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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Will this person be in the home during mealtime? This was the most awkward for my Aunties. I would let the aid know when the best time for their lunch break would be and where this can happen. Show them the fridge and where to put their food/drinks. Show them how to use the microwave.
Help the aid learn what you've found helpful in dealing with your parents' needs and schedule. Be open to a differrent approach by the aid.
Let the aid know that *when they take a break* they can check their phone, It drives me nuts to see aids distracted and checked out with their phones while they're supposed to be tending to the people who are paying them an hourly wage. I get that it can be boring sometimes. Therefore, give the aid ideas for activities for your parents or "light housekeeping" tasks.
Make sure the bathroom they are designated to use does not have any prescription drugs kept in it. Make sure there is no access to your parent's private and sensitive info or cash/valuables. Keep your parents' purse and wallets hidden or locked up. Same goes for any jewelry. Theft from caregivers is mostly a crime of opportunity, so don't give them any.
Have a brief sit down. Maintain professional attitude. She or he is not a friend, but someone doing a job. However it's a special job, caregiving. Be clear and brief in your expectations of things, and about your loved one. Perhaps a brief write up on your loved one's habits and foibles. Ask that any problems be reported to you at once so that they can be addressed. Tell the caregiver you will touch bases in a week with him or her about any questions that may have arisen out of care giving. Just a few basics. We have on Forum seem a couple of instances where people got too close, and where the caregiver overstepped bounds of caregiving into being "almost family". This caused discomfort at best and real trauma at worst. So stay a bit professional, imho and I sure wish the best for you. If you notice any problems let us know here.
Thank you for your encouragement and for reminding me of the fine line between personal and professional relationships. I want everyone to be blessed by this experience.
Not knowing the exact situation, this is a difficult question to answer. I see from your profile that you gave up full time work to move in with your parents, and that you were likely going to quit altogether. Just as an aside, I would strongly urge you to not do that. I'm hoping that getting a caregiver means you'll not be burdened with 24/7 caregiving and can continue on a path that insures your own future, as well as supporting your parents in their last days/months/years.
More important than what supplies to have on hand is the interpersonal and care giving aspects of the job. Is the caregiver from an agency or hired privately? If from an agency, how well trained are they and what are they trained in? In either case, you (and/or whoever has been providing care up until now) should be prepared to spend at least the first day, and possibly several days, orienting the person about your loved one's needs and routines, their likes and dislikes, things that make them happy and things to avoid. Treating the new caregiver as a partner is one way to show respect. Hopefully this will be an experienced caregiver, and you should be open to learning new things from them that will help you in your own caregiving. As to supplies, I don't see that there would be any additional supplies needed unless the caregiver has some requests or recommendations. Many (most?) caregivers use gloves for certain tasks, so you may want to see if they bring their own gloves, provided by the agency, or if they would like you to have them on hand. If you are going to provide them, ask what type and size gloves they prefer. The same goes for masks. Our agency caregivers always wore masks (this was as recently as this past June, when my husband passed away) so if you want your caregiver to be masked you might want to have a supply of high quality N95 masks for them. Especially if the caregiver has more than one client, I would be more comfortable if they were masked as there are a lot of illnesses besides Covid that are still very prevalent. Is your caregiver going to be doing any household chores along with caregiving? If so, are there cleaning or disinfecting products and supplies they prefer and think are good? If you are in agreement with these, you might want to buy them in place of or in addition to what you currently use. Our agency caregivers were expected to do light housekeeping, and in fact did way more than that as my husband didn't a lot other than help with showering and dressing and some meals. They cleaned, did laundry (for both of us), did dishes, etc. We were very lucky in having hard-working caregivers who were also lovely companions for my husband (he had Parkinson's but no dementia and was a very "easy" client).
Know what you expect of them in terms of what their duties are and make it clear on Day 1. Don't keep changing the expectations, because it's hard chasing a moving target and everyone gets frustrated.
Keep the lines of communication open, and let them know when they're doing a good job.
