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She has huge mood swings and is very paranoid. Right now she spends 3/4 of her time in her bedroom.

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Does the client have Dementia/ALZ? If so this could be the problem. If not, it could be BiPolar or another mental problem.

Or, she is a miserable person and doesn't appreciate you being there. Just do what you are being paid to do. If she spends time in her bedroom, let her. You cannot make a person do what they don't want to.
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Do you have any training to be an aid? These are issues that would have been covered in training.

I am concerned that you are struggling with something that is relatively easy to deal with, what happens when it gets difficult.

Not trying to be rude, just completely baffled.
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Your profile says you are a professional caregiver and you say you’ve had many clients. As Isthisreallyreal writes, dealing with difficult patients should have been covered in your training. Do you know the backstory of how you came to care for this lady? Is it possible that it was her family’s idea and not her’s? A lot of elderly people believe they don’t need someone to care for them and they don’t accept the idea of a stranger in their home graciously. The toxicity may be more aimed at the idea of having someone in her house rather than you personally.

If you are someone who enthusiastically tries to get her to do things and “embrace life” so to speak, she may resent your enthusiasm. It sounds like she just wants to be left alone. I don’t think it’s you. I think it’s just the idea of needing a caregiver. In any case, speak with her family and ask if they have any ideas of how to treat her.
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