I worked as an aide out of college because we lived in an area really short of professional jobs and needed to stay while my husband finished his master's and the few awesome places didn't want to hire someone who'd quit in a year. I worked peds, but we'd get pulled to other units a lot.  I'd always seem to be given every complete care by the lazy shits that worked there (instead of dividing them up so we could go above and beyond) only to discover all the patients had "refused" their hygiene on the unit. What this actually meant is that they were either ashamed to not be independent and said "I don't want to be a bother", groaned when unconscious and were rolled, or were too affected by Alzheimer's disease to complain and so were all left neglected with tunneling bed sores, coping the best the could on their own, or the nurse was working really hard. I wrote so many complaints; it still makes me angry to think about.