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They all seem to be lazy or control nutz

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Ask them with please, and say thank you. Praise them when they do something good. Same as you would train a child. Or a dog.
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Michael, please give us more information, such as who is the patient, what are the patient's physical and/or memory issues? Are the caregivers from an Agency or independent contractor? Did you set up a list of things you want the Caregivers to do on a daily basis?
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