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I am a live in home health aide and the women I care for is 77 and only talks about her sex life. She tells wonderfully funny stories about her boyfriend who sneaks in every night, of course this is not true, however should I go along with her fantasy or not? And if not, how should I approach this situation. I've tried going for a ride with her taking a walk and diverting the conversation, this doesn't help...

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You say you find it wonderfully funny so I don;t think you need to find another job if everything else is good.. If redirection does not work.. just tune her out! She seems to be having a better time than alot of us caregivers!
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Do as Pam says or find another job
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Go along with it at first and gradually redirect the conversation to something else. You may have to redirect more than once.
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