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Also all the sudden removed from residence she has lived for 30 years

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I too need more information--just off the cuff, I just can't believe that someone would do that for a positive reason. Hope to hear more!!
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Just for clarification:

Does the patient have dementia? Is the family placing the patient in a care center of some kind, and therefore not needing the caregiver any more?

If that is the situation, do you know why the family is taking this action at this time?
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I agree. There just isn't enough information here to properly answser your question.
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not alot to go on here but I have someone come in once a week to bath my father. depending on the service sometimes a different person will come. but for about 3 months it was the same girl. but all of a sudden she no longer was coming and the other girl said she got a different job. Whether that is true or not, don't know but I do know that my father insisted on giving them a kiss on the cheek and a hug. So maybe this one girl didn't care for that and didn't know how to tell him no without hurting his feelings. I even told him, not every one likes that kind of stuff but when someone has dementia they don't remember. so I would just say that the person got another job and repeat it as necessary.
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I would assume from what you saying that family or adult protective services have been involved in all of this-yes?? Guess more information is needed.
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My 94 yr. old mother had the same IHSS caregiver for 5 years until one day back in 2012 when I discovered their "secret". My Mothers breast was rotted with cancer and had split open. Of course upon discovering this I told the caregiver she was terminated, reported her to public authority and found another. I told my Mom her caregiver went on vacation and after a few weeks she quit asking about her. My Mother actually did quite well with the transitioning of caregivers and we went thru 2 caregivers to find the right one.
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Let's face it, if the patient had to be removed by the authorities after caregiver neglect or abuse, the caregiver was morally absent to begin with.
If the patient is removed due to delirium, any explanation will not sink in , so be as gentle as possible.
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I think you would need to know the reason the caregiver changed. It may have been a request of the caregiver or someone else. This would need to be known. I would want to check out the reason to check on the patient's status. I don't know that I would tell them the caregiver left them but telling them they moved to another job would be appropriate. This would be the truth if the agency fired them or if they quit the company to move to another job.
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