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Shaking Worse with Substitutes

  • Posted on March 5, 2011 at 2:11 pm
This entry is part 9 of 12 in the series Making A Difference

Mom suffers from what the Doctor calls ” Parkinsonism “.  It is similar to Parkinsons Disease but not quite the same.  Bottom line is, Mom gets the shakes, tremors, that can cause falling. It is scary to see it occur.

An interesting note, is that stress and/or worry, seems to make the shaking occur more often, more intense even. It isn’t just that her leg can’t move, despite the brain wanting it to. It is where her whole body literally shakes, as if having an earthquake within.

Now this last week, we have had substitutes Tuesday, Wednesday, Friday, and Saturday. Monday & Thursday was the regular worker.

In this instance, the substitutes were simply a part of life. The regular workers are ill. Can’t fault Beacon Community Services for this one, though Wednesday’s nightmare I can.

Monday & Thursday, with the regular worker here, the shaking was minimal. Oh, her leg gave her issues, about not wanting to move when commanded, but the actual body shaking was less. In fact, only happened once in those two days.

Tuesday wasn’t great, and Wednesday was super bad. The shaking was frequent, and extensive.  Now to be fair, Tuesdays wasn’t as bad as Wednesday, and I would wager that Wednesday’s was more due to the time being altered, without any notice.

Both of those days, the worker was actually fairly good. Wednesday’s the better of the two, and I’d say the better of all four who have shown up this week. ( Substitutes that is. )

Todays & Yesterday’s were okay but the shaking was much more than Tuesday. Partially I’d say it is due to the worry about the worker, and the aftermath of just okay care. I’d go so far as to say that it didn’t ease her stress, because there were way too many questions, way too many requests for instructions. And that is despite me giving them the instructions.

Makes me wonder, why they bother to ask me, if they are going to just go and ask Mom. It is like they don’t think I know what is the routine, or what is needed?

Anjoli was the best of the four, with Zhian right behind. Why?  They spent the time with Mom talking, not questioning her. They did the required job, effeciently & without fussing Mom. They took my instructions, and did it, without pestering Mom, which allowed her to not worry. I mean she is aware of her memory slipping, and is fighting it. Asking more questions, that have been answered, only makes her worry more, which in turn brings up the shaking.

When a worker is sick, or on holidays, you need to send a substitute. However, they need to be trained for that. It isn’t the same when you are a regular worker. As a regular you KNOW the routine ( or at least should ) but as a sub, well, how can you know?

There should be seperate training that takes that into account. Selected people should be assigned as just that, trained better for that. It would make life so much easier for all concerned. The Patient would be handled properly, and the life of the caregiver would be easier too.

IF you are going to provide home support care for people, the least you can do is have properly trained personnel. You need to have schedulers who can understand the need to provide Patients with regular workers, not a parade of new faces to help them.

At the same time, you need to know that regular workers will have time off, either due to vacations, personal issues, or illness. You need to have a squad of trained personnel, who specialize in dealing with Patients, they may never see again. These substitutes need to be able to pick up instructions from the primary giver, or have a proper plan available to read and study. 

Beacon Community Services fails on these key crieria. They do not have Current Updated Care Plans for their Patients. Nor do the majority of workers being sent as substitutes bother to even read or check them.  This does not benefit anyone, including the worker.

It needs changing. 

 This is about caring, not about profits.

A Nice Surprise for a Change

  • Posted on November 19, 2010 at 11:08 am

There is an old saying, that if you let a monkey use a typewriter, eventually they’ll type out the next great American Novel.   I suppose that is how BCS approaches its obligation, in providing service to Patients.

Send enough people, eventually a good one will surface

Today we had a treat, the trepidation of another substitute from hell, weighed on both Mom, and myself, but we had a surprise.  We actually got one who KNEW what they were supposed to do, but more importantly…   THEY GAVE A DAMN!

With all the substitutes we’ve had this last two weeks, Billie was a refreshing change.  Thing is, I am certain it was unintentional by BCS to actually send us a qualified & COMPETENT substitute.

To begin with, she actually acted like she enjoyed her job, took pride in it.  That too is rare these days.  Kind of restores one’s faith in people, because really, way too many look at this, as just a way to scam a paycheck.

