I work with the developmentally disabled. You basically have two choices where I work.
You see, because of privatization in my field... all of the "good" ones(physically capable, emotionally stable and only mildly disabled intellectually) have been scarfed up by their home counties. We have what is left, which brings us to the two choices....
1. Completely disabled physically. You must do everything for them. Dress them, feed them, wipe their asses etc. Sounds like a Nursing home, right? Wrong. We are a Training Facility, so that means you also have to provide 5 hours of training in a work day.
A typical day Shift day with this choice looks something like this: You are responsible for 6-8 people in your group.
6AM-7:30AM: Start work... look over the 24 hour report to make sure there aren't any Medical Changes to the people you are responsible for. If not, get started... start by changing diapers and applying your topical treatments, take TPR'S(Temperature/Pulse/Respiration)as needed, and getting your people dressed for the day. Remember, these people are basically infants in Adult bodies... so they may or may not get combative with you... so even doing these basic things are not as easy as it sounds.
7:30-9:00 You must have them ready by 7:30, because by this time the LPN comes in and administers morning medications. One of the staff on the Living area must accompany the LPN to identify the individual and to assist in pouring water... let's assume that's you today(it rotates). You must be done by 7:15 to set up the Med Cart that you will be pushing around. When Meds are complete, then it's time for breakfast. You will have to hand feed all your people and most of them suffer from dysphagia(inability to swallow correctly), so it's slow going. You must be done with Breakfast by 9:00 because then it's time for your first round of....
9:00-11:00PM: Training. You will try to teach these people menial tasks... the way you do it is to start at the very beginning... what's the first thing to tying a shoe? OK... since you don't really understand how it works, the first thing is to be able to tolerate holding a shoelace... this is how basic you are working with. Now when you are doing this, you are in a general Training area.. which means you pushed your 6-8 people in wheelchairs to the training area(which I forgot to mention). In the Training Area, you will be working with the whole living area as a group(24-32 people), this provides coverage so that you can go get your 15 minute break(smoke 'em if ya got 'em). After you get back, you continue to assist with training(according to each person's training plan) until 10:00... in which(if you got your 1st break first...which we'll say you did) you will go to lunch(1/2 hour). You get back from lunch and it's time to wheel them back to the Living Area. Oh yeah, I forgot to add... you will check and change your people's diapers as needed while you are down there.
11:00-12:30: Back on Living Area. Get the folks out of their wheelchairs and into their beds one at a time and change their diapers(if they weren't changed downstairs in the Training Area). If their clothing is soiled(leak through/poop through)... change their clothes(again) too. While you're doing this, you will also apply their afternoon topical treatments(scheduled for noon, but you have 1 hour leeway on either side of noon)
12:30-1:30PM. Feed your people lunch.. same as Breakfast.
1:30-2:00PM. Wheel them back down to the training area to start PM training.
2:00PM... 2nd Shift arrives, you go back up on the Living Area and do your paperwork....Clock out at 2:30PM.
That was option A... which is what I did until I blew out my back in 2006 and needed a 3 level fusion done. Now I decided to go with option B.
The daily schedule is pretty much the same... the difference is the people you work with. Option B is working with More physically capable people(always) and perhaps more intellectually capable(depending on where you work) The difference is behavioral. This is where you( on at least an every couple of day basis) are kicked, punched, slapped, spit on, scratched... and in our most capable people(in addition to the above) get cussed out(quite well, I might add) and if they are really pissed off.. will go to your supervisor and say "he hit me"... which means you get taken off the living area, interrogated thoroughly and given an alternate work assignment until the entire investigation is complete(usually 3-4 weeks doing whatever shit work they can find you).
here's the kicker....You are NEVER allowed to retaliate in any form...verbally, physically or emotionally. There are no consequences for their actions imposed because they are the disabled people and they have their rights. You have none... except for Union representation when you are accused.
Sound good? I am not exaggerating on any of this. However, what I am not telling you is about the relationships you develop with these people...and that's what keeps you coming back. Over time, you learn how to deal with these folk. You realize that they are quick to love and quick to hate and you can't take their outbursts and even their false accusations personally. They are brain damaged people. You learn to love them.