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Article Title: Avoid Problems With In Home Caregivers
Author: Pamela Dombrowski-Wilson
Category: Elder Care, Health
Word Count: 837
Keywords: elder care, hiring a caregiver, caregiver issues, home care
Author's Email Address: [email protected]
Article Source: http://www.articlemarketer.com
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With aging comes the strong likelihood that we will need a caregiver; someone 
to help with daily tasks and personal hygiene. Often it is not practical for 
family members and friends to provide all the assistance that a loved one 
needs. Finding a caregiver usually falls on females in the family as they are 
the main caregivers.

Care provider agencies provide this type of assistance. However the transition 
can be fraught with frustration when family members make incorrect assumptions 
that caregivers are trained, trustworthy and do not need supervision. 
Additionally in many cases, the person needing the care resists the idea and 
can cause difficulties in initially making the transition to accepting care.  
Many times the agency caregiving relationship is misconstrued as a family 
relationship versus an employer to employee relationship and individuals 
receiving care often cross the boundary creating issues that result in 
situations of potential conflict of interest, safety or abuse.

Meet the company owner. Establish a relationship with the owner and the 
supervisor of the home care agency to create an environment that supports open 
communication about concerns, possible solutions and alternatives. Request the 
educational background of the company owner and ask why they are qualified to 
provide this service? Never hesitate to call with issues.  Ask how often they 
will contact YOU to request feedback. You should receive a personal call 
immediately after initiation of services and then on a regular schedule not to 
exceed 90 days.
   
Ask for qualifications. Request a copy of the company liability and workers 
compensation insurance. Ask if caregivers are background checked and what 
specifically is checked for example criminal background, driving record, credit 
background, drug testing. If the agency runs only a criminal background check 
they may be missing a poor driving record that may indicate irresponsible 
behavior, substance abuse or a credit record that may indicate poor money 
management.  Issues with any or all of these may potentially expose your family 
member to issues of safety, abuse or neglect.

How is time kept and billed? Companies with a high degree of supervision use 
automated time and attendance systems whereby the caregiver calls in from the 
home of the client and calls out when leaving. This serves as a time clock to 
ensure that you are not being billed for time the caregiver is not in the home. 
 It also alerts the agency if their caregiver does not show up to work as 
scheduled. Paper systems are more commonly used, however if this is the case 
request a copy to be included with your invoice so you can review the 
information.  

Do not cause issues for your caregiver. I have often witnessed clients telling 
their caregivers to leave a shift early but not to mark time accurately so they 
are paid for the entire shift. This causes issues of dishonesty for the 
caregiver who knowingly falsifies paperwork at the request of the client.  Be a 
good client and don't cause these issues for your caregiver or their agency. 

Create a task list. Many times the individual receiving care cannot make a task 
list for the caregiver often resulting in unproductive time.  Make a list for 
the caregiver and your parent or family member.  Share this with the agency to 
make your expectations clear and to ensure that the agency can provide the 
assistance needed.  Some agencies provide companionship only and not other 
caregiving tasks, know which you are hiring.  

Put together a photo album or a journal describing your loved one's life, 
interests, accomplishments, family and friends. Providing a history for 
caregivers invites them to bring a genuine understanding of the care they are 
providing. Or better, yet, make this a project that your loved one and the 
caregiver can do together to validate the importance of the life lived by your 
family member.

Maintain a professional relationship.  No matter how close you or your loved 
one becomes with the hired caregiver the caregiver is NOT your family.  By 
creating and maintaining a professional relationship you ensure results that 
are in your best interest and avoid the potential of financial or personal 
abuse.  Never, except at the holiday when it can be documented and approved by 
the agency, give gifts, tips, unused household items as you are training the 
caregiver that accepting items is okay.  IT IS NOT!

By instituting these tips you might feel as though you are personally training 
the agency and caregiver. You are!  Each individual and situation is different 
and many hired caregivers are average people without extensive training. 

It is important to create an outline of the care you expect; adult caregiving 
can be difficult and challenging and is definitely not for everyone.  If you 
are dissatisfied with your caregiver contact that agency and request a 
replacement.  The best way to provide quality of care for your loved one is to 
establish a genuine understanding expected outcomes of the care being provided 
and the implementation of professional boundaries.

Pamela D. Wilson, The Care Navigator, provides consulting, planning and 
education for families and individuals experiencing transitions in health care. 
 Visit http://www.thecarenavigator.com for information or call 303-810-1816. 
Receive free education and tips at http://www.thecarenavigatorblog.com
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