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It Is Already A Long Day

  • Posted on November 2, 2010 at 11:10 am

And it is just 11AM here now.

There are days when you wake up, and you just know that it is going to be a tough one. Today is one of those days, starting with having to wake the wife up for work, again. It is like once more, I am left with keeping track of everything, for everyone here.

Then instead of enjoying my first cup of coffee, I get the dog barking, because the paper delivery was late, which starts her off. That in turns wakes Mom up early, which means attending to that procedure, earlier than expected.

Don’t get me wrong, not like it is a big deal, just that a few minutes of ‘me time’ is nice, as it doesn’t happen next, until about 11:30 PM.

A substitute home support worker for the day too, so that means the 9Am to 9:30Am time spent catching up on email, etc., is doubled up with keeping an ear open to what is going on in the bathroom.  One can’t just relax, because the majority of substitutes simply aren’t qualified enough.  A guy has to keep on guard, to step in, if needed.

Then breakfast, which ends with a full glass of sticky juice going everywhere, and there goes the routine again.  No, one can’t be upset, because just the spilling of the juice, has her nervous, worried, and shaken.  Means one has to be extra tactful, in what you say, or else the whole day is gonna be nothing but cajoling & support.

When accidents happen, it also winds up progressing to other issues.  Already the question of who will show up tomorrow, has been uttered twice.  ( Thank you Beacon Community Services).   The uncertainty gnaws, and when a day goes bad at the beginning, it is a festering sore that won’t go away.

WELCOME TO CARE GIVING 101

Long Nights

  • Posted on August 6, 2010 at 9:37 am

Consistent Care & Routineare two buzz words I use alot around here.

It is important, for older people, to have a routine, not because it is easier on me, or the caregiver, but because it takes a bit of a load off their tired minds. They don’t have to think too hard, about what is coming, which means, less stress.

Consistent Care is just as vital, as it not only re-inforces their routine, but it helps in PREVENTING serious complications.  Consistent means you are aware of any changes, from the normal, at its earliest stage, not when it is a full blown situation.

For the last few weeks, consistent care has been haphazard, at best, thanks to the interference of Beacon Community Services policy on substitutes.

Routine has gone out the window as substitute workers are totally untrained in their abilities to perform even the simplest of duties.

The result is that at night, a 93 year old remains awake, stressed out about who will show up, and will they be capable in performing the tasks of giving her a simple sponge bath. She worries that it adds an extra burden onto me, which it does.  Thing is, one can’t let her know that, or even hint at it.

Now that one of our regular workers is off for 4 weeks, the nights are longer for Mom, as she worries, who will show up, how competent will they be, and how much will it impact her own health, as well as mine.

There is no easy answer to this, other than to push VIHA to do its job, and provide HONEST OVERSIGHT over a company that is driven by profits over people.  VIHA doesn’t seem to understand, that insuring their is quality and competent home support, means less hospital visits, less medical treatments.

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.

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.

Changing Home Workers

  • Posted on March 26, 2010 at 8:21 am

It is an interesting side note, to the way Beacon Community Services deals with its Patients. They provide a schedule, to their Patients so they can supposedly know who is going to be attending.

IN THEORY that is a nice tool to have. It lets us know who is coming, and if there are changes, well, we can then be forewarned.  EXCEPT that they make the changes AFTER a substitute has been and gone.

Here is the $64 questionIF THEY HAVE THE TIME TO FUDGE THE SCHEDULE PROVIDED TO THE PATIENT, THEN WHY DO THEY NOT SIMPLY PHONE IN ADVANCE TO WARN THE PATIENT?

Caregiving, is about routine, about helping, not hindering. Makes more sense to pick up the damn phone, call the Patient to let them know a new worker is on the way, instead of surprising them at the appointed time.

It also smacks of  ‘COVERING THEIR ASSES’  when you set up a schedule, that shows the right people are coming, then change it after the fact. 

It is these kind of TRICKS, that make one have little faith, trust, in a company. It is those kind of TRICKS that make me not believe them, when they tell me all their staff are properly trained. 

It is also why today, I wonder if our regular home support worker will be arriving, or will another new one just show up at the door.  So needless worry has been caused, and I don’t know, BUT THAT DOESN’T SEEM RIGHT, DOES IT?

It Ain’t Rocket Science

  • Posted on August 17, 2009 at 11:41 am

complicating lifeI wonder why we try to make things more complicated, than they have to be?

Take home support. I mean it isn’t difficult to figure out, that some people need help that others may not, and that one size really doesn’t fit all. Yet it seems to me, that is exactly what the various health agencies are attempting to do. Frankly, it just doesn’t work that way, and isn’t it more important to match workers, with client’s needs?

And that too, bothers me. Clients.  Seriously, why do we try to make things sound better, than what they are? In a sense, yes those receiving aid are clients, but the truth is, they are patients, in need of care. Calling it something else may help salve the conscience of those sending unqualified or untrained, workers, but that still doesn’t help correct any defeciency in the system, now does it?

There is a lot of talk about all workers having certain qualifications, whether from an outside training course, or internally, and frankly I wonder, did they get tested before being deemed qualified? Being pleasen, well is a bonus, but not sufficient, in my mind, to look after someone older.

How you lift them, does matter, and yet I feel so much is being left out. I suppose that these workers may be given the full information, but no one seems to know. So if they are being told, why are they not conscious of the facts? Does it mean they don’t care, or aren’t able to access or assimiliate the information provided?

Each person is different. How you move them, matters, and as I said, each one is different. For example, Mom has a tendency to try and use her injured arm. So if you insure you are lifting her, from under the arm, of the broken one, she can’t put any weight on it, as she stands up. That also helps keep her good arm in shape, and reduces re-injuring the broken one. It lets the bones heal without added stress, which also reduces the pain.

Simple right?And yet so many seem to ignore that. Again, this is one more reason to insure their is some consistency in staffing, seniority or not. The more a worker is working with the same patient, the more they will know the little details, that can make it easier for both of them. Something I think scheduler’s forget about, or don’t take into account.

Then too their is the familiarity with equipment. I mean if these workers are trained, then it would be common sense, that they would know how to use things like transfer chairs, walkers, etc. How to clean a commode, how to even make up the bed, or sit them back down on it. And yet, it seems that isn’t the case.

Is it because they have so many patients to deal with, or is it simply that they aren’t aware of the new equipment available? Do they know what a grab bar is? How a patient should hold it, or not? How about sitting them down on a transfer chair, and then putting the foot rests out? How to wheel it, so they don’t bang into walls?

Bottom line seems to be, that whatever training is being given, it fails to cover even the basics, in any detail. There simply doesn’t seem to be a desire, to make those being sent into people’s homes, qualified in even, the basics. And yet, we pay for it, and I wonder, what does that say about us?

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