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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Caregiver pouts and complains that she feels unappreciated by patient because patient sometimes snaps at her how to deal with this? She is good caregiver but pouty.
There are very different kinds of caregivers, even CNAs. Some are very patient driven, and will take extra classes to stay in the loop and educate themselves. Others think more about themselves and their own agenda. Make sure any caregiver that is working with your family Has the emotional maturity to deal with all the issues that seniors face. Because caregivers are so desperately needed, unfortunately some get hired that need a lot more education. Be selective.
Ah, this is difficult. It seems to me the agency needs to include this subject in their continuing education programs. Trained help makes the difference in so many cases.
You need to speak to the agency manager 'before' - tell them your needs and ask if they have an employee who is trained / experienced in working with stroke patients with cognitive / mood issues. Many agency employees are not highly skilled or educated in these medical matters. They can handle cooking, cleaning, laundry, and interacting with elders with minimal brain / cognitive changes.
In addition to discussing your needs with the agency manager, you need to then interview the caregiver when they arrive. Ask them questions such as "How would you handle a situation like this ... "
If this 'good' caregiver will read, print out information about stroke patients.
If they do not understand how a stroke patient 'may' interact, then you need to go back to the manager and tell them - they sent an employee who doesn't understand his/her needs. Do not charge me. Then, go to another agency.
The other alternative is to hire an independent medical social worker and have them assist you in finding a caregiver trained / experienced in the areas you need.
I had a caregiver who didn't understand why my mom was closing her eyes and not answering questions. She was taking it really personally when it's a behavior from having strokes and dementia (ie cutting out visual stimuli). I found an article on the behavior and printed it out for the caregiver.
Ultimately, the other caregiver had other issues and this education wasn't enough to keep her. I've also used chatGPT and printed out the information to educate caregivers on specific topics. I think you learn a lot about a person if they're willing to learn and adjust if you give the resources. I've also found a verbal explanation followed by written education (that the caregiver can read) reinforces the topic the best. I keep an "education binder" with my mom's daily routine with all of the information.
If all else fails, you move on- then you have the education for the next caregiver and it's a teaching experience for the next person! It's interesting to watch the next caregiver see the education and if their reaction is "oh that's obvious" - I find that to be a great sign!
Why would the agency caregiver be pouting to you? Or pouting at all? That is ridiculous. They should be speaking to their supervisor. It's the aide supervisor's job to handle any issues between clients, their families, and the caregiver.
I was an in-home caregiver for 25 years and now am in the business of it. The homecare field is different today than it was back when I was still doing direct care. Today agencies have rules about client behavior. Homecare aides don't have to be a client's whipping post anymore because this can be considered caregiver abuse. Reputable homecare agencies will pull a caregiver off an assignment if the client is abusive. We have a '3 Strikes You're Out' policy with clients. I will take a caregiver off a case if they're not a good fit for the client, but I do not allow a client or their family to go through every aide in the agency. Some people will always find a fault and I don't play these games. The client gets dropped from service.
You should know that homecare workers really don't get trained by the agencies that hire them. If they're a CNA, they received that training and certification. If they are just 'aides' or 'caregivers' they usually have zero training in anything. They learn on the job how to handle the behaviors.
The pouting nonsense is ridiculous. It's not the responsibility of the client or their family to make the aide feel appreciated. What is the client's or their family's job, is to make sure the aide has a safe environment to work in and has whatever supplies and equipment necessary to do their work. If the place is a filthy, hoarded mess you get that cleaned out before homecare is even a thought. Homecare has limits. Sometimes, many times, the client should be put into residential care.
How much time do you want to spend training and holding the hands of a caregiver? If this is a "good caregiver" and you have the time to "train" her in vast unknown land of dementia and the declines, the "quirks" that so often happen. If you do this she will be wonderful for the next person. or You can talk to the agency and explain that while this caregiver is good you need someone that has more experience with a patient/client that has cognitive problems. No wrong answer it is just how much time do you have to train someone that may indeed be a very good caregiver.
