces!). She is one of my easiest because she makes NO demands. When it is time for her to _____ I just do it for her and off I go.
On the other hand, I have another res who also lives in her wheelchair and bed but she is TOTAL care (haha!) that is, she has specifications about every little thing- what lamp should be on and what lamp turned off, how her shirt and sweater ought to be adjusted, how low or high her bed and feet and head ought to be, how fast or slow she should be moved from chair to bed, how she should be wiped and with what she should be wiped. . . every movement! She cannot be left on the toilet alone and takes some time about it. She is maybe "total care" in one sense, but not another? Anyway, she is the most time-consuming because of her ability to communicate everything and her strong opinions about each gesture! Now that is also TOTAL care!!!
What do you call "total care"?