Lately I've been noticing that the residents in my nursing home aren't our regular crowd. We have been getting a lot of residents that are between 45 and 60. I'm not sure if there's a way I can put this that doesn't sound heartless or completely insensitive. This younger set is very uncooperative. They actively do things that are detrimental to their health. Many of them are continent but will not ask to be toileted or given the bed pan and refuse it when it's offered, choosing instead to go in their brief and be changed. They refuse all medications. They refuse to be tapped even though their skin is actively breaking down. They refuse meals and eat only snack foods they keep in their rooms that were brought in by family members. They refuse their RNP many that were capable of walking when they first arrived do not even get out of bed. They instead choose to ring their bells constantly for secondary things like help finding their remote, having me flip through channels to find a show, dig through their drawers for snacks, moving things around on their bedside table, etc. Their families are terrible. Half of them think it's our fault they are in such sad shape and the other half are mad because we aren't legally able to force the resident to do anything that would help them.