VVinAshland, when my Dad needed caregivers, I gave them free range to do what they were trained to do, which made them feel comfortable. They had come from an Agency, so I know what rules the Agency had set. Such as bringing their own meals for their shift. Plus a notebook log sat on the coffee table where the caregivers would write out what was done during their shift, so there were no duplication of chores.
Dad liked TV dinners and his 1st shift caregiver was thrilled with that as she didn't like to cook, which was ok. So I kept the freezer stocked. Dad's weekend 1st shift caregiver loved cooking so she would make extra at her home and bring it to Dad, plus leave extra in the refrigerator so Monday's caregiver could just heat it up. She and her sisters would make cookies and other home make treats for "Mr. Bob" [my dad].
First week the 1st shift caregiver was there, she noticed Dad's vacuum wasn't picking up the dust bunnies, and she turned the vacuum over and noticed the brushes weren't going around. She insisted on bringing her own vacuum for the days she cleaned as she didn't want Dad to purchase a new vacuum. Now I wonder how many years my parents were using that vacuum and not noticing it wasn't working correctly :P
Dad did notice that the 2nd shift caregivers, if they were in their 20's and 30's tend to be glued to their cellphones but Dad didn't mind because it was difficult to find anything in common to talk about anyway. Dad's weekday 1st shift and weekend 1st shift were mature caregivers in their 50's, which worked out best for him.
Thank you for sharing your positive caregiving experience with me. (Our caregiver has been hired through an agency.) It helps to feel hopeful. One of the things I have to keep reminding myself is that the caregiver is not going to be a "guest" in our home... I don't have to clean and tidy up and have everything spotless for her. I simply want her to feel appreciated!
Write down EVERYTHING that she/he should be doing. When I say EVERYTHING I mean everything. You can show, you can explain but if it is not in writing and she forgets something and you are not around what does she do? Emergency info. Your number A secondary number How to get hold of Emergency Services if 911 is not in your area. Your address. I know sounds stupid but if she is calling from a cell phone and your area does not have "enhanced 911 service" the call may be bounced around before she gets the proper dispatch. And in a panic may not remember your address. If your loved one is on Hospice no need to call 911 make sure she is aware of that and have the Hospice number handy. If there is the use of equipment or the need for a gait belt make sure she knows how to use it properly. Make sure all the supplies are in an area where they are accessible. Extra of everything. What does your loved one like to do? Is there anything that the caregiver can do to engage your loved one. If your loved one is napping what do you want the caregiver to do? laundry? light housecleaning? make a bed? If you are going to allow the caregiver to eat lunch did they bring it or are you providing? if they brought a lunch is there a place they can keep it? refrigerator? And if this is the first time they are meeting your loved one you might want to stick around for at least part of the day and make sure both are comfortable. don't step in and do anything unless you have to let the caregiver do what she has been hired to do, just be available.
Thank you, Grandma. I agree with writing down as much as possible. I don't want to overwhelm our caregiver on her first day, so I made a simple list of light housekeeping duties if she has "down time", things my mom enjoys, and things that reassure my mom that she is loved and valued. I look forward to learning from our resident expert! ~ VV
Apart from all good advice below, relax. Treat people the way you want to be treated. Realize they need period of adjustment like in any job. Not everything is going to be perfect, people make mistakes. Don't assume they can do extras, they are not maids. The most important thing is safety of your LO. Give them benefit of doubt. I do have this lady who I was thinking will be annoying, because she is quite bossy, so am I, so is my husband, but, then I realized she is extremely caring and means well. So if she gives my husband some instructions, I just have a little chuckle at her bossiness. We don't need full time help, but, I already hinted if she will be willing if needed. She is in mid 50s needs to work several more years. I know I can rely on her! She is even right now willing to come anytime day or night. Build good relationship with people, so they stay. Nothing is more important than relief from stress and having good people behind you. I do always say to anybody to help themselves to anything to eat, drink. I have no problem with that at all. As it is our home and we are relaxed people, it is nice if everybody feels like that.
