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I work for an elderly couple, one has dementia. Their son lives in another state and will be bringing his wife and kids to stay and "play" and vacation. They have done this before and took advantage of me asking me to do THEIR laundry and dishes etc. I am here to care for the parents....NOT a maid. I also find I have resentment for them taking advantage of personal care attendants, so they can go off and play all day. Why can't they just stay and do fun things/ take care of their folks at home? They're only here for a week. It baffles me. How can I gently approach the issue with them/ my employer?

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Do you have somewhere else to go? If so I would consider this as your vacation time (you do get days off I hope) and ask them to let you know when you need to return to work.
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MaryKathleen Jul 2020
I love it.
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yes, thank you! in this crazy world now with the covid, i need a break!
Should i just say "I will be taking that time off, let me know when you need me back". ?
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bevthegreat Jul 2020
That is a great idea!!!
You take Vacation at the time they arrive but, you have to be ready for them to say no that the man and wife aren't able or already have their hands full with their own children.
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Make best friends with The Care Plan :)

Your support for the parents should all be documented; and not only so that you don't get asked to do things that aren't relevant to the job, but also so that you can't get accused of overstepping boundaries, or (God forbid, as if you would) attempting tasks which are outside your set of skills/competencies. So there are extremely good reasons for being pretty darn specific about what is and is not included.

You get all sorts with family members, do you not..? I've just a nightmare of an evening but that's in spite of the client's husband's best efforts to help. Bless the man, he even tried to fix my car, which had taken it into its little French head not to start and of course had picked a prime location with no cellphone signal of any description.

And then you get others who think you should be washing *their* car, emptying the litter tray and waiting on their guests.

I have the good fortune to work for a public sector service which has an aura of authority about it so that if clients' families don't behave themselves they get rapped over the knuckles and told it isn't acceptable. I'm sure it must be a bit different when you have a single relationship with one employer.

Still. Back to The Care Plan. Do you actually have one, written down and agreed to?
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Dear Gentlecare70,

"Cwillie's" and "Countrymouse's" suggestions are great ones.
Also, I think you saying/asking "I WILL be taking that time off, let me know when you need me back" is good.

I understand your resentment - most of us who get taken advantage of at one time or another feels it. The unfortunate thing about being taken advantage of is once it happens, it becomes more difficult to undo it. So if you were ever to take a similar position again for someone else, you should make everything clear (even if you have to put it in writing and have it signed) what your duties are and are not and for whom being as specific as possible - I would even have a specific section applying to guests/family members so there can be no confusion. You could actually try to put this into place now. Tell either the couple or the son or both "There seems to be some confusion about what my role and duties are as a PCA so here is a list of what I will be doing going forward". I would even begin with a paragraph regarding what a PCA is so they have a clear understanding what it actually means to be one. The old saying goes "we can't be taken advantage of if we don't ALLOW it in the first place" - this is simply a part of having boundaries/limits.

Lastly, you asked "why can't they just stay and do fun things/take care of their folks at home?" - the answer is simple - they don't want to. That is not a vacation and "play" time to them and why would they when they have you there to do their laundry and dishes etc. So they have a "free" hotel and maid service on their stay/play/vacation - sounds real good!

I hope you can get a resolution set into place and move on with taking care of this elderly couple and hope you will let us know how it goes!
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You do not have to do their laundry, you do not have to cook or clean for them. If you do I would tell them, hopefully prior to their arrival, that laundry service will be $XX.xx per day, cleaning will be $XX.xx per day and any other service that you provide that is not DIRECT care to the parent will be charged. Your time is scheduled and you are providing care for mom and dad so you can not do both.

You are there for their parents not to provide maid and or housekeeping services for them.
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DrBenshir Jul 2020
You have great advice: the family is coming to take care of Gran and Gramps so you won't be needed that week, right? You "don't want to get in the way and interfere with private time together". I suggest presenting it that way to your employers, and then scheduling yourself a lovely break to take care of yourself and recharge.
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I think if you play this game of I will be taking time off, they will amend your agreement as to notice you must give before taking time off.   Frankly, they have every right, if you are getting paid, to expect you to care for their elderly parents.   We had one caregiver who tried this stunt, and we told the agency if she does not want to work we will find someone else.  

