Finding the right professional caregiver for your senior loved one often takes time, adjustment, and patience. In the current caregiver crunch, when there are more HHA and CNA caregiver jobs than qualified caregivers, having a compatible and competent caregiver is valuable. But your loved one’s needs may change over time, perhaps due to memory loss, a stroke, or a new illness, and their current caregiver may not be suitable for the assistance needed. You may begin to consider requesting a new caregiver. Navigating a caregiver change requires honest communication between family members and your care manager and articulated expectations from family members. Here are a few things you should consider. Key Questions to Ask Before You Change CaregiversIf you are contemplating a caregiver change, first ask yourself if you have given the home caregiver enough time with your loved one. Take time to talk with your loved one’s professional caregiver and the home care services provider to share your concerns. They may be able to help navigate the issues. Also, be honest with each other and yourselves. A few fundamental questions to ask yourself and your loved one:
If you can’t resolve the issue with the caregiver and your home care agency. An experienced agency will work to see if they can provide another caregiver more suited to your needs. Before You Make a ChangeIf the current provider cannot meet your family’s needs or if your family isn’t comfortable staying with the agency, it is best to do your research before you make a switch. Some questions you should be prepared to answer:
Also, please keep in mind federal regulations require home health care agencies to be more responsive to their clients or risk losing Medicaid or Medicare funding. While it remains unknown when the changes will be fully implemented, it seems clear that new rules will continue to focus on the rights of the client and families. Going Forward with the ChangeYou and your loved one should never feel pressured to stay with a professional home health aide who does not meet your needs or an agency with which you remain uncomfortable.
If you and your loved one decide that changing home care agencies is the best option for everyone, be sure you have vetted a new home care provider before ending your agreement with your current provider. Here are the critical first steps to follow to help you:
Remember, too, to be patient as your loved one adjusts to a new professional caregiver. Sometimes, it just takes time. And sometimes, there’s a better fit. Either way, the critical thing to realize is that this is a problem that a superior home care agency like Visiting Angels can solve. Contact us today for a free in-home consultation. About Visiting Angels Newton/Canton Visiting Angels Newton/Canton MA has been providing high-caliber in-home care services for seniors and people with disabilities for over eighteen years. Countless families have benefited from our at-home living assistance, companion care, respite support, live-in and 24/7 home care, dementia and Alzheimer’s care, transitional aid, and private duty care services in Natick, Wellesley, Dedham, Needham, Stoughton, Brookline, Canton, Watertown, Jamaica Plain, Newton, Norwood, Roslindale, Upper Back Bay, Westwood, and neighboring communities. As a result of our exemplary home care service, Visiting Angels Newton/Canton has won the Best of Home Care Leader in Excellence Award; the Best of Home Care Provider of Choice Award; and the Best of Home Care Employer of Choice Award from the national client satisfaction survey firm, Home Care Pulse, for six years. We have been honored to receive the Boston Globe’s Top Places to Work award for seven years and one of the ten best places to work in Massachusetts in 2021 based on diversity and inclusion. Our dedicated and well-trained caregivers love their CNA jobs and HHA jobs.
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It is so important to research and consider options carefully when looking into a home care agency to assist your loved one. Some agencies may not provide adequate screening or training of their caregivers. Also, finding a compatible caregiver for a client is crucial and should be a priority to the home care agencies you consider. Here are 15 questions to ask when contacting home care agencies. 1. How do you recruit caregivers, and what are your hiring requirements? In-home caregiver jobs have different requirements. Most highly regarded home care agencies require CNA or HHA certifications. Visiting Angels Newton/Canton, for example, hires CNAs and HHAs with experience in caregiving, and the caregivers typically have a strong employment history in caring for seniors. 2. What types of screening and background checks are performed on caregivers before you hire them? You want to ensure that the agency has checked the caregivers’ background through legitimate records and databases, not through an unverifiable source. 3. Is your agency bonded and insured, and does your agency meet all state and local requirements? Visiting Angels Newton/Canton is bonded and insured. It not only meets Massachusetts state requirements but is also an award-winning home care agency. Visiting Angels Newton/Canton has won the Best Home Care Provider and Best of Home Care Employer awards from Home Care Pulse, an independent satisfaction and quality assurance company, for the past six years. 4. What kind of health-related training, if any, do your in-home caregivers have? It’s essential to ensure that the caregiver or home health aide you choose is appropriately trained for your needs. For example, Visiting Angels Newton/Canton provides an orientation class for new caregivers, Visiting Angels University, an online educational program, and a partner program with a local community college. Caregivers are taught how to assist clients with transfers through Hoyer lifts and gait belts, provide comfort to seniors with dementia, and other crucial skills to help ensure clients are treated with the respect and dignity they deserve. 