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When my mother was dying 6 years ago, I hired a respite care worker from the only agency in the area. The only person they could send me was terrible. Nice enough person but tons of personal problems and constantly sick. At one point I went to shower and when I returned the caregiver was in tears about her boyfriend and my dying mother was handing her tissues. Needless to say, I had to handle the last 6 weeks of her life by myself, as there were no other options. I also ended up paying about 1000.00 for care we didn't use because my mom didn't want her around.


So now I have been caring for my father with dementia for 6 years. He lives with me and my husband, I quit my job, we can't go anywhere or do anything, haven't had a day off in 6 years. We both have serious caregiver burnout. However, the only option would be the same place as before.


I feel like I am already managing so much, I don't have the energy to take on some strangers problems, which is my experience.


What do you do when hiring help makes you feel worse and causes more stress?

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The agency you used is only as good as the person they send over! If they send over a caregiver who's saddled with issues, call them up immediately and ask for a replacement. Make your wishes known up front, that you're looking for someone with experience and maturity who won't bring personal problems to the job.

If your father doesn't want the caregiver around, sorry dad, I need a break so the CG is staying. You have needs that are very important as well here, try not to forget that. If the agency sends you a CG, be sure to let that person know what you expect in terms of care, but don't expect perfection. Do expect a break from your duties as a carer. If the person is being paid, then he or she is expected to perform certain duties as outlined by you. Discussing personal problems is not on the list!

Your other option is to send your father off to an Assisted Living Facility for respite care, even if it's far away. You'll have a couple of weeks off and that's what you need after 6 years and major burnout.

Wishing you the best of luck moving forward with hiring some help or getting respite.
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babziellia Jun 2021
I agree. If the caregiver they send isn't working, call them up and tell them to send someone else.
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When I used an agency the caregivers I got were good.
As my Husband declined the last 2 caregivers I hired were AWESOME. I contacted the local Community College and spoke to the director of the Nursing program. I explained I wanted to hire caregivers. The CNA program had concluded and I ended up hiring 2 that were waiting for the next semester of Nursing School to begin.
They were great. Caring. Attentive. And I am sure they appreciated “easy” one on one work rather than getting a job at a facility. Not to mention the hours were good, start at 9 AM and they were done by 4 PM.
Since I hired them privately there was paperwork but it was through a program the VA had so I had minimal paperwork and I know it was done properly.
So check your local Community College
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MHHE1967 Jun 2021
Great information! When hiring privately, are you responsible for withholding taxes and social security for the caregiver?
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https://adrcoforegon.org/consite/explore-alzheimers-disease-and-related-dementias-caregiving.php

Call these people and talk it through.

I knew nothing of Astoria, Oregon, but thanks to dear Auntie Google I've found that it looks like the most amazing place to live, beautiful, rich in interesting history and new communities. I can quite understand the attraction.

But that doesn't mean you can't look further afield for solutions, don't forget.
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I've been an in-home caregiver for almost 25 years. A lot of those years were spent employed by a care agency until I wised up and went private duty only.
If you want a good and professional caregiver who knows how to do their job and is trustworthy, never use an agency. These places will hire pretty much anyone. They all claim their caregivers are well-trained. That they are always supervised and have access to great support staff from the agency. That everyone has a complete back round check and are trustworthy.

What a great steaming crock of something that is.

In all the years I was with agencies, I have never been "supervised" by a nurse one time. An agency tells its workers to call the agency in an emergency. They reassure clients and families that they will handle it. Really? That's an even bigger crock of something.
I can't tell you how many emergencies came up with clients of mine over the years. The only support the agency ever offered was leave a voice mail. Lucky for the clients in distress that I have EMT training and handled those emergencies. Granted, I wasn't supposed to. The protocol was to call the agency and a supervisor would handle it. Only if I had waited for some supervisor to listen to the voicemail and call back, the clients would have been dead.
Agency aides will follow the protocol no matter what. No one wants to lose their job or get in trouble. They also don't know how to respond in an emergency.
When you hire privately, you get people like me. People who you can really check out too. References from families that you can personally speak to. Sure, it will cost you. An experienced, skilled caregiver who will handle everything isn't working for cheap like agency help.
If you can afford to pay for private care, I suggest you do. Go on and look at profiles. Then just start talking to possible hires. You can negotiate the pay with them too.
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Slartabart Jun 2021
Integrity seems difficult to find sometimes, particularly when pay is an unlivable wage. For such an important, diversely demanding job, caregivers are often grossly underpaid.
Burnt, could you name a reasonable range of hourly pay for an experienced caregiver (private, non-agency, non-nursing)? I know it depends on what part of the country, the level of skills, etc. but a guideline would be very appreciated.
Also, is a minimum # of hours per visit typical (2 or 4 or…)? . This info might be of interest to the OP, as well. Thanks.
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My mom lives in a remote area that's nearly an hour from family and she loves living there. She's in her 80s, had polio as a very young child, and fears going to a nursing home of any kind. She's got bits of dementia and short-term memory issues but is otherwise very sharp. She's lost a lot of upper body strength and gets around on a scooter (no use of legs). I know she gets lonely and is also very strong-willed/obstinate and insistent that she doesn't need help, until she does.

