Re: showers
Everyplace I've worked, they get showers twice a week. I think this is a good number.
I do however understand that in some places, it's just not possible with staffing and the economy being as bad as it is.
I guess if you consider how often those residents get cleaned, it doesn't seem so bad. I wash mine up when they wake up and before bed, as well as every time I change or toilet them - at least the peri area every time, and armpits in the morning and night. If I notice someone is sweaty or covered in food, I will wash them off while dressing or toileting them. If you think about that and the fact that most of them don't do much to get dirty otherwise, I guess one shower a week can be acceptable.
Usually where I'm working now, we have two showers per shift per hall/side. They're easy to get done there though, because it's a memory care unit where most people are limited to extensive assist, no totals.
When I worked in 2 nursing homes, we had anywhere from 1 to 4 showers a night, per hall. It's near impossible to get four showers done yourself on second shift while still getting everyone to bed and changed properly, so I can understand why places might cut down to one shower a week.
Having a shower aide is wonderful, but right now the economy is so bad that the healthcare field is suffering, too. Sometimes it comes down to the facility just being cheap, but sometimes, it's either having fewer aides on the floor/no shower aide, and having to lay off/fire people or otherwise cut corners. So, I guess all you can do is the best you can.
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