As to not doing their laundry or dishes, you can try and hold the line on that, but then you may find them looking for someone else.  I would also add, you may need to remember that you are now sharing the house with two more people.   So if you do not do so already, you will need to rinse dishes and put in dishwasher, not let them pile up.  You have to share washer/dryer. 
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Sasha17 Jul 2020
I don't see anywhere that the caregiver lives in her clients' home or that she works through an agency. Even if she does, she has NO obligation tend to anyone's needs but her clients' unless she agrees to do so and is paid for the extra duties.
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I think that you need to approach this as a negotiation rather than an ultimatum, I hope that this visit isn't within the next few days so you have time for that. I would be straightforward in telling them that their presence in the home makes extra work for you and that when you were hired caring for extended family was not part of the bargain you agreed to (it wasn't I hope). Mention that you would be willing to take your vacation when they are there, if you wish you can negotiate being available for a few hours for certain things that they are not comfortable with (bathing?). Hopefully they are just clueless and this issue hasn't occurred to them and are not the kind of people who use others.
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FloridaDD Jul 2020
Many relatives will want to see how the caregiver interacts with the LO and will not want her to take vacation while they are there.  Most of the suggestions I see here are totally focused on the caregiver, and the relatives can have legitimate concerns.   Depending on OPs contract, she can say I wont do your laundry, etc (but then she has to share washer/dryer/dishwasher -- I hope they have dishwasher).
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There are 2 issues: “Why can't they just stay and do fun things/ take care of their folks at home?” ‘Fun things’ are OK, but you are paid to take care of their folks at home, and they are probably paying, one way or another (insurance isn’t free). Family holidays are precious, and they are allowed to see more of their folks while having as good a holiday as they can.

The other issue is the extra work for you. If it takes extra time for you, yes you should charge for it. If it’s trivial, try to forget it. The real problem may be in the way they are treating you, as a maid, instead of being grateful for the favor you are doing them. Can you talk to them about that? Could they take over some of the work, in exchange for what you are doing? Perhaps son and wife could cook a few times – eg special dishes the parents used to like. Or a gift for you. Or even sincere thanks! Being resentful may be making everything worse.

PS On a personal note, my DH2 is extraordinarily competent at most tasks around the house, and when we first got together was very happy to help my daughters, one of whom I now have real difficulty with. Their relationship came to an abrupt halt when daughter started treating him like she would treat a tradesman (and not like how I treat a tradesman, I should add). Inter personals make a huge difference to willingness to do extra jobs.
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FloridaDD Jul 2020
NO, OP is not entitled to a gift or the relatives to cook for her.  If my mom's caregiver asked for that, I would be calling the agency.  

There is no need for adult children to be grateful, they should have a matter of fact relationship.  OP should not be expected to clean for the anyone other than the LO,  but she should not expect anything for what she does for the elderly LO.  She is paid for that.   If she cannot accept that, she needs to look for other employment.
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I have to agree with Florida. Just because family is visiting does not mean you are off the clock. However you are not to do anything for visiting family...no laundry, no cleaning up after them. If you want to be off, request time off.
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Be open and honest with them and tell them how you feel. You are not a maid. You are not cleaning up after son and wife and kids. Period. Your job is to take care of the elderly parents only. You don’t need to do FAVORS for the son, wife and kids. Be upfront with them.
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Have a frank conversation with your employers and let them know you will not be cooking and cleaning up after their family members unless they are going to pay you for it. A little communication goes along way.
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My parents have had a similar issue with caregivers at home. Dad is the one who needs help with all tasks except eating. Some will be helpful and do what mom asks-fix her a sandwhich too....But i am sure she asked way too much at times-feeding the cat, put bird seed in the feeder, tooo picky about the way the bed is made etc. Care manager has stepped in a few times to keep everyone happy-but only temporary fix. Some caregivers just dont like mom and it shows-wants to micro manage every one all day long. If you have a care manager now is the time to get a list together of your job responsibilities. You need to speak up now or it will be a problem with the family. Make sure that visitors and your client see the list.
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If you're employed by an agency or business: "Well, the thing is, I would be breaking company policy to do anything besides what your parents are paying me to do. They've really cracked down on this policy and I can't lie to them. I could lose my job and I can't risk that. I'm sure you understand."