5. Does your agency provide specialized and continuing education for caregivers? A good agency will have caregivers trained to handle specific needs, such as dementia care, through specialized education. Some agencies may have advanced training programs available, such as Visiting Angels’ Palliative Care Training. 6. How are your training programs developed? Reputable agencies like Visiting Angels often provide training that has been developed with nationally recognized experts, such as their Dementia Care Professionals of America (DCPA), which is an Alzheimer’s Foundation of America-sponsored formal training and qualification program for caregivers. 7. What competencies will the caregiver have (e.g., lifting and transfers, homemaking skills, personal care skills including bathing, dressing, toileting, behavioral management training, cognitive support)? Not every situation will require a caregiver with all of these skills, but it is important to know what a caregiver can do. Be sure to share your loved one’s requirements and ask the agencies you are contacting if they have caregivers available with the skillsets needed to provide the appropriate support to them. 8. How do you assess what the caregiver is capable of doing? Not every caregiver is a match for every client’s needs. A good agency will conduct an initial assessment to determine the client’s requirements and evaluate each caregiver’s skills, strengths, and personality to provide a good match. 9. What is your policy on providing a substitute caregiver if a regular caregiver cannot provide the contracted services? Emergencies happen, but you need to know that your care needs will still be met. Visiting Angels Newton/Canton and other quality agencies have policies to ensure that clients are not left without a caregiver. 10. If there is dissatisfaction with a particular caregiver, can they be replaced “without cause”? Home care is very personal, and sometimes the right match between caregiver and client doesn’t happen right away. An agency like Visiting Angels Newton/Canton will work with you to find a different caregiver to make sure your loved one is cared for, and you have peace of mind. 11. Does the agency provide a supervisor to evaluate the quality of home care regularly? How frequently? Does supervision occur over the telephone, through progress reports, or in person at the older adult’s home? A combination of monitoring, such as telephone and in-home visits, is recommended to ensure the best level of care. Visiting Angels Newton/Canton assigns a case manager to each client and their family. The case manager supports the client and their family every step of the way. The office and on-call staff are also available to assist and support clients and their families twenty-four hours a day, seven days a week. 12. How long has the home care agency been in business? A national franchise should have a high level of agencies with a long track record — at Visiting Angels, 60% of all franchises have been in business five or more years, which is more than 10% higher than the national average. Visiting Angels Newton/Canton has been in business for over seventeen years. 13. How does the agency stay abreast of new techniques and research in home care? Franchise agencies usually have a strong network of ongoing skills training to draw on. Still, every agency should participate in local network and education opportunities to ensure they are providing the most current care modalities. The Visiting Angels Newton/Canton staff and owners participate in ongoing training and franchise conferences regularly. 14. What hours can the caregivers work? When are they available? You need to be able to schedule help when you need it, and a good agency will work to provide care. Visiting Angels Newton/Canton offers hourly care, 24-hour home care and live-in services, temporary or long-term care, weekend and holiday care, as well as respite for family caregivers. 15. Can we meet the caregiver before the person starts work? Meeting and approving the proposed caregiver before hiring helps to reassure you and prepare your loved one. Caregivers and clients build a special bond and feel like part of the family if there is a good match. Starting up home care for a senior loved one can be daunting. Too often, families don’t know what questions to ask, so they choose an agency that may not be the right fit. It’s so important to ask questions and be confident that the agency you choose can stand by you when you need them. We hope these questions will help you feel more confident in your choices. If you’re interested in more information about how in-home care can help your senior loved ones in Newton, MA, and surrounding communities, contact Visiting Angels Newton/Canton at 617–795–2727. About Visiting Angels Newton/Canton Visiting Angels Newton/Canton MA is an award-winning home care agency providing high-caliber home care services for seniors and people with disabilities for over seventeen years. Countless families have benefited from our home care assistance, senior companion support, respite for family caregivers, 24-hour and live-in home care, dementia, and Alzheimer’s care, transitional aid, and home health care services in Dedham, Needham, Natick, Wellesley, Stoughton, Brookline, Canton, Watertown, Jamaica Plain, Newton, Norwood, Roslindale, Upper Back Bay, Westwood, and neighboring communities. The non-medical assistance provided by Visiting Angels Newton/Canton home care can make a significant impact on your loved one’s happiness and quality of life. If you are interested in more information about how in-home care can help your senior loved ones, contact us today at 617–795–2727 to schedule a free in-home consultation. The COVID-19 outbreak has caused many unexpected disruptions in our daily lives, especially for elders dealing with isolation at home and social distancing. The older adult population continues to be most vulnerable to the disease, and family members and in-home caregivers are making necessary precautions to protect senior loved ones during the coronavirus. While the sudden changes created by COVID-19 are preparing us all for a “new reality,” it’s also important to instill regular routines and schedules for seniors during this time. Daily Routines are Important for the ElderlyIt may be challenging to think of practical ways to maintain or enhance the well-being of older adults under these complex conditions. With some lifestyle changes, your elderly loved ones can reduce their risk of getting infected from COVID-19 and other viruses. Making sure they stick to healthy routines and remain calm, comforted, and safe has never been more critical. Here are some tips you should encourage seniors in your life to follow as they adapt to new healthy routines:
Hopefully, some of these tips can help your senior loved ones, and you establish a “new norm” that is beneficial, healthy, and safe. Despite the pandemic, elderly in-home caregivers remain resolute in delivering safe and compassionate personal care that is essential to the health and well-being of older adults. If you are struggling and need assistance, respite care services are also available to provide a break for as long as you want. The home-care professionals at Visiting Angels can help you find the work-life balance you need while caring for your senior family member. If you’re interested in more information about how at-home care can help your elderly loved ones, contact us today or call 617-795-2727. About Visiting Angels Newton/Canton:
Visiting Angels Newton/Canton MA is an award-winning local home care agency providing high caliber in-home care services to the elderly and people with disabilities. Countless families have benefited from our home Alzheimer’s care, companion care, elder care, dementia care, respite support, transitional aid, and home care services in Canton, Stoughton, Westwood, Norwood, Brookline, Watertown, Needham, Dedham, Natick, Wellesley, Newton, Chestnut Hill, Roslindale, and nearby towns. While essential personal in nature, the care provided by Visiting Angels Newton/Canton can make a significant impact on your loved one’s happiness and quality of life. Contact us today for a free in-home consultation! Many seniors struggle with chronic medical conditions that must be carefully managed, not just by health professionals, but also by professional caregivers. We spoke with several professional caregivers about common ailments among seniors that can complicate caregiving and how you can help improve the quality of life for your aging loved one. Mobility ChallengesLimited mobility poses more challenges to caregiving. Arthritis affects several adults over the age of 65, making it one of the most common chronic conditions seniors must manage. Osteoporosis, another common diagnosis in seniors, can increase the risk of fractures or falls, leading to significant disability. Falls caused by weak bones or arthritis can make it painful or difficult to complete day to day tasks and prevent your loved one from being physically active. Seniors with mobility problems are particularly at risk for injury inside the home. Keeping the house free of clutter or other potential hazards should be the first step to keeping your loved one with mobility challenges safe. Staying active is also essential for health and well-being for people of all ages, but this may be challenging for those with pain or difficulty moving. Consider speaking to your loved one's doctor to come up with a plan for staying physically active. This may mean a referral to a physical therapist or exercise physiologist who specializes in working around mobility difficulties. Swallowing DifficultiesDid you know that as we age, it is more common to have difficulties with chewing or swallowing? Missing teeth or poorly fitting dentures may cause chewing problems. Swallowing difficulties, called dysphagia, can happen when the esophagus becomes weak, or other physical changes occur. Nicole Keels-McGruder, a professional caregiver, states that caring for seniors with swallowing or chewing difficulties can cause significant challenges. She recalls a senior she cared for, “who could not drink thin fluids and all of her foods had to be pureed. A thickener had to be added to her drinks. Making sure that she was properly elevated during meals was also something that I learned the hard way. Because of her condition, I stayed in the room with her for an additional 30 minutes to make sure that all of her food was down.” Nicole added that the time it took to prepare, puree, thicken, and ensure proper positioning was much more demanding of her time and energy. Getting help with food preparation or supervision of meals can help your loved one if they have been diagnosed with dysphagia. A home health aide can help relieve some of the pressure in caring for and supervising a loved one with dysphagia or other swallowing concerns. Infectious DiseasesAccording to the American Academy of Family Physicians, older adults are more susceptible to infectious diseases. Common contagious illnesses that can impact the elderly include urinary tract infections and digestive and respiratory diseases, like pneumonia and influenza. It is also more challenging to diagnose people over 65 because they don't always present with typical symptoms. Instead, they can experience more generalized symptoms like loss of appetite, a change in mental status or incontinence. A difficulty with a diagnosis can lead to prolonged discomfort and a higher risk of hospitalization. For family caregivers, it is essential to understand the signs and symptoms of common infections to start treatment as soon as possible. Look for sudden changes in behavior, confusion, skin infections, chills, difficulty breathing, cough, fever, digestive disturbances, or lack of appetite. These symptoms should be evaluated immediately by a medical doctor who can determine the best course of action. An annual flu shot is also recommended for all seniors. Home Care Demands a VillageAll this is to say that you should genuinely consider your role in your aging parent's in-home care. Ailments like these are so common among the elderly, the degree of care your loved one needs is sure to evolve. While you may be able to handle things initially, are you genuinely ready to juggle a parent's worsening ailment with your own family and responsibilities?