If you have a home caregiver who does not understand how to manage a moody stroke patient with cognitive dysfunction, then she is not a good caregiver.
Remind her it's not about her. Her job is to care for someone with cognitive decline, it is not the patient's job to make her feel good.
You are right. It is not for the client or their family to make the caregiver feel good or appreciated. It is their job to understand what the caregiver's duties are and what is expected of them in return. It's not a client's job or their family's to try and micromanage every tiny detail or to have unrealistic expectations on what they think the caregiver's job is. I can't even tell you how many care clients and families that I've worked for both in the field and in the business who think the caregiver is basically supposed to be a slave for the whole family. Or they expect the aide to assume total responsibility for their loved one 24/7. When they find that we're not doing that, the caregiver and often the agency they work for get the heat.
If they are just starting out in this field, I would explain again that a stroke causes cognitive decline and personality changes and maybe no appreciation in what you do for them. Thats part of the job. A seasoned aide should know this.
First off, you're paying for an inexperienced aid. Did you request someone with even a modicum of experience dealing with clients with cognitive impairment? I always do.
If you this aid has other redeeming qualities, you can put effort into training them yourself, but be aware if she leaves you'll have to keep training people.
I agree to make sure she knows you appreciate her, and that you also receive the same exact treatment.
Honestly, someone who is openly pouty is not very mature and I'd really question if she's able to do the job you need her to do.
Educate this caregiver about the realities of a stroke patient and what to expect. Ask her if she can handle the job w/o being "appreciated" by a client who's not able TO show appreciation any longer? If the answer is no, ask for a new caregiver. If yes, see how it goes with on the job training.
Even though the "patient" snaps at her which makes her feel unappreciated, I hope that you counteract that by letting her know just how much YOU appreciate her and the hard work she's doing. That should wash out any of the negativity she's feeling as we all like to know that we're appreciated.
Ah, alas, people have their personalities. I used, as an RN, to work with a woman named Martha, who every night came into night shift with the same glowering complaints and moaning. Thing is, she was actually a good gal and a good caregiver. She just had the habit of complaining.
I would say this to your own caregiver: "Could I ask you a question? Don't answer if you don't wish. I see that you are a WONDERFUL caregiver! That's clear. But sometimes it sounds as though you really don't enjoy the work? Am I wrong about that?" She might just lighten up, or she might acknowledge that it is HARD WORK, but she will be glad to be seen as a good worker, who does a good job. That may lighten her load.
Truly, strokes DO change personalities. If she has been long doing that job she may know that. Or you can tell her "You know--Mom (or Dad or brother or whomever, has been so very changed by her stroke. I never know how much is the stroke itself and how much is all the loss she (he) has since the stroke. I imagine you see a lot of that?".
This is just life. You aren't responsible to make her work joy. But you may change things by including her. At least a bit. Can't hurt to try. As an RN the snipey one were sometimes my favorites! But we're all different.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
In addition to discussing your needs with the agency manager, you need to then interview the caregiver when they arrive. Ask them questions such as "How would you handle a situation like this ... "
If this 'good' caregiver will read, print out information about stroke patients.
If they do not understand how a stroke patient 'may' interact, then you need to go back to the manager and tell them - they sent an employee who doesn't understand his/her needs. Do not charge me. Then, go to another agency.
The other alternative is to hire an independent medical social worker and have them assist you in finding a caregiver trained / experienced in the areas you need.
Gena / Touch Matters
Ultimately, the other caregiver had other issues and this education wasn't enough to keep her. I've also used chatGPT and printed out the information to educate caregivers on specific topics. I think you learn a lot about a person if they're willing to learn and adjust if you give the resources. I've also found a verbal explanation followed by written education (that the caregiver can read) reinforces the topic the best. I keep an "education binder" with my mom's daily routine with all of the information.