If you're independent, then: "I just don't feel right doing that. Your parents expect me to help them and they have to come first. Anything else would take me away from doing what I'm paid to do, and that just isn't right. I'm sure you understand."

Another tactic: Say something like "Wow, you all have a lot of clothes and dishes! I know a great housekeeper and can give you her number if you want. She might be able to come by this week."
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Mysteryshopper Jul 2020
I like this method of addressing it. Make it seem like it's newly enforced from higher management or would otherwise not be the "right" thing to do. Definitely, I'm in favor of addressing this issue as I've had "extra duties" placed on me in a variety of professional (and personal) scenarios. Handling it correctly is key - especially if a paycheck is involved. If employee comes on too strong, the other party is embarrassed/hurt/angry and then no one is listening anymore. Sometimes these situations start small and one day it's out of hand. Meanwhile one party sees no problem whatsoever, but are they mean people or are they clueless?
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Boy, this is hard. I worked as a secretary for a Visiting Nurse Assoc. One of our clients had an aide from another agency there during the day to take care of her DH while she worked. She complained to my boss that the aide did nothing. (She was getting the service free) She expected the aide to do all the laundry, all the dishes and clean. My boss explained to her that an aide is there for the client. If the client had no one else to do this work, then yes it would be the aides job. But, there was another adult in the home who could do the wash, dishes and cleaning so the aide was not responsible to do it.

If you are with an agency, then have them back you up. If your private pay, you just need to stand your ground. The parents are your clients. You are paid to care for them and what that entitles. That is where your responsibilities end. You are not a maid, you are a PCA. A maid does not do what you do for the parents. Good Luck.
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FloridaDD Jul 2020
Wow, tough agency rules.  So if an adult works all day, OK for her to come home to dishes all over the place.  Seems tough to me.

As to if this is private pay, even if the elderly one is the employer, I would not be quick to assume the parents don't want help with this.
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Like most, I'd suspect the original poster doesn't get many vacation days allotted. With that in mind, he/she should not be in the position of having to waste vacation days just because relatives have no boundaries and think the world should serve them. Being clear and direct in communication doesn't mean it has to get contentious. And if it does, that is at their peril. An honest conversation delineating your duties (why you're there) is in order if they don't already understand. They have unrealistic expectations that dump on the caregiver. I'm a big believer in honest communication. Will there be some people in the world who can't handle that? Sure. Do you see any pathway that shows being around people like that will ultimately get better? Nope. They will either understand or they won't. Delivery and choice of language may be key.
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FloridaDD Jul 2020
There is a lot of unrealistic thinking here.  OP thinks the family should do her job when they visit.   She can talk to them re laundry etc., but that is it.  And she needs to review her contract first. 

If the adult children want to go off and play, they should.    If OP does not get enough vacation days, she can renegotiate her contract .  OP might want to think about that the adult children might be using all their vacation time to visit, and they might think they deserve a break. 
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Some day, if the son has POA, he may be the one paying you and hiring you. Try to keep things cordial. I like the suggestion below to offer a recommendation for a housekeeper to come in while they are there to do laundry and clean up. It might be only for one day during the week, or a half day. But you might also ask them to pay for an additional half day at the end of their stay. But also be realistic about whether you are perceived as sitting around doing nothing for a good part of the day.
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What these adult children do with their time and how they choose to entertain their parents and themselves is none of your business. One of your employers does NOT have dementia. It’s that person with which you should be establishing boundaries. It’s your employer who needs to deal with the situation, not you. You said that they have “done this before.” How many times? Once? Multiple times? Who asked you to do the laundry? Do not do it unless you are explicitly asked and if you are, just say, “I’m sorry, your laundry is not my responsibility.” They will immediately understand that your refusal extends to other personal services they have asked you to do in the past. Be nice but direct and definite and do not offer any further explanation. They will quickly get the point. But the easier way is to discuss it with your employers and tell THEM that you will not perform these types of services again so that they can deal with it before their adult children arrive. It isn’t your job to recommend a domestic to come in and help them.