I love this, Evamar. Yes, we believe our caregiver is a gift, and we want everyone to have a good experience, including the bumps along the way. Your words brought me much comfort. Thank you. ~ VV
Were you completely honest with the caregiver about exactly what the position is and what will be expected from them? Everything from wages to time off has already been thoroughy discussed and agreed upon? Also what the plan is if the caregiver gets sick or injured and cannot care for your parents for a time? Are they allowed to have friends or family visit in your parents home? Is the caregiver allowed to leave the house for periods of time to go to the store or run an errand? This is important and must be discussed. Your profile says that you've taken family medical leave to care for your parents and that it's coming to an end. If the caregiver you hired is going to be a live-in and you move back to your home, they will be the one living alone in the house with your parents. Don't knit-pick. Don't mention her cellphone. Check in with your parents by phone once a day. If you are unable to, have someone local checking in on them regularly. In some places, the police will even do wellness checks on elders and invalids living at home with caregivers. Supply the house with the items your parents need. If you want to get special things for the caregiver, ask them to make a list for you. You can make the caregiver feel welcome by upholding your end of the employment contract. Wages on time and in full. Time off as discussed. All necessary items for your parents' care needs in good stock. Daily calls. Make yourself available so the caregiver can call you if they need to.
Thank you for your detailed response. The caregiver is a professional through a local agency. Everything has been negotiated; and I'm staying here, in the home, with my folks. In January I am cutting back my hours to about five a week.
The caregiver is coming to augment my care so I can take a break once a week. 😁
Ease her/him in. With our first caregiver, I "escaped" and my sudden absence triggered my wife to suspect and then reject my substitute. Second time around I stayed, and we continued our routine with a supplemental presence with raison d'être (cooking our dinner). Over time, I could withdraw gradually and let the caregiver fill in.
I'm glad you were able to immediately identify why the first caregiver was inexplicably rejected, and thus slowly ease in the replacement caregiver to avoid groundless suspicion, and to avoid an endless go-round of hiring and rejecting innocent caretakers. Kudos!
I preface this statement saying that I was a caregiver for many years in many diverse situations. Some family members couldn't have been more appreciative, others cheated me, were mean/difficul. . . . And everything and everyone in-between. One sister of my client was an alcoholic and at one point helped me support her difficult sister (my client) and at other times, she was mean spirited / screaming at me on the phone - she lived out of state.
I eventually offered care management (which I still do): managing/interviewing/hiring care providers, coordinating everything from selling house, hiring/supervising contractors, working with attorneys, and all levels of health providers... and much more. I studied dementia / brain changes with Teepa Snow on-line webinars for two years. I have a counseling background.
Set boundaries. So everyone is on the same page. Let her know what is expected and put in writing (a list always helped me to go 'through the drill')
Wait and see how she does. She may be one to sit and look at her phone ... you do not know. Don't get ahead of yourself.
After a day or two, thank her for her service. I used to offer them lunch - either while they are making lunch for a loved one or somehow include them. And, the socialization of eating together is healthy for your loved one.
Supplies depend on what you want / need her / him to do. When you write out a list of 'to do's' the list of supplies will present itself.
You need to be clear on what you want a caregiver to do and then follow-up insuring that: 1) they understand and doing as you want; 2) doing it.
Ask them for feedback either during a shift or after: How is it going? How did it go? These situations change and personality matters. If your loved one clicks w the caregiver, this is a huge plus. If they do not, listen and see if you can find out why. Not all caregivers are 100% there nor have the language skills to communicate well enough or they do this work solely for the income and do not want to be doing it.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Will this person be in the home during mealtime? This was the most awkward for my Aunties. I would let the aid know when the best time for their lunch break would be and where this can happen. Show them the fridge and where to put their food/drinks. Show them how to use the microwave.
Help the aid learn what you've found helpful in dealing with your parents' needs and schedule. Be open to a differrent approach by the aid.
Let the aid know that *when they take a break* they can check their phone, It drives me nuts to see aids distracted and checked out with their phones while they're supposed to be tending to the people who are paying them an hourly wage. I get that it can be boring sometimes. Therefore, give the aid ideas for activities for your parents or "light housekeeping" tasks.
