I once worked nights in an LTC where the resident care manager assigned routine meds/treatments to noc shift just because she thought we didn't have enough to do.....
And TPTB always wonder why so many nursing home residents have behavior issues.......well, how would THEIR mental health fare if they
were awakened several times a night, every night of their lives? I mean, 'lotion to feet and legs' QD at 0400?! Gimme a break!!
Seriously, I've always believed that the way things are done in LTC overall is for staff convenience and to even out the workload, not because of any possible benefit to the residents. When I became an RCM, one of the first things I did was get rid of all the routine Tylenol (at 2400 and 0600), the "silver bullet brigade" (if anyone ever came in and tried to stick something up my backdoor at five AM, they'd be lucky to keep their teeth!! :angryfire ), and other unnecessary sleep interruptors I possibly could. It was one thing if the resident wanted it done that way; but as a firm believer in the restorative quality of uninterrupted sleep, I fought to provide residents with as much of it as I could.