I suspect that you have developed a somewhat proprietary interest in your clients such that you feel entitled to judge their children. Unless the adult children and their children are doing something that directly affects the care you are giving their parents, it would be better to recognize that all families are different, including yours, and your opinion of how this family functions is not a part of YOUR job description. But if your clients ask you to shop as part of your duties, you’ll have no choice but to buy extra food and help them prepare for the visit because that IS part of your job. And in truth, a large part of the job description
of a competent, caring, efficient and considerate non-licensed caregiver is to do many household tasks for your clients. That does not make you a “maid,” but even if it does, why do you think being someone’s housekeeper reflects poorly on you? Housekeepers or “maids” are usually wonderful people who work hard at skilled work who deserve to be treated with deference and respect. There is nothing demeaning in being a maid!
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Mysteryshopper Jul 2020
You made a good point about whether or not PCA was specifically asked to do the extra laundry/dishes. I hired a caregiver at one point and all I wanted from her (and I told her this) was to keep elder awake/occupied so that she would not watch TV all day, fall asleep, then get up and fall on the floor. Yes, I left dishes in the sink at times (I was running two different households AND working), but I had no expectation that caregiver should or would wash them. After the first time she did so (I was actually embarrassed by it), I learned to specifically state it was not necessary or expected. I really just needed her to keep eyes on elder and not let her sleep all day.
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You need to call your company and tell them what's going on. It is NOT your job to do any thing for those ungrateful family members. They clearly need to know the boundaries of the company contract .
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Could you take advantage of them visiting and take a vacation that week?
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FloridaDD Jul 2020
I want to observe caregiver with my mom, so I would be very unhappy with that.
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Good Morning, as I write this I am visiting my mom from out of town. My mom has a PCA for 75% of the day. I have siblings who live in town and stop by regularly to check on mom. The rule of thumb is, if mom touches it, the PCA will assist with it. For example, mom lives in a 3 bedroom home. The PCA is responsible for mom's bedroom, mom's bathroom, the kitchen, dining room and living room. They do not cover the two bedrooms where mom does not sleep. I personally wrote up the contract for the private PCA and explained my expectations to the agency PCA. I went a step further and put together a handbook about the expectations of the PCA. Mom's sister recently came to visit and stayed at the house. I informed my aunt, upon her arrival, of the duties of the PCA. Having clear expectations from the beginning is always best. However, "gentle reminders" throughout the course of time does not hurt either. Good luck 🤗
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disgustedtoo Jul 2020
AWESOME! That is how these issues should be handled. Clear expectations. Ensure anyone outside the "agreement" understands the expectations and doesn't overstep their bounds!
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The OP is by no means judging the adult child and family's behaviour towards her clients; and neither is she suggesting that they should take over the parents' care while she puts her feet up.

What she resents is that they use her clients' home as a hotel and take for granted that she will provide hotel services such as laundry and housekeeping. She may also feel, although I hope she keeps this opinion more to herself, that if the family is going to descend on the grandparents the least they could do is give the grandparents their attention.

[I'm not sure she'd be right about that last bit, mind. Thinking of grandparents I have known, they love the little ones very much indeed but even more so when they're out of earshot.]

Be that as it may, the OP is a Personal Care Assistant. She is not a housekeeper, she is not a maid, she is not a home help. Supporting clients with their ADLs - including washing, dressing, preparing food, eating, organising personal belongings, ordering and taking medication, maintaining a safe and healthy living environment - will necessarily spill over into helping with the clients' laundry, kitchen and other domestic routines. But it is not to be confused with her being a maid of all work. She is right about this.
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FloridaDD Jul 2020
Oh please, of course she is judging, and she says, why cant they take care of their folks at home when they visit.
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My letter below (that would be sent before they arrive) may make things too awkward once they do arrive... so perhaps don’t send it and just humbly bare with them since it’s only a week... especially if you wanna keep your job... but here’s my initial thoughts anyway:

“While I appreciate my job and have every intention of continuing to work for your parents, I’d like to clarify that I am 100% their PCA at all times. 

The reason I bring this up is because upon your last visit, I feel the lines were blurred as I was asked to do the family’s laundry, the family’s dishes, and so forth.

