I feel like I tried everything to get my client to use my assistance for her real needs. I wanted to be a caregiver to help those in need. I have too good of a heart sometimes and I am not happy with the client I am with because I feel like she isn't using me to her real needs. I am constantly being told to do my chores when I approach her with conversation. She literally gave me a toothbrush to scrub. I reached out to my agency 3 times but pretty much just received a giggle from them. A few times I wanted to quit and then I feel bad and stay because for some reason she likes me and I actually do like her. As a caregiver we cook meals- she doesn't want that, we assist to appts- she doesn't want that. Help with exercise and mobility? -She doesn't want that. ALL I do is clean. Because I have been treated like a maid for so long I feel like I am slacking on my real job. They also allow clients to cancel all the time. They cancel every week, just because so it makes it hard for me to take a day off when I really need one. I went to work so many times in pain because they cancel so much I can't afford to take off when I should. I am beginning to think being an independent caregiver is better. I thought an agency would provide a sense of professionalism and stability but the miscommunication between them, the client and myself is stressful.
I think it's important to note that no two clients are the same. A caregiver cannot adequately provide care by going into every client's home with a preemptive or inflexible idea about how they plan to provide care. Every client is different, and has different psychological and physical needs. What housekeeping looks like with one client may not be the same with another. Some clients have more needs. Some clients don't want a caregiver to socialize with them, to get personal, or to sit with them; they just want services rendered. Others welcome socializing and will talk heavily with you. Regardless, it's key to remember part of the caregiver's job to give care in a way that is helpful ACCORDING TO THE CLIENT. Also, only a nurse working with the client's doctor has the right to advise a client on their personal activity. A typical caregiver's role is to provide personal care tasks and housekeeping services. It is not up to you to independently speculate on what you perceive the client's "real" needs are. It's up to the client and / or their case manager to communicate services to be rendered (within allotted options), and for you to render those services. That constitutes the service agreement that either the client or their insurance is paying the agency for. If you want to help people by interpreting their health-related needs and advising them on what to do (even at a small scale), then you must become a licensed nurse. Even then, you can get you and your agency in legal trouble by advising a client on health-related matters, when you are not authorized by their doctor to advise on their health care. Elderly and disabled clients often have complex medical conditions that affect each other. Even prescribed medical advice sometimes contains caveats depending on the situation or state of the client's other conditions. (Even telling a client to just "move around more" legally constitutes medical advice. If you are not a medically licensed nurse under the supervision of the client's doctor, don't go there.) If a client has managed care paying for caregiver services, you can be assured they already are getting medical advice and care. *It's typically mandatory a client has to report verifiable doctor visits regularly to their case manager to stay enrolled.
Elderly and disabled people often are fall risks, have mobility issues, and medical conditions requiring assistance with certain housekeeping tasks. For example, not being able to kneel down to clean a rug or throw out garbage due to balance / fall risk issues, or problems with knees etc. It's reasonable to expect a client asking you to do a task to want you to perform it the way they would. Caregiving IS physically demanding work: often requiring lifting wheelchairs, full adult human weight for cleaning / transport, etc. All clients deserve access to full care without limitations. Also, with physical challenges you don't want to harm your own health or prevent a client from the full assistance they deserve. This is no slight on you. You want to help people (noble), but you don't have to be a paid caregiver to do so. There are other careers and other volunteer opportunities that could be better suited to your physical challenges and ambitions.
I would suggest you consider writing up an agreement with the client a list of what duties you will be performing and when. This will clarify & help avoid disappointments and miscommunications.
Im sure there are some clients out there that will really appreciate your good heart, in addition to your caretaking skills
:)
You might want to find another agency that has a better split.
You want to nurture your clients. I commend you for having the heart of a caregiver which is an important role for the client and their families.
So please allow me before I continue further by saying, thank you very much for all that you do.
I am glad that you care about your client and like her but she doesn’t sound like she will ever be easy to please. You have gone above and beyond for her. Your job should only entail light housekeeping.
I appreciate your work ethic. Obviously, you are a hard worker but if you wanted to work this much dealing with deep cleaning you could work as an independent housekeeper and make lots more money.
I don’t blame you for being annoyed with her unreasonable requests. She’s got a cheap housekeeper! She’s quite manipulative.
No caregiver would balk at the normal tidying up. I don’t get the impression that you would be bothered by that either.
Reading about your client tells me that she is not interested in being nurtured by a caregiver. She desires a housekeeper that cleans and that’s all. The advantage for her is you are also trained as a caregiver in case a medical situation should arise.
