But theoretically they shouldn't require family to do the tweaking...
absolutely, but theory doesn't always deliver the goods.
In practice, looking at my wife and her current condition and ability to communicate.... her body has become mis-shapen and in the past, had she been seated the way she is now, I would have thought it most uncomfortable for her. The truth is I have no idea now one way or the other - if I try to move her, I can't because her posture is so stiff.
She can't communicate pain in a way that is instantly recognisable as that. I can try, by my close knowledge of her entire being, to interpret things, but I can never be sure that what I interpret is correct.
So how does a care worker know for sure?
Things like pressure sores, and the visible things, of course there is no excuse for. These should be picked up - hopefully - in normal bathing etc.
Clearly, if there is bleeding, bruising - some visible sign - then that makes it clear.
Just yesterday I amended Jan's care plan regarding feeding. I augment the plan fairly regularly, as I identify things that may be helpful for Jan. With staff changing throughout the day, having the amendments available at least may provide some continuity.....if they read them.
I think maltreatment of - anyone - seems to be distressingly normal if we read the papers. Stories of parental treatment of children regularly seem to be worse than care home treatment of residents.
It is a fight on all fronts, I think.
