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Displaying 1 - 6 of 10 entries.

A Minor Reprieve

  • Posted on March 24, 2011 at 8:03 am

Thanks to some regularity in workers, in the routine, the shaking has subsided to just three episodes yesterday. The choking was a bit less, though not as much as I’d hope for. The questions of who is coming, when are they coming, has gone down to just a mere three last night.

Bottom line, is that this is day four, since BCS opted to change Mom’s schedule. Only NOW, has the impact become manageable.  This is what BCS needs to understand. When they screw around like this, it doesn’t go away within an hour or two. It lingers for days, which in turn adds wear & tear onto a body that is already under stress.

Caregiving is not easy, scheduling multiple workers isn’t easy, but it has to be done, with the Patient needs in mind, not the needs of the scheduler or corporate entity.

Changing Schedule and Notification

  • Posted on October 17, 2010 at 8:23 am
This entry is part 11 of 24 in the series Quality of Life

Shit happens, and schedules do need changing, but you know, there has to be a way to notify the Patient of these changes.  Especially when it isn’t a few minutes difference, but an hour.

Example, our schedule is for a home support worker to come at 9am.  Now a change to 9:30 really isn’t a huge deal, if we know.   A change though to 10am is, because you still have breakfast to deal with, pills to take at a regular time. 

By knowing that the scheduled worker is going to be AN HOUR late, we can adjust, to insure breakfast is held at the regular time, pills taken as they should be, ON TIME.

What about those Patients who don’t have someone to check the schedule every day, or several times a time?

A phone call, at least, would seem appropriate. IT DOES MATTER, when you are dealing with old people. Disruption of their routine can lead to days of nervousness, stress, for them.  So a simple phone call should be standard, not a luxury.

In addition, one should note, the change for today showed up on yesterday’s check, in the evening.  IF I hadn’t checked then, or this morning, I couldn’t plan to give Mom her breakfast on time, which would mean her pills would be delayed, but would also through her entire eating schedule out of whack.

AND THAT IS NOT GOOD FOR AN OLDER PERSON.

I Know The Routine

  • Posted on September 1, 2010 at 4:41 pm

Why is it, that when a substitute worker comes here, after a long absence, they maintain they know the routine?

Think about it:

  • They must have one hell of a memory to know how to do things for Mom, after only doing it once or twice in the last six month.
  • They are physic, after all how else would they know Mom has an infection in the groin, that she didn’t have six months ago?
  • Everyone is the same, so it doesn’t matter as the routine is identical in every way, with everyone.

Beacon Community Services must be blessed, with so many excellent workers, who have total memory recall, who are so advanced, they know about infections occurring, before the Patient gets one.

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.

Keeping Track

  • Posted on July 30, 2010 at 3:19 pm

Going to have to find that bookmark, about the things to keep track of. It seems that as the days progress, there is more to remember, to keep track of.  And that isn’t about the normal stuff like blood pressure, what pills – when.  There are things to make note of, such as when a substitute worker shows up, or the schedule gets changed.

Things like knowing that you are about to be inundated with substitute workers, and having to keep track of their names, to rate them so you can, maybe, get a few decent one’s in a list for future vacation times.

Stuff like what meds did she take, why did they get changed, as well as the state of mind.

And that is the hard one, to try and keep some journal, some small notation about the loss of focus, the loss of even reality. Is it real, or is it simply being unable to properly explain herself?  Do the blank stares mean she isn’t focused, or does it mean she is simply remembering something, sort of like daydreaming?

I have come to realize, that looking after Mom isn’t rocket science, but it does take its toll, if one lets it. Easy to say, damn hard to do. It is about routine too, and keeping to a fairly regular schedule, which unfortunately many don’t seem to get.

Expecting too much?

  • Posted on May 25, 2010 at 10:20 am

Patricia Donaldson phoned this morning, regarding my complaint from the weekend. An interesting conversation, given that I think we are poles apart on what we consider proper care for the elderly.

To begin with, the policy at Beacon is that they will attempt to contact a ‘client‘ [I really hate that word, it should be PATIENT] if the worker is going to be more than 60 minutes late in arriving.  Operative word is “attempt” as it would seem they are not obligated to, and that VIHA is just fine with that.

You and I, may be able to shrug off a late time within minutes, but a person who is aged, who is like my mother, 93 years old, they don’t shrug these changes so easily. It gnaws at them, and is something for them to fixate on, and worry about. 

Sunday’s scheduled worker was pulled and sent elsewhere, and had her time changed to show up at 9:30 rather than9:00 am.  Not a big deal, but it is when an old person is sitting on the edge of their bed, waiting for them.

It alters their established routine, which is not easy for them to shake off. Since Sunday, Mom has wondered if the next day’s worker will also be late, and that has gone on now for two days.  She worries throughout the day, which adds stress to her.  AT 93 WHO NEEDS ADDED STRESS?

Of course, this added stress to her, adds stress to me too. I am the one who has to deal with it, to console her, to reassure her.  It isn’t easy for me either, but the fact is, it does have a physical impact on Mother.   AND THAT IS NOT RIGHT!

Seems to me that we should be more aware of the needs of the elderly, rather than what suits us. Maybe I am expecting too much from Government & the Private Sector, but I don’t really think so. I mean what is it, about not having compassion, about not wanting to care?

Shouldn’t those be goals we should ALL strive for?

I am starting to try and reach our elusive Government figures, because you know, what about those who have no one?  I am here, and can cajole, can reassure Mom, but what about those elderly people who are in their beds, the door unlocked, waiting for their worker?

It isn’t like they can check the computer, as most don’t even know what one looks like, let alone how to run one. Many are unable due to arthritic hands, to operate a computer keyboard, so how are they supposed to know that their scheduled worker is coming a half hour late, or an hour?

So they will sit on the edge of their bed, listening to every creak, every noise, wondering if that is their worker arriving, or if it is some stranger coming to harm them? After all, their minds aren’t quite what it once was.  Yet today, private enterprise seems to forget, that they are serving real people, not numbers.  Government is forgetting that these people are the one’s who made this country, this province.  They are forgetting, that one day, they too, will be sitting on the edge of their bed, wondering why no one has shown up to help them bathe, to get them out of bed, or worse…   to give them their daily medications.

AM I EXPECTING TOO MUCH?

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