Of course, she could benefit from your nurturing, doing the other things that are needed besides cleaning but as I said she isn’t interested.
So, why are you remaining in this position? We don’t have the power to change anyone. We can change our own behavior.
Find another place to fulfill your needs which is a desire to be more involved with your client.
Start putting your energy into finding a new position instead of placing effort into a relationship that she doesn’t wish to have with you.
Make peace with the fact that she has the right to choose the relationship that she desires, which is a cleaning person.
Acknowledge that since you are not satisfied in this position, you are free to leave and seek employment elsewhere that will better suit your needs.
Best wishes to you in your future endeavors.
Having a stranger regularly coming into a person's home is unnerving for a lot of people. When that person then attempts to push their own ideas about how the interaction should go it can make it an awful experience for the client. Some of these clients already feel a sense of loss due to needing personal care and housekeeping services to stay in their homes. When a caregiver attempts to push their ideas about how the interaction should go on a client it can cause the client to feel violated. Rightly so; as it is the client (or their insurance) paying for the caregiver to provide the services of personal care tasks and housekeeping. Clients should ALWAYS be the ones in charge of the interaction. The caregiver is the employee of the agency, who is being paid to render the services the client has purchased out of pocket or through their insurance. It's the caregiver's role to perform the services; that's it. The caregiving profession understandably attracts a lot of idealists who want to help others; which is great. However, if it is more important for a caregiver to provide care the way they envision doing so over what the client is actually requesting and paying for, the caregiver needs to move on. Maybe they need to move on to a client whose requests better match the aspirations of the caregiver. Or, perhaps move onto an opportunity outside of being a caregiver, where the person can express nurturing in the way that the person most desires to.
I'm not sure what the caregiver's medical qualifications are and to what extent the person is allowed to provide medical care and in what capacities. (Some states may require you to be a CNA, etc., some may not - depends on the program). Regardless, in a caregiving arrangement via an agency, the client and the agency are the ones who determine how and what gets done (as long as it's within guidelines). Though it may not be the case with the original poster, many caregivers (often unknowingly and subconsciously) infantize their clients because they are elderly or disabled. They often see them as benefactors of their kindness and services. While that may be the view of the caregiver, the reality is the caregiver has been hired by the client through an agency to perform personal care tasks and housekeeping services FOR the client. The client and the agency are the ones in the driver's seat, not the caregiver. There are many wonderful and kind people who want to help others through a caregiving profession. However, in a caregiving scenario through an agency a caregiver is an employee not the boss.
Now, having said that, I worked Elder Care for a few years. They ALL expected light-to moderate housecleaning. They weren't obnoxious about it and I brought a LOT of it on myself by offering. My client would have a bladder accident and I'm going to leave a soaking wet carpet and go home?? Not on your life. I'd haul out the carpet cleaner and get all the urine out AND do a once over with 'pet pee' cleaner. The family was beyond grateful---b/c the whole enormous house would have smelled to high heaven.
My client LOVED to bake, but without me doing 90% of the work, she couldn't do anything. So she'd take charge and boss me around and I made everything in the world she wanted.
After a few months, the family was so comfortable with me I had the garage door code, the key to the 'manse', and all the cars. WEALTHY people, but super trusting. Good thing they could trust me!
And, yes, more than once I got handed an old toothbrush to clean the guck around the faucets. Big deal.
Oh, they also had a weekly maid, but a lot of things (such as the incontinence issues) had to be tackled head on. I could have left a lot of stuff for the maid, but if it was a glaring mess, I cleaned it up. Did my client's laundry and got it ALL smelling fine.
I guess I would say, don't go into caregiving if you are not very flexible as to jobs. I also did PT with my client and she hated it, but I kept her going, living at home until there simply was no choice but to move her to an ALF.
And we didn't call me her 'caregiver' she called me her 'personal assistant' which, consider her 'standing' in the community, gave me certain gravitas. Made me chuckle.
You have a heart of gold! Of course, they trusted you. I would too. It’s because you are true blue.
Go back to your employer with your documentation and review what client wants you to do and what the employer expects you to do. Employer is the agent who needs to clarify with client what will be done and what won't.
If you agreed to pretty much anything, then it's time to find another employer and ask more questions about job duties during the interview. Or become self employed. As self employed, you can be very specific with your rates and duties you will perform each day, several times a week, weekly, or monthly. Sitting with someone only at night while they sleep, with no housework at all, only cleaning up after the client should there be a potty accident, would be one rate. If a day time gig - list what light cleaning and tasks you would do (how often, specific chores like dusting, vacuum, chg bed linens/towel washing, meals, meds, errands, etc) and have a different rate for all of this. If they need heavy floor to ceiling cleaning w/laundry, meals, personal care, that would be a much higher rate.