I talk to her several times a week via video on an Alexa Show device and have cameras set up around the house so my brother and I can keep an eye out for problems. She also has an iPhone and an alert button.

When we were looking for help, I used care.com and found there were several possible helpers, even in her remote area. It was tough to get people to respond or that were available. I did end up finding someone (20 years experience) for a morning shift through someone else who had great reviews but was unavailable.

I found someone else when my friend in another state posted to a small business group from my mom's town on Facebook. My friend explained our basic needs and asked for interested parties to contact her. We found a very nice nurse who comes 1-2 hours a night and is seven minutes away.

My mom was resistant at first to have the people in her house but now looks forward to their company. She's still obstinate but it's a relief to know there are people helping her in person and that we can call someone nearby to come over in an emergency.

We pay $20-25 an hour which isn't cheap but it's lower than what we'd pay through an agency. The agencies we talked to have four hours at a time minimums which didn't fit our needs right now. There was also no guarantee of getting the same person consistently which wasn't ideal.
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NeedHelpWithMom Jun 2021
That’s wonderful that you were able to find good caregivers! That’s a win, win situation, since your mom is happy to have the caregivers in her home.

My husband’s grandmother was a very stubborn woman who refused to go to a nursing home. This forced her only daughter, my sweet mother in law to hire private pay caregivers.

My in-laws paid more than the caregivers were expecting to be paid so they would stick around! My husband’s grandmother was not a nice person to be around and didn’t appreciate anything! Trust me, her caregivers deserved every dollar they earned! My in-laws also gave them items in the house that they admired after my husband’s grandmother died. They deserved extra!
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I am a lucky one that found a great aid. I tried around 5 years ago when my mom came back home from hospital but it did not go well so I gave it up. She spent a couple of hours with me and my mom. Mom was having diarrhea mixed with blood but she said I was wrong. I called the doctor and it was blood. Mum was taken to the hospital with what seemed to me an intestinal ischemia. I was not ready to try someone else and mum just refused to have someone as she was almost independent. But when she fell last February after 2 weeks working at home and taking care of her who was completely bedridden I had to find someone as I had to go back to work.
The lady sent by an agency (I understand agencies are really organized in a different way here in Italyl is absolutely fabulous. She has years of experience, is sweet, takes mum out in her wheelchair, she cleans and irons... And doesn't mind our bunny living free in the house. Actually she is spoiling both mum and bunny. 😁
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It’s a mixed bag! Some workers are excellent and others leave a lot to be desired. Have you tried hiring privately? Of course, you would need to do a background check and check references.

Otherwise, I would bypass an at home caregiver and move your dad into a facility, either an assisted living facility or a skilled nursing facility. Then you can relax knowing that your dad is being cared for 24/7.

You can be his advocate and visit as often as you like. You and your husband deserve a break from full time caregiving.

Wishing you and your family all the best!!
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We hired Visiting Angels to help with my dad. For the most part the caregivers were fine, a few not so much. Mom sent one home and told her not to come back, and one I asked not to return because she was a tiny lady not capable of handling my large father. You have to kiss a lot of frogs to find your prince!
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NeedHelpWithMom Jun 2021
The opposite happened to us. Home health sent an aide that was so extremely obese that she couldn’t help my mom. She was absolutely no help as far as respite care for me. I ended up drying mom off after her shower, dressing mom and placing mom’s stockings for edema on because the caregiver would huff and puff so badly due to her extreme obesity. This woman couldn’t bend over at all! She could barely walk from my front door, down the all to my mom’s room without being out of breath.

It was awful. I was nervous having her bathe mom because she wasn’t steady on her feet.

When I asked for a replacement they told me that she passed the caregiver test. I told them to come see her in action and then they would see that I was doing most of her job for her. They eventually sent a replacement that was wonderful.

I am certainly not fat shaming anyone. It’s about being qualified to do a job. She was so incredibly obese that I still wonder how she drove her car. It seems like she would have never been able to fit behind a steering wheel. I suppose that she had the seat pushed back as far as it would go. She was tall so I guess that’s how she could still reach the pedals to drive. She looked like she weighed between 400 and 500 lbs! They must make special seatbelts for someone as large as this woman was. There is no way a normal size seatbelt would fit her. These are the people that have to buy two airline seats.
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Our family is having a good experience. My MIL has 2 caregivers that care for her in her home in Hawaii. She refuses to stay with us or her other son's family because Hawaii has always been home for her. Long story short, she has dementia and can not live alone. 2 wonderful women care for her in her small condo and keep everybody up to date.

In your situation, you need more people helping you. Ask family, friends, members of your faith community for help. Try again to secure home health assistance. Keep in close contact with the agency if an aide seems to have problems. They are taught not to bring their live issues into their work environment.
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I found a fabulous caregiver we used for 2 years. Hate it when we lost her. (Covid). We do use an agency. We have had a good caregiver. A sucky one. A sucky one. A terrible o e. A good one and now 2 great ones. You just have to communicate with the manager and say nope I want someone else and why. Squeaky wheel and all of that.
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NeedHelpWithMom Jun 2021
Totally agree with speaking up about those not doing an adequate job and I feel that those doing a great job should be complemented and shown appreciation for their efforts.
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