While I’m very happy your parents will get to spend quality time with you all once again, I hope it is not too much to ask for you all to tend to your own needs or if necessary, hire a maid too during your stay - my focus remains on meeting the needs of your parents, and I sincerely appreciate getting to do so. 

Looking forward to seeing you all soon and may you have safe travels”
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FloridaDD Jul 2020
I would strongly suggest that OP think long and hard about this.  Is it one week a year she does extra laundry.  Years ago, my brother in law thought he was asked to do things beneath him at work, and he is still sorry he talked himself out of job he now wishes he had.  But it is up to her.
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Now, I really need a little more info..

has this just happened once or twice,?

Do the Children live out of town?

do you wash dish loads of stuff or when they visit they once in a while share a meal with their parents?

How old are tge children and do they live with the parents?

You should talk to the children and tell them just what you just said.

Let them know that taking care of their parents only includes their parents not the children. They will have to do their own wash and wash their own dishes.

You can also let them know that for extra money, you would be happy to add duties to your list.

After the above is done, it could ho two ways...
#1 They let you go and hire someone else.

#2 They keep you and ya'll make some kind of arrangement of what is expected and how much pay.
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You should talk with your employer about it and ask that they let their son and wife know before they arrive to not expect that their dishes and laundry to be done, more that you will be baby sitting their children while they're here.

Or, just don't do their dishes or their clothes and don't watch the children and tge Grandpsrent can tell their own child that it's too much fir them to watch their Grandkids thst they will have to take them with them when they leave the house.
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What's wrong with being a maid? My mother supported me and my brother for many years working as a maid. You, however, seem to be dis-satisfied with maid work. Fact is, the position you're in (PCA Personal Care Assistant) often requires some off-label work . My suggestion is that you might be happier after having acquired some more professional skills such as that of the PT, SLP, RT, OT, or maybe even LPN, RN or CRNA . Seek the advice of a Professional in the area that interests you. Good luck.
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Kathy4177 Jul 2020
I didn't get the impression the OP was unhappy with providing those services to the patient. I think she was concerned that she was being taken advantage of by the family who visit when they want her to do their laundry as well.
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The boundaries should be set during the first interview and/or first day on the job. Then you can always say, remember we discussed that and it is not a duty I perform. You could always say that your license, if you are a licensed provider, does not provide for you to do those activities. Offer to give them the name of a maid service who might come in for just a couple of hours a week during the time they are visiting.
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GentleCare70 With your clearly expressed client/PCA concerns, I'd advise for you to maintain a professional approach & conduct at all times. Discuss the matter with your employee & allow them to address/resolve these issues with the client/family.
Accordingly, the family should act respectfully when visiting as their being held accountable by your employer.
Focus on your PCA/client tasks and don't concern yourself with what you observe whilst relatives visit. Do your best as usual & never compromise yourself in the workplace.
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If this was me, I would have a copy of my contract and duties posted on the refrigerator. It is not "in an your face confrontation" but a subtle reminder of the boundaries of the care that I perform. I would also place garbage bags in the rooms the rest of the family use for their laundry and line their garbage cans with extra bags so they can take their garbage out. Because I am not a jerk, I would lay out towels, soaps... in their rooms (because I don't expect them the know which items they can use and which are for my clients only) and place extra water bottles in the frig for them.
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Someone below responded to you "what is wrong with being a maid".  There is nothing wrong with being a maid, but that is not the job you were hired for.  You were hired to take care of an elderly couple...not a family of six on vacay.  A conversation with them is required and it will be an uncomfortable one, but if you don't want to take on the extra work, you're going to have to say something.
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This is an awkward situation. I can understand your resentment at the attitude of entitlement on the part of visiting family. Would your clients' son and wife take over caring for their parents if you went on "vacation" during their stay? They would probably be shocked at the suggestion.

If you are able to communicate with them before their next visit, it might be worth honestly expressing that you feel your responsibilities in the household are misunderstood, and that they need to pitch in a bit more in taking care of themselves while they are there. They may not even realize that they are putting you in this position.

Even if the actual additional chores are manageable, the attitude that you are there to wait on them is not acceptable.
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swanalaka Jul 2020
Iike the suggested conversation opening with the statement that you feel your duties are misunderstood. Great way to start the conversation in a non-confrontational way.
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