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Familiarity Breeds Contempt

  • Posted on October 12, 2010 at 10:05 am
This entry is part 5 of 7 in the series Vacation Hell

One of our regular workers is off, on holidays.  The good part is that they have assigned a regular to fill in.  And that is how it should be, or so I believe.  Though it does make me wonder, why it has taken so long for Beacon Community Services to come to the same conclussion.

I wonder if they buy into that old line, about familiarity and such, or is it simply that I have bitched so much, this is easier for them?

Bottom line is that it is better for the Patient. In this case a 93 year old woman.  With workers who are familiar with the situation, it makes the task easier for both worker & patient.   There is a comfort zone, but more importantly, a regular worker can spot changes, that are minute.

And that could save a life, or catch something long before it becomes life threatening.

Again, something I don’t think Beacon Community Services or VIHA take into account, or for that matter, care about.

Just Fifty Minutes

  • Posted on August 2, 2010 at 11:54 am
This entry is part 1 of 24 in the series Quality of Life

Is that really too much to ask for?

home support time in homeAt the moment, Mom is eligible for 120 hours of Home Support per month, and uses 28 hours of it. That works out to ONE HOUR PER DAY, for the entire month.  The purpose is not to just provide her the support she needs, but to give the PRIMARY CARE GIVER a respite.

The reality is that for every hour, you get 50 minutes, as 10 minutes of that hour is allotted for the worker to transit from one job site to another.

What seems to escape the POWERS THAT BE, is that you aren’t providing any respite, when you mess around with that schedule.

When you set a schedule, set a routine for someone who is NINETY THREE YEARS OLD, changes have a huge impact on her quality of life, as well as the primary caregiver.

Old people fixate on ideas, and when they worry needlessly, it creates a bad health situation. It makes them more susceptible to stress, to pressures, that they shouldn’t have to have. PLUS it leads to increased stress to the primary caregiver.

The uncertainly of not knowing who will show up for that FIFTY MINUTES isn’t just a passing fancy. IT LINGERS and can only be reduced, by keeping to a set a schedule, to a set worker.

TOO BAD BEACON COMMUNITY SERVICES & VIHA DO NOT UNDERSTAND THAT.

The argument too, that it is due to a shortage of qualified staff, is rubbish. IF they provided their workers with a regular schedule, without random changes, it becomes easier for the worker to manage, as well as the patient.  That creates JOB SATISFACTION, which keeps workers from being dissatisfied & leaving the work force.

When a regular is sent, the primary caregiver can relax, can sit back and enjoy a hot cup of coffee. One can read the paper, without having to keep an ear open for any problems. It is that FIFTY MINUTES where you can shut your mind off, to just not worry about being called to service.

When a Substitute is sent, you have to Stand Guard, which means that FIFTY MINUTES is not spent unwinding, not spent just relaxing, but instead is just part of the day, WHEN YOU ARE ON DUTY.

adding stress not removing anyWhen you care, your mind doesn’t shut off. You have to plan for problems, to mitigate them. When you are uncertain WHO WILL SHOW UP FOR THOSE FIFTY MINUTES, you have ONE MORE STRESSFULL ITEM TO TRACK.

The less you have to worry about, the easier it is to cope with the job. And this job is about COPING, about STRESS.  To have an ADDED BURDEN THROWN AT YOU only makes you sick, and then what happens to the one you are caring for?

People get sick, go on holidays, which is normal. Certainly at those time, substitutes are a necessary evil, but that isn’t how Beacon Community Services operates. For them, EVERY DAY IS A POTENTIAL HOLIDAY, VACATION TIME, SICK DAY.  And that leads to a lack of continuity that impacts the Patient, as well as the primary caregiver, detrimentally.

VIHA fails to monitor the services being provided, or the scheduling, and that doesn’t even take into consideration, the standard of care being provided in those FIFTY MINUTES.

For over one year, I have been forced to endure random switches of workers, have had to fight for even obtaining regularly scheduled workers, and still, a year later, I cannot go to sleep at night, assured that those assigned to show up, will.   THAT ALONE leads to a restless sleep, that is impacting my own health.

