I have two caregivers, one from Monday through Friday and the other on Saturday and Sunday. My mother liked the one during the week more than the one on the weekend. I like both CNAs and think they are wonderful with my parents (my father has dementia and is bedridden and my mother has mobility issues). My mother tells the caregivers to wake my father up to eat or to change him. When they wake him, he becomes angry and lashes out. So it is best to let him wake up naturally. But he may sleep past breakfast or past lunch. The nurse has even told my mother to let him sleep. My mother prods the weekday caregiver to wake him up and my mother is sometimes, no most of the time, not very nice to the caregiver over this. Well, this evening when I went to give my mother her evening medicine she mentioned how she does not like the caregiver because she doesn't do what she asked for my father. I asked my mother does she want to get someone else and she said no. I can't rely on what she says because she switches things around, one week she likes this one and the next week she doesn't. My mother got very angry at me because I told her I don't like to hear negative talk about the caregivers and I will investigate myself. She said I was a bad daughter and exclaimed, I am your mother! Like how dare I disagree with her. She talks to me as if I were a child and does not want to hear anything that is a contrary opinion. I do a tremendous amount for my parents but I find her to be rude. Every single day, either morning or evening, we have some sort of tiff over what has transpired during the day. I believe that the caregivers have a very difficult job and I don't want my mother to be rude to them. How can I handle this? Any suggestions would be very much appreciated.
It may be that she complains to you about them, but not directly to the care giver.
Me, I tend to be direct, I would all the care giver up and say Mum is grumbling and as she tends to be disagreeable, you want to make sure the care giver is being treated well while she is in the home. Be sure to reinforce how much you appreciate the care she is providing to your parents and ask her to contact you with any concerns she may have.
If she is willing to be rude to you, her daughter, it is not hard to imagine her being rude to the hired help. I like Tothill's suggestion for talking to the caregivers directly.
The nurse has said let Dad sleep. Is there a doctor involved. Would that position have more authority with mother? The real goal her is Dad's welfare and comfort, right?
Why does she think you dad should be waked up?
Then there is how to deal with the anxiety and dissatisfaction your mother seems to be feeling about your father's condition. Perhaps she can't quite shake off the feeling that if he really tried he'd be doing better than he currently is? Perhaps it's that she can't help suspecting that if she were in charge he'd get up when he was told? Perhaps she's afraid of the "slippery slope"?
I also agree that actually the key thing is how the caregivers are handling her crossness. I know it's hard not to feel responsible for your mother's behaviour towards the weekdays lady, but it may be that she's a lot less bothered by it than you are? Don't forget, if she's a veteran of caregiving, she's almost certainly dealt with a lot worse than anything your mother says.
I agree with above posts, check in with caregivers and get the doctor on board to help dad get rest and the right to wake up happy instead of ole grouchy head.
It's normal for the elderly to yell at their caregivers. By the time they need caregivers, they are physically and/or mentally impaired. They can get confused easily. They can have sundowners. Most caregivers understand this. It's part of their job.
However, if there is a particular caregiver who your mom doesn't like, then you should let the company know. You can tell the company that the caregiver is just not a good fit. It's normal to try several caregivers to get a good fit.
Your father should be woken when the caregivers arrive. If he is allowed to sleep late, then it will be easy for him to get sundowners, which is a common condition among the elderly. To help manage his sleep, it's good to get a full spectrum light for his room. Turn the light on in the morning and keep it on during the day. The full spectrum light will help him wake up. It will help prevent his body from building up melatonin during the day when he should be awake. Then turn the light out after the sun goes down to help his body build up melatonin so he will sleep through the night and be ready to be woken up the next morning. You should also do this for your mom. She should not be sleeping during the day unless she is also sleeping soundly throughout the night.
I also agree that your dad should be woken up in the morning to move him, change him, check for bed sores, etc. And, yes, this is a common protocol. Many caregivers don't know how to do their jobs. The requirements for being a caregiver are quite low and include things such as being at least 18 years old, owning a car, and being able to lift someone, and not much else.
Tell your mom a theraputic fib that the dr. says dad is to wake up naturally - she probably wants company at the table - when possible ask the careworker to have a coffee with mom at those meals - the careworker has to eat lunch so would she be willing to eat at same time as your mom when dad is not there? -
Despite his grumbling she got him up anyway to feed & change him so it appears to your Mom as though they are lazy & not doing the job they are being paid for. Especially if she is asking them to do so & they are on their phones instead! Imagine the daily frustration for your Mom. And when she brings this to your attention you are "siding" with the caregivers. Your Mom feels ganged up on.....remember she is "old school"....when folks did the job they were paid for and then some! You will always be your Moms daughter/child. Yes please do "cut her some slack" as someone else pointed out. We sometimes forget how VERY difficult this is for them.