Make sure the bathroom they are designated to use does not have any prescription drugs kept in it. Make sure there is no access to your parent's private and sensitive info or cash/valuables. Keep your parents' purse and wallets hidden or locked up. Same goes for any jewelry. Theft from caregivers is mostly a crime of opportunity, so don't give them any.
Be clear and brief in your expectations of things, and about your loved one. Perhaps a brief write up on your loved one's habits and foibles. Ask that any problems be reported to you at once so that they can be addressed. Tell the caregiver you will touch bases in a week with him or her about any questions that may have arisen out of care giving.
Just a few basics. We have on Forum seem a couple of instances where people got too close, and where the caregiver overstepped bounds of caregiving into being "almost family". This caused discomfort at best and real trauma at worst. So stay a bit professional, imho and I sure wish the best for you. If you notice any problems let us know here.
More important than what supplies to have on hand is the interpersonal and care giving aspects of the job. Is the caregiver from an agency or hired privately? If from an agency, how well trained are they and what are they trained in? In either case, you (and/or whoever has been providing care up until now) should be prepared to spend at least the first day, and possibly several days, orienting the person about your loved one's needs and routines, their likes and dislikes, things that make them happy and things to avoid. Treating the new caregiver as a partner is one way to show respect. Hopefully this will be an experienced caregiver, and you should be open to learning new things from them that will help you in your own caregiving. As to supplies, I don't see that there would be any additional supplies needed unless the caregiver has some requests or recommendations. Many (most?) caregivers use gloves for certain tasks, so you may want to see if they bring their own gloves, provided by the agency, or if they would like you to have them on hand. If you are going to provide them, ask what type and size gloves they prefer. The same goes for masks. Our agency caregivers always wore masks (this was as recently as this past June, when my husband passed away) so if you want your caregiver to be masked you might want to have a supply of high quality N95 masks for them. Especially if the caregiver has more than one client, I would be more comfortable if they were masked as there are a lot of illnesses besides Covid that are still very prevalent. Is your caregiver going to be doing any household chores along with caregiving? If so, are there cleaning or disinfecting products and supplies they prefer and think are good? If you are in agreement with these, you might want to buy them in place of or in addition to what you currently use. Our agency caregivers were expected to do light housekeeping, and in fact did way more than that as my husband didn't a lot other than help with showering and dressing and some meals. They cleaned, did laundry (for both of us), did dishes, etc. We were very lucky in having hard-working caregivers who were also lovely companions for my husband (he had Parkinson's but no dementia and was a very "easy" client).
Keep the lines of communication open, and let them know when they're doing a good job.
Dad liked TV dinners and his 1st shift caregiver was thrilled with that as she didn't like to cook, which was ok. So I kept the freezer stocked. Dad's weekend 1st shift caregiver loved cooking so she would make extra at her home and bring it to Dad, plus leave extra in the refrigerator so Monday's caregiver could just heat it up. She and her sisters would make cookies and other home make treats for "Mr. Bob" [my dad].
First week the 1st shift caregiver was there, she noticed Dad's vacuum wasn't picking up the dust bunnies, and she turned the vacuum over and noticed the brushes weren't going around. She insisted on bringing her own vacuum for the days she cleaned as she didn't want Dad to purchase a new vacuum. Now I wonder how many years my parents were using that vacuum and not noticing it wasn't working correctly :P
Dad did notice that the 2nd shift caregivers, if they were in their 20's and 30's tend to be glued to their cellphones but Dad didn't mind because it was difficult to find anything in common to talk about anyway. Dad's weekday 1st shift and weekend 1st shift were mature caregivers in their 50's, which worked out best for him.
When I say EVERYTHING I mean everything. You can show, you can explain but if it is not in writing and she forgets something and you are not around what does she do?
Emergency info.
Your number
A secondary number
How to get hold of Emergency Services if 911 is not in your area.
Your address. I know sounds stupid but if she is calling from a cell phone and your area does not have "enhanced 911 service" the call may be bounced around before she gets the proper dispatch. And in a panic may not remember your address.
If your loved one is on Hospice no need to call 911 make sure she is aware of that and have the Hospice number handy.
