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How to deal with a person who thinks that you are there to serve and wait on them hand and foot instead of servicing their needs to remain in their home?

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Are you new to home care? And do you work for an agency?

You simply tell them you are there to provide __________ service, every single time. And that they need to hire a cleaning service (or whatever) if they don't require the services you provide.
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Agree with cwillie. If you are with an agency, have your admin print out a list of approved tasks. Have it on you when you see your client. When client asks for something say, "Let me check the list I was given to see if I am authorized to do that." Then with an apologetic smile say, "Oh, I'm so sorry but that's not on the list. I'm not able to do that."

If you work for the client's PoA or the county have them give you a list. If you work directly for the client, you write down the list of what was agreed upon and have it with you. If client persists (and assuming they do not have cognitive issues) you can offer to find them another helper for the non-list tasks.
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You can quit, but please give notice.   Caring for person may require all your time.  Your two statements are not mutually exclusive to me, that you may have to be at their beck and call.

If my LO has a bathroom accident, I would expect caregiver to clean it up as best as possible.   If caregiver cooks meals, I would expect her to wipe down counters, leave kitchen in good shape.    Maybe you could be more specific.
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This question has been asked before with responses.

https://www.agingcare.com/questions/how-to-deal-with-narcissistic-client-455400.htm

Is the problem now the patient is now getting violent. If u work for an agency, you need to bring this to your supervisors attention so she can inform the patients family. You, should not be made to deal with this. If your private then u need to bring it to someones attn. Either family or APS. You need to tell them there is a vulnerable adult they u can no longer work for because of the violence but u don't want to leave them on their own.
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Make the agency aware of your experience with this individual and request their protocol for dealing with manipulative clients. Some agencies will have you call when it happens so they can remind the person of the rules and keep everyone on the same page. If there is no satisfactory conclusion, request a different assignment. Good luck!
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