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A bit unusual, I guess. We were approved for a home aide for 7 hours x 7 days/week. But there is not that much care needed currently. Maybe there will be in the future. Plus, it's a small apartment. The agencies say they will not do less than 7hrs x 7 days. We probably need 4 hours 3 days a week. What do we do?

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Let the caregiver sit and read a book.

Let the caregiver do a puzzle with your loved one.

Let the caregiver take your loved one for a walk outside.

We gave ours the WiFi codes so they could study for their college courses. One just got her RN degree. One got her BS degree in Social Work.

Let them do laundry.

Have them do crafts with your loved one.

Some days they will be short staffed so you won't get anyone even though you are approved.

They can change the bed and wash the sheets once a week.
Helpful Answer (16)
Reply to brandee
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Take the 7 hours, 7 days a week. You may not "need" them now but you never know what is going to happen in a month, 2 months...
Start doing things that you want to do and either get out of the house or you now have help going through the boxes in the bedroom that you have been meaning to sort.
And if you are going some/ a lot of the things the caregiver should be doing STOP...let them do what they are being paid to do.
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Reply to Grandma1954
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Things can change on a dime. Don't give up what you have, you might not get it back when you do need it. You are in a good situation, keep it that way.
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Reply to Hothouseflower
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Not unusual at all.

Like you, we thought a caregiver for 4 hours, 3 days a week for my parents would be all we needed.

But soon that changed to 5 days. And as their dementia progressed, we continued to add shifts. In less than two years we needed 24 hours of care.

Light housekeeping was added. Meal planning. Med organizing. Grocery ordering. Laundry. Closet organizing. Cabinet organizing. Nail care. Help with puzzles. Help with eating. Then help with just about everything.

Downtime was spent in an extra bedroom, but “at the ready.”

We were relieved to have someone there.
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Reply to daughterofAD
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The agency already told you the rules, so just take the aid. This is our Government at work. It's all so big and so onerous that there aren't ways for them to easily adapt. Start thinking. You may find some things for them to do. Meanwhile you can give those workers a rest between laundry, cleanup, getting lunch, maybe even helping you downsize and organize a bit.

You have tried to be truly honest. So good on you. On you go.
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Reply to AlvaDeer
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The aides that come into the home are probably Home Health Aides (HHA). They are there for the client. You should be able to keep them busy for an hr. If this is not for you, run an errand or just take a walk. Here are the duties of an HHA.

Duties and Responsibilities:
1. Assists with personal cares such as bathing, dressing, grooming, feeding, toileting, routine 
catheter and colostomy care, ambulation, transfers or positioning.
2. Performs simple dressing changes that do not require the skills of a licensed nurse.
3. Assists with physician-ordered medications which are ordinarily self-administered under 
the direction and supervision of the Registered Nurse. Typically, this involves reminding 
the client of the specific times to take their medication.
4. Performs simple procedures as an extension of therapy services under the direction and 
supervision of the therapist.
A. Range of motion exercises
B. Home exercise program
5. Reports changes in the client's condition and needs to the Registered Nurse.
6. Performs household services essential to health care at home, including, but not limited to:
A. Meal preparation/feeding
B. Laundry
C. Light housekeeping
7. Completes the appropriate records to document care given and pertinent observations.
8. Communicates effectively with all members of the interdisciplinary team.
9. Maintains a safe client environment and identifies and reports of any suspected vulnerable 
client abuse, neglect, or financial exploitation. 
10. Maintains client confidentiality; treats clients and families with respect.
11. Understands, accepts and responds to the emotional needs of each client.
12. Participates in in-service programs to meet compliance requirements.
13. Accepts and fulfills assignments and exercises judgement in accepting assignments.
14. Understands and follows infection control policies including proper handwashing 
technique.
15. May assist with precepting other HHA’s.
16. Performs other related duties and responsibilities as assigned by RN.
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Reply to JoAnn29
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Take the hours. My uncle got more hours than needed but just liked having someone there to talk to. He may not have needed all the hours, but he did need help (preparing meals, going to the bathroom, waiting for laundry to dry) during day and limited hours would have meant that the help he needed would have left for the day.
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Reply to mikeindc
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Absolutely take the hours. With all the task listed above the social interaction is priceless and something they look forward to. Playing cards with, even watching tv with someone who talks between commercials about the show. All these little things support mental health and confidents
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Reply to Michael2
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If it’s like the VA, once given the hours, it’s better to keep them. If you give them up, it might take time to get those hours approved again if needed in the future. Are those hours consecutive or will they come more than once a day? I think I’d find a way to make it work, even if it’s just for companionship for TV time.
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Reply to MissingMama
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Grandma007: The offered hours will no doubt be needed in the future.
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Reply to Llamalover47
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