If all else fails, you move on- then you have the education for the next caregiver and it's a teaching experience for the next person! It's interesting to watch the next caregiver see the education and if their reaction is "oh that's obvious" - I find that to be a great sign!
it is normal for stroke patients to have mood swings.
Be nice in your conversation. Maybe pickup a lunch and have a chat over lunch at the house.
We had to train Mom's caregivers on a lot of things.
A CNA will have a lot more background and training.
A home health aide will be an unskilled person.
We found the CNA's needed a lot less training from us. The home health aide (unskilled person) needed a lot of training.
I was an in-home caregiver for 25 years and now am in the business of it. The homecare field is different today than it was back when I was still doing direct care. Today agencies have rules about client behavior. Homecare aides don't have to be a client's whipping post anymore because this can be considered caregiver abuse. Reputable homecare agencies will pull a caregiver off an assignment if the client is abusive. We have a '3 Strikes You're Out' policy with clients. I will take a caregiver off a case if they're not a good fit for the client, but I do not allow a client or their family to go through every aide in the agency. Some people will always find a fault and I don't play these games. The client gets dropped from service.
You should know that homecare workers really don't get trained by the agencies that hire them. If they're a CNA, they received that training and certification. If they are just 'aides' or 'caregivers' they usually have zero training in anything. They learn on the job how to handle the behaviors.
The pouting nonsense is ridiculous. It's not the responsibility of the client or their family to make the aide feel appreciated. What is the client's or their family's job, is to make sure the aide has a safe environment to work in and has whatever supplies and equipment necessary to do their work. If the place is a filthy, hoarded mess you get that cleaned out before homecare is even a thought. Homecare has limits. Sometimes, many times, the client should be put into residential care.
If this is a "good caregiver" and you have the time to "train" her in vast unknown land of dementia and the declines, the "quirks" that so often happen.
If you do this she will be wonderful for the next person.
or
You can talk to the agency and explain that while this caregiver is good you need someone that has more experience with a patient/client that has cognitive problems.
No wrong answer it is just how much time do you have to train someone that may indeed be a very good caregiver.
Remind her it's not about her. Her job is to care for someone with cognitive decline, it is not the patient's job to make her feel good.
You are right. It is not for the client or their family to make the caregiver feel good or appreciated. It is their job to understand what the caregiver's duties are and what is expected of them in return. It's not a client's job or their family's to try and micromanage every tiny detail or to have unrealistic expectations on what they think the caregiver's job is. I can't even tell you how many care clients and families that I've worked for both in the field and in the business who think the caregiver is basically supposed to be a slave for the whole family. Or they expect the aide to assume total responsibility for their loved one 24/7. When they find that we're not doing that, the caregiver and often the agency they work for get the heat.
If you this aid has other redeeming qualities, you can put effort into training them yourself, but be aware if she leaves you'll have to keep training people.
I agree to make sure she knows you appreciate her, and that you also receive the same exact treatment.
Honestly, someone who is openly pouty is not very mature and I'd really question if she's able to do the job you need her to do.
That should wash out any of the negativity she's feeling as we all like to know that we're appreciated.
I would say this to your own caregiver: "Could I ask you a question? Don't answer if you don't wish. I see that you are a WONDERFUL caregiver! That's clear. But sometimes it sounds as though you really don't enjoy the work? Am I wrong about that?" She might just lighten up, or she might acknowledge that it is HARD WORK, but she will be glad to be seen as a good worker, who does a good job. That may lighten her load.
Truly, strokes DO change personalities. If she has been long doing that job she may know that. Or you can tell her "You know--Mom (or Dad or brother or whomever, has been so very changed by her stroke. I never know how much is the stroke itself and how much is all the loss she (he) has since the stroke. I imagine you see a lot of that?".
This is just life. You aren't responsible to make her work joy. But you may change things by including her. At least a bit. Can't hurt to try. As an RN the snipey one were sometimes my favorites! But we're all different.