There are people out there looking for honest, hardworking people to help their families and very few want to see the paid provider sitting on their rear end all day long watching TV or on their phone/social media. The cell phone, in my opinion, has had a very negative impact on the workforce. When you have someone addicted to checking the phone every other minute or each time they get a notification alert, they have probably been paid for several hours a day that they performed absolutely nothing for their employer. Use the cell phone for emergency personal calls, not to stay connected to the world while you're being paid by someone else to do a job. (My rant for the day!!!) If you are in a home for 8hrs a day, create a list of things that you will accomplish and charge according to how much or how light the workload will be and get it done.
If self employed, also include in your contract that cancellations (like for a vacation or planned time out of the house for client) require 1 week's notice. Otherwise, they will pay for that week or day. (Even children's day care agencies charge the parent when they are on vacation - or child loses their spot at the day care) If you are sick and cannot report to work, you should figure out what your daily rate is and deduct from amount they would owe you. You should also note that your own vacations will be planned in advance and client will be given 30 day notice. It is not so easy for them to fill the gap while you are gone.
Additionally, with the older folks who may be resistant about having someone 'help' them, be very specific in your contract about who has hired you, who you will be reporting to in regards to problems. Some of the clients don't want help, but family members know they need it. The client might fire you daily, but the person you report to/contract contact will be the person you name in contract for all communications.
Since you are so frustrated that you are considering leaving anyway you need to just be straight with your client and her family.
Does the agency give u health insurance?
Options? Your agency can find a better placement, you can find another agency, or you can find another job. End of story.
This employer has made herself clear about what she needs from you. It's not going to change.
If it's not in.wrting then your not required to do it.You could look into working at a NH or SNF.You will definitely have more hands on duties.Goodluck
One of the workers explained to me that they offered two services from this particular company, one was sitting combined with light housekeeping (scrubbing with a toothbrush isn’t considered light cleaning.) The other service is strictly housekeeping which is more detailed cleaning and the employees are paid a couple of dollars per hour more for the deeper cleaning job.
So, I think I would clarify with the agency what they offer to clients and what exactly did your client sign up for.
If you are not interested in doing as much housekeeping then request to work with clients that need sitting, bathing, cooking and light housekeeping.
Mom’s last worker would offer to do more cleaning but I told her while I thought it was sweet of her to offer but that I did not want her to overextend herself. I’m sure some people would take advantage of her by asking for deep cleaning but I feel that isn’t right to do.
Best wishes to you.
Remember that anything verbal can be a he said/she said battle, but in writing is in writing and no one can say anything beyond what is written. So address the agency in writing and have a plan for your next job. Just in case they decide that you are a problem.
Best of luck finding a solution.
It also sounds like you may have formed some sort of friendship with the woman you care for. I think you might need some boundaries. What would the lady do if you told her that wasn't part of your job? I don't mean for things to become troublesome, but maybe this isn't something you signed up for and the older employees look at it as you learning the ropes?? Can you find a job that is more of a sitter type job. No house cleaning?
Good luck and take care.
If you were hired by the woman then you are doing what she wants you to do. You could tell her that a cleaning company would be less expensive for her.
If you were hired by a spouse, child or someone else that is arranging this in her best interest you take direction from them and if the woman is not allowing you to do what you are hired/contracted to do you can discuss it with them.
If you do not want to clean and do the tasks this woman is asking of you ask your supervisor at the agency to assign you to another person that you "would feel more comfortable helping" I am sure there are a lot of employees that would rather scrub the floor then change soiled clothes, linens and give bed baths.
I am sure if the company knew that you would quit if you do not get assigned to another person I bet they would find another job for you. They do not like to loose good caregivers and would do what they can to keep an employee happy.
Before you go out on your own double check to see if there is a clause in your contract that limits what you can do, where and for how long. (lots of companies have no compete clauses)
Would you explain a bit further please?
I had an agency for mom. Her needs were bathing, light housekeeping for her room in my house, preparing a light meal, companionship, playing a card game, conversations, etc.
As far as doctor appointments. I did that. PT and OT exercises I did with her as well with instructions given by home health.
Mom and I were satisfied with her most of her caregivers. The last one was absolutely incredible. She related well to mom and was a sweetheart.