I experienced this issue with my Mom& caregivers. As soon as I acknowledged (agreed) with Mom rather than dismissing her VALID concerns we were able to "bond" & discuss those issues as a team. Afterall its you & your Mom who have your Fathers best interest at heart.
The conversations would go something like this: Yes caregiver A is so good at this & that but yes I'm not so sure about the other thing either. But don't really think its a dealbreaker do you? Neither one of us wants to deal with training a new CNA @ this point when she is so good @ this & that. And yes Caregiver B is on her phone alot....I don't like it either! I should speak to her about it. (And you should! It will only get worse is my experience.)
I am guessing your Mom has seen other caregiver behaviors that she hasn't even mentioned. An old boss of mine once said yrs ago "Very few folks can work effectively & actually do their job without direct supervision." He was so right!
Take this opportunity to share with your Mom & agree on something.........your little secrets together.......perhaps like you use to do. Give her the wink or secret eye roll when Caregiver B is doing what you both decided you would "put up with" for the sake of the much needed help!
This is what worked for us & its worth a try .....good luck ...xxx000
My sister went through the opposite. Back a good 10 yrs ago now.
We knew my Ma wasn't well both mentally and physically, I was keeping my distance, as I had a fair idea what was happening, but because Id been a nurse, for some reason Pa decided I was the enemy, I guess he knew I knew he had early dementia, so left him to it.
Anyway Ma came out of hospital unwell so to help her get some decent nutrition it was organised for meals on wheels, for her but Pa stopped them within a week, saying it wasnt food he liked and it was too much. Despite my sister telling him that the food wasnt for him but Ma and it was a diet she liked, he refused. Same with caregivers they stopped them and many swap arounds.
Only ones Pa liked were the ones who broke all rules and accepted extra payment etc[ so he could Lord over them] He died and then the true extent of the problems came to light
fast forward to now.
It really sounds like one your mother doesnt understand that someone with Dementia needs to be allowed to sleep and live in their own clock. Their feeding time isnt the same as hers. And a grumpy aggressive dementia person really isnt worth it, more damage is done.
IF there are no skin problems, that he has no pressure sores that he is maintaining his weight, that he is kept clean. Then your mother needs to back off
Meanwhile have a meeting with not only the carers but the agency supervisor. What are the rules for cell phone use, its very boring doing an 8 hr duty when your client is asleep for 6 of them. [no they dont do housework or polish the silver]
what is acceptable, but playing games isnt.
My Ma is in the dementia unit as she is still mobile and would escape if she could, shhe is awake most nights and sleeps the day away, I can go visit hoping to find her awake but now its nigh impossible. I dont wake her and neither do the staff, she becomes very aggressive and upset to the point of a danger to herself and others. She is weighed monthly so they do see she gets sufficient to eat, her food and snacks are kept in the dept.
That is acceptable
So for you to survive, Demstress, get a physical status on your father, explain to your mother why its actually best for him to sleep as he wants and to forget the usual clock,
IF she cant understand or forgets within a day or two, then sadly I think you will have to realise that she is reaching the elderly state of not comprehending and understanding.
Which often happens when one is relieved of their responsibilities and is hoping for the past to remain.
You dont have an easy task, and certainly dont get in the middle, but do organise meetings and standards of expected care, what points and flags will measure those standards.
Each one is part of the team and needs to be heard, then support
the group agreement. If agreement cannot be made, then all need
to follow Doctor's orders. Open communication is so important.
I have found most strife is basically a failure to effectively communicate.
saying let's do whatever until your husband wakes up, then we'll sit with him for a while or while he eats. In other words, GIVE her a perk and a job that continues to help mate instead of trying to take one away. I like that you are so appreciative of the caregivers - so many fail to understand what is involved.
eldercarelink.com/In-Home-Care/a-good-in-home-service-has-a-cell-phone-policy-for-caregivers.htm
Sundowners (yelling at the caregivers, especially in the late afternoon to early evening):
sundownerfacts.com/treatments/
I have found light therapy to be very effective. So I never tried the other treatments.