Stay at Home Elder Care Management

There is a problem with some caregivers being insufficiently trained. Geriatric care managers offer a solution by monitoring the quality of care and making sure that caregivers are, in fact, adequately trained.
Give caregivers the support of professional geriatric care managers and they may reward you by delivering compassionate, professional care and remaining on the job for a long time.

Caregivers (CNA's & HHA's) who carry tremendous responsibility often feel the weight of high expectations. Family members and home care agencies demand a high level of professional commitment and performance.

Faced with the juggling act of running successful businesses, home care agency owners often are stretched in four or five different directions at the same time. Faced with multiple demands, many of them urgent, the agency owner frequently is unable to train, support, and monitor the caregiving staff. Caregivers who don't receive adequate training, however, tend to become frustrated and discouraged. The net result has been high turnover.

The situation becomes even more complex when you factor in the often unspoken assumption by some providers that investment in employee development won't pay off because employees always leave anyway.

High expectations are placed on caregivers by the elderly and their families.

Family members expect the caregiver to:

  • Deliver compassionate and professional care to elderly parents

  • Interact positively with family members
  • Perform many duties requiring physical exertion and great patience 
  • Be reliable and willing to work as needed 
  • Work for relatively low wages 
While none of these expectations may appear to be unreasonable, caregivers can quickly become disillusioned and frustrated if they aren't provided the skills, training, and support from a care manager to do their jobs properly. The caregiver may leave, or he may stay, but without care management, may deliver less than exceptional elder care and suffer from low morale which demoralizes everyone involved.

For their part, caregivers expect:

  • The tools, training, and support from care management professionals necessary to do the job well 
  • Opportunity for education and training 
  • Respect and recognition for a job well done 
In short, the caregiver expects to be treated as a professional, which isn't unreasonable. If family members demand professional performance overall, i.e. they must commit to providing the requisite training, care manager monitoring, and recognition to enable their success.

It isn't unusual for caregivers to feel that their legitimate professional expectations fall to the bottom of the list.

Although there's no panacea to the challenges of staffing a home with a good caregiver, clearly the one avenue of endeavor that helps meet everyone's expectations is professional geriatric care management. With guidance and support from professional GCMs, caregivers in the home are far more able to meet expectations for delivery of quality car. When they know the professional geriatric care manager comes once a week, caregivers for the elderly know they have to keep on their toes - - and also that they have someone to talk to about their concerns and problems on the job or with the family. The geriatric care manager then is able to be the glue that holds good home care together so that aging people and their family members have less stress and increased well being.
 


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Copyright Nancy Wexler 2000, 2001, 2004.