A new client has three caregivers already for her husband who is on the border of mid-stage ALZ. He sometimes does not remember the caregivers when they show up for the designated time. Then he sends them home. Up to now, her house has been a revolving door for caregivers and drivers who take him to men's day care. Now she wants to hire a male companion from my staff. Then she would have four caregivers during the five days of the week she is at work. If she hires my male companion, then it will be five caregivers.
Her husband does not like caregivers in the first place.
I am concerned that this couple may have a difficult time as his disease progresses because he has not "learned" that a caregiver can be a guide. Furthermore, he will not be accustomed to having caregivers around at a later stage of his disease if he is not used to them now.
IMO, four caregivers over a work week are too many. His wife will never quit work. She cares about him but does not want to come to grips with the need for caregiving. But that is another question.
So, based on your experience, what is a reasonable number of paid caregivers over five days for a situation that could go on for several years. I have my opinion. But I would prefer to hear your thoughts first. Thank you!