Many of these conditions that impact older adults are chronic and require regular management. Getting help from a senior home care agency can be instrumental in ensuring your loved one’s quality of life. About Visiting Angels Newton/Canton Choosing the right home care provider is a difficult decision, and you want the best for your loved one. Our experienced and compassionate home caregivers have served countless seniors and disabled adults in Greater Boston with dignity and respect for over 14 years. As a result of our exemplary home care service, Visiting Angels Newton/Canton has won the Best of Home Care Leader in Excellence Award; the Best of Home Care Provider of Choice Award; and the Best of Home Care Employer of Choice Award from the national client satisfaction survey firm Home Care Pulse five years in a row. We have accreditation by Home Care Alliance of Massachusetts and have been awarded Boston Globe Top Places to Work. Visiting Angels Newton/Canton offers dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, live-in care and other elder home care services in Wellesley, Natick, Newton, Needham, Brookline, Chestnut Hill, Canton, Westwood, Dedham, Water-town, Stoughton, Roslindale, Norwood, and nearby towns. The services provided by Visiting Angels Newton/Canton will be sure to make a positive impact on your loved one’s happiness and quality of life. Call us today at 617-795-2727 for more information. As we age, our muscles may weaken, our dexterity may suffer, and in some cases, we deteriorate mentally. If you have aging parents, you may experience this first-hand as your parent begins needing additional help with everyday tasks around the home. Maybe you don't mind helping if Dad needs help cleaning, cooking, or getting dressed. However, what happens when your aging parent needs help in the bathroom? Risk of Falling in the BathroomRoutine activities like bathing or showering and getting in and out of the tub can cause slips and injuries. People over 85, especially if suffering from any incontinence, which is common in Alzheimer’s patients, are more likely to injure themselves on or near the toilet because they often have to rush to get in the bathroom, placing them at higher risk for falls. Moreover, sadly, the consequences of senior falls can be severe. Over 27,000 seniors in the USA die as a result of falls every year. If Dad is getting unsteady on his feet, it may be that bathing unsupervised is no longer an option. If you’re the only one capable of helping out, you may need to prepare yourself to enter the bathroom with your aging parent. Overcome the EmbarrassmentGoing to the bathroom is a personal, private experience, so helping a friend or family member use the toilet can be embarrassing for both you and your loved one. Some seniors may be ashamed to appear so vulnerable in front of a family member, and it may be hard for you to see the person who raised you in such a state. However, overcoming the embarrassment can lead to positive outcomes. Studies have shown that seniors who feel supported by a family member to achieve daily activities, such as using the toilet, feel more independent and in control of their lives, which in turn offers health benefits. Your loved one may come to realize that receiving bathroom help is better than the alternative, which could include leaving home for a nursing home or assisted living facility and losing independence. Make it as Easy as PossibleIf using the bathroom is difficult for Dad, it may be possible to remodel his bathroom to make it easier to use. Installing grab bars could help him to get on and off the toilet; nonslip decals are easy to apply to tubs and tiles to minimize slip risk. Senior-friendly walk-in tubs with doors can provide easy access, although they can be expensive. In general, ensuring that everything is within his reach, and there are minimal obstacles will be a great start. Offering Physical Help Unfortunately, sometimes even a remodel might not be enough to allow every senior to use the bathroom alone, some will need a person there to help. The Family Caregiver Alliance offers tips on how to aid a senior loved one in the bathroom:
Consider Professional HelpIt’s possible that through no fault of your own, helping your loved one use the toilet may not be something that either of you is ever comfortable with as part of a routine. In this case, you could consider professional home care services. A professional caregiver can visit your loved one and help with personal care. A professional caregiver could assist with most of your loved one’s needs, including helping walk to the toilet, getting undressed, getting into the tub, washing, and even using the bathroom. Even if you are both comfortable with you helping in the bathroom, a professional caregiver or home health aide could offer another crucial point of assistance. Although some seniors may keep to a reasonably regular bathroom schedule, most could need to use the bathroom at any time of the day or night, which means you could be on call 24/7. Getting respite care services from a home care provider would allow you some time off while ensuring that your loved one's bathroom needs are adequately addressed. About Visiting Angels Newton/Canton Visiting Angels Newton/Canton senior home care agency provides quality in-home care services to seniors and people with disabilities. Countless families have benefited from our dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, and elder home care services in Wellesley, Natick, Newton, Needham, Brookline, Chestnut Hill, Canton, Westwood, Dedham, Watertown, Stoughton, Roslindale, Norwood, and nearby towns. The services provided by Visiting Angels Newton/Canton will be sure to make a positive impact on your loved one’s happiness and quality of life. Call us today at 617-795-2727 for more information. |
AuthorVisiting Angels Newton/Canton is an award-winning in-home care agency that provides high quality home care to seniors and disabled adults in Greater Boston, MA. Archives
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