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Consistent staff assignment allows aides and residents to work out idiosyncratic ways of getting things done, rather than having battles over control, timing, and preferences. Giving nursing home residents control over small aspects of daily life is more important than staff efficiency in getting tasks accomplished. Creative approaches to solving problems arise most fruitfully from knowing the nursing home resident as a person, and this requires an investment of time as well as sensitivity that rewards both the giver and receiver of care.
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Wendy Lustbader (1996) studied this question.
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