You know, do the least for the most you can grab

All of the key points were covered. She engaged Mom in conversation, made her actually feel comfortable, something that has been missing with virtually all of the latest round of substitutes.

Unlike the vast majority of substitute workers, she asked about things, wanted to check and see where everything was.  I mean she wanted to know, and actually paid heed to what was said.  Yes, Billie has experience, but instead of throwing up, she listened to what was needed for MOM.  

I don’t think people understand how rare that is, to actually be willing to listen, to how a particular person likes things done. Sure it is pretty standard, but these are PEOPLE, not some nameless stamped out unit.  THEY ARE HUMAN BEINGS.  We don’t all come out of the same box, we have our own quirks, personalities. So no, it is a treat, when someone takes that into consideration.

We may survive, all that BCS can throw at us, simply because there still are a few good ones, who actually CARE about their job.  Problem is, most of them are nearing retirement age, which means, that when it becomes my turn for care, or David’s turn, the number will be greatly diminished.

Something VIHA Execs Should Be Thinking About  -  After All They Aren’t Getting Younger Themselves.

Tact Not In BCS Vocabulary

  • Posted on November 8, 2010 at 10:21 am

You don’t tell a 93 year old, that she is extra wet, or that the bed is super soaked.  I mean have a little tact, a little compassion for an old person.  You think they don’t know that their nightshirt is soiled?  Think they don’t know that the bed is wet?

What is it about Home Support Workers, and their INABILITY to be tactful, to not ascerbate one’s already fragile state of mind?   Is it just stupidity or is it cruelty?

A lot of these Substitute Workers claim to have massive experience. Today’s claims 14 years worth, and yet her tact is lacking.  She hasn’t a clue what her duties are, yet refused to read the provided care plan. The attitude being, she knows it all.

Asking if she is to have a shower, when told it is a sponge bath, adds to the confusion. Asking if her back is wet, when it is her job to wash all over.  I do not get this lack of understanding, when it comes to what their duties are.

When did a sponge bath ignore the back, underarms, or feet? 

Asking what order to do it in, seems rather nuts.  I mean you wash everywhere, leaving the groin and private regions for later.  And yet it seems these women haven’t a clue about it.

Scary Week Ahead

  • Posted on November 6, 2010 at 11:39 am
This entry is part 6 of 7 in the series Vacation Hell

Our regular worker is off all of next week.  That means we will have a five day round of substitute workers, that leaves me with a cold chill down my spine. 

This is what happens, when the majority of home support workers being sent into our homes, are either unqualified, or simply uncaring.  It is also what happens, when you have a company playing games.  Trust is non existent.

It is bad enough to wonder, every night & day who is going to show up, the regular worker or some stranger. It creates unnecessary stress, but when you KNOW it is going to be a substitute, the stress isn’t any less.

Now the worry becomes about how qualified will they be, and if not, what can be done to mitigate their damage.  YES DAMAGE, because improper care, results in increased illness. Simple procedure of NOT PROPERLY DRYING Mom in the groin area, will lead to increased use of the prescription creams.

BUT the worst is, that it will ascerbate her condition, CAUSING HER PAIN IN WALKING.  When that happens, it limits her desire to walk, which in turn prevents her from getting any real exercise.  This impacts her muscles, and bowels too.  If she isn’t walking much, there is no stimulation of the stomach muscles, and the result can be constipation

So you see Beacon Community Services, it really isn’t as frigging simple as you think, nor as meaningless.   By your inability to insure qualified staffing, YOU ARE ENDANGERING A 93 YEAR OLD WOMAN.

DOES THAT MAKE YOU HAPPY?

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

It Matters What You Say

  • Posted on October 4, 2010 at 9:24 am

I am still cleaning up the mess, created by what may seem like an innocent few remarks. Those being comments made by Saturday’s substitute home support worker. The comments involved the pills Mom was taking.

IF you have been dealing with elderly patients, for many years, you would assume that you would know how important it is to choose your words & comments wisely.  

Unfortunately that is a wrong assumption to make.

Old people fixate on things, and now I have to try and find a different pill, or liquid, to help keep Mom regular.  Constipation for a Senior can have serious ramifications.  Home Support Workers should know this, so commenting on taking unnecessary medications, can lead to a Senior refusing to take their pills. Especially if they don’t think they do anything.

Thank you Eleanor & Beacon Community Services, for two days of added grief, and extra work.

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