If there is the use of equipment or the need for a gait belt make sure she knows how to use it properly.
Make sure all the supplies are in an area where they are accessible.
Extra of everything.
What does your loved one like to do? Is there anything that the caregiver can do to engage your loved one.
If your loved one is napping what do you want the caregiver to do? laundry? light housecleaning? make a bed?
If you are going to allow the caregiver to eat lunch did they bring it or are you providing? if they brought a lunch is there a place they can keep it? refrigerator?
And if this is the first time they are meeting your loved one you might want to stick around for at least part of the day and make sure both are comfortable. don't step in and do anything unless you have to let the caregiver do what she has been hired to do, just be available.
Treat people the way you want to be treated.
Realize they need period of adjustment like in any job.
Not everything is going to be perfect, people make mistakes.
Don't assume they can do extras, they are not maids.
The most important thing is safety of your LO.
Give them benefit of doubt.
I do have this lady who I was thinking will be annoying, because she is quite bossy, so am I, so is my husband, but, then I realized she is extremely caring and means well. So if she gives my husband some instructions, I just have a little chuckle at her bossiness.
We don't need full time help, but, I already hinted if she will be willing if needed. She is in mid 50s needs to work several more years. I know I can rely on her! She is even right now willing to come anytime day or night.
Build good relationship with people, so they stay. Nothing is more important than relief from stress and having good people behind you.
I do always say to anybody to help themselves to anything to eat, drink. I have no problem with that at all.
As it is our home and we are relaxed people, it is nice if everybody feels like that.
Everything from wages to time off has already been thoroughy discussed and agreed upon? Also what the plan is if the caregiver gets sick or injured and cannot care for your parents for a time? Are they allowed to have friends or family visit in your parents home? Is the caregiver allowed to leave the house for periods of time to go to the store or run an errand? This is important and must be discussed.
Your profile says that you've taken family medical leave to care for your parents and that it's coming to an end. If the caregiver you hired is going to be a live-in and you move back to your home, they will be the one living alone in the house with your parents.
Don't knit-pick. Don't mention her cellphone. Check in with your parents by phone once a day. If you are unable to, have someone local checking in on them regularly. In some places, the police will even do wellness checks on elders and invalids living at home with caregivers.
Supply the house with the items your parents need. If you want to get special things for the caregiver, ask them to make a list for you.
You can make the caregiver feel welcome by upholding your end of the employment contract. Wages on time and in full. Time off as discussed. All necessary items for your parents' care needs in good stock. Daily calls. Make yourself available so the caregiver can call you if they need to.
The caregiver is coming to augment my care so I can take a break once a week. 😁
I'm glad you were able to immediately identify why the first caregiver was inexplicably rejected, and thus slowly ease in the replacement caregiver to avoid groundless suspicion, and to avoid an endless go-round of hiring and rejecting innocent caretakers. Kudos!
I eventually offered care management (which I still do): managing/interviewing/hiring care providers, coordinating everything from selling house, hiring/supervising contractors, working with attorneys, and all levels of health providers... and much more. I studied dementia / brain changes with Teepa Snow on-line webinars for two years. I have a counseling background.
Set boundaries. So everyone is on the same page.
Let her know what is expected and put in writing (a list always helped me to go 'through the drill')
Wait and see how she does. She may be one to sit and look at her phone ... you do not know. Don't get ahead of yourself.
After a day or two, thank her for her service.
I used to offer them lunch - either while they are making lunch for a loved one or somehow include them. And, the socialization of eating together is healthy for your loved one.
Supplies depend on what you want / need her / him to do.
When you write out a list of 'to do's' the list of supplies will present itself.
You need to be clear on what you want a caregiver to do and then follow-up insuring that:
1) they understand and doing as you want;
2) doing it.
Ask them for feedback either during a shift or after: How is it going? How did it go? These situations change and personality matters. If your loved one clicks w the caregiver, this is a huge plus. If they do not, listen and see if you can find out why. Not all caregivers are 100% there nor have the language skills to communicate well enough or they do this work solely for the income and do not want to be doing it.
Gena / Touch Matters
See All Answers