It gnaws at Mom, as each night it is the same question – who is coming tomorrow, will they actually show up?    HOW CAN THAT BE GOOD FOR HER?

That is the reality I deal with 24 hours a day, despite having assurances that a regular schedule will be followed.  Just in the last week, we have had three substitutes out of seven, and that in itself, adds to the stress that cannot be easily erased.

VIHA needs to step in, to find a company that WILL ADHERE to a set of standards, THAT INCLUDES PROVIDING QUALIFIED STAFFING.

AND yet VIHA is unwilling to do this, which makes one wonder, just how many BROWN PAPER BAGS have been handed over to VIHA OFFICIALS?

There is no excuse for VIHA to be so uncaring, so incapable of monitoring the contracts it outsources to private business. Sure, Beacon claims to be NON PROFIT, but come on, how in hell does a small outfit suddenly become the major player in providing care to Seniors, at TAXPAYER EXPENSE?

IT IS TIME WE GOT AN ACCOUNTING FROM VIHA & THE CAMPBELL GOVERNMENT.

Creating Uncertainty

  • Posted on July 14, 2010 at 9:22 am

There seems to be a thought process with Beacon Community Services, that it is a good thing, to keep their Patients uncertain of who will show up to help them. Even if you have a regular worker, they mess with it, simply….   because they can.

Finally we have established a core of workers, that work well with Mom, but it seems that is a fleeting bit of success, as Beacon has now taken to shifting them, every now and then. It isn’t every day, or every other day, but the point is, it messes with one’s comfort level.

Now, Mom asks [every day] who is coming, and will it be who is scheduled.  I can’t answer that, because inside, I wonder the same thing.

IT MAKES NO SENSE TO INCONVENIENCE TWO PATIENTS WHEN ONLY ONE NEED BE INCONVENIENCED.

If our regular worker is off sick, on holidays, then it should be US who gets the substitute. Instead, the way Beacon handles it, they pull a worker from someone else, to come to us, then send another new worker to the other patient.   THIS MAKES TWO PATIENTS STRESS, & HAVE TO COPE WITH A NEW WORKER.

I guess my question is simple, WHY DO THIS?

Answer :   BECAUSE THEY TRULY DON’T CARE ABOUT THEIR PATIENTS, OR THEIR WORKERS.

In Pain, Nothing I can do.

  • Posted on March 16, 2010 at 9:40 am

One of the hardest parts of all this, is when something happens, and the person you love is in pain, and there isn’t anything you can do. Multiply that to also having to be involved in areas, that no son should be looking at, and it becomes a double whammy that leaves you drained & skittish.

With a groin infection, it is hard for her to have me checking that area. I know it makes her uncomfortable. Hell, just changing her nightshirt that exposes her upper body, makes her uncomfortable. Now I have to be checking her ‘privates’ closer, even applying creams, and this isn’t right, but necessary.

I don’t know anymore, how to cope with this.

Actually, that’s not true. I do know how, just that while doing it, I get nervous, worried, and think of all sorts of stuff I shouldn’t. Guess that comes with the territory, but it makes one feel so alone, so helpless, that at times it feels like you are being held captive, motionless, and worst of all, powerless.

I hate that feeling, yet seem like I can’t do anything.

This is another example too, of why it is important to have regular & properly trained home support workers. Without their knowledge, and experience, this becomes a nightmare.

IF I hadn’t been applying the cream, this condition may have gone unnoticed for some time, and that isn’t good. In addition, if you have regular workers, they then know the condition, can see if it is improving or worsening, and that too is critical.

My concern is Mother, but I also wonder, what about all those who have no one there? Who rely solely on the staff being outsourced to companies like Beacon Community Services? How are they managing, or are they?

And yet, VIHA & our Provincial Government continue to fail us, by ignoring the need for PROPERLY TRAINED STAFFING.  Yes, I know it costs money, but you know, what it costs in PREVENTING this kind of stuff from worsening, is a whole lot cheaper than if it goes unattended, and requires more intensive help then.

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