10 Tips For Choosing the Most Professional Caregiver

Over 41 million Americans have a chronic conditionwhat questions to ask, call a caregiver agency.
that limits their daily activities in one way orThe agency should be helpful enough get get an
another, this is according to the Department ofidea of what types of questions to ask, don't
Health and Aging at the University of Californiaforget that you are a prospective customer.
and 12 million are unable to live independently. OneSixth step, now it's time for an in-person
in five seniors who have attained the age of 85,interview with the applicants. After you have
over half are in need long-term care - where thecarefully filtered through the applicants on the
receive personal assistance to enable them tophone, you should interview the ones that made
perform everyday tasks such as eating, washingthe cut, in person. It's always a good idea to invite
and dressing. Most people still want to live in theira friend or family member to sit in on the
own homes as long as possible and for those whointerview to provide a second opinion or sense of
are elderly or disabled this may be possible withsecurity. Always observe interactions between
outside help.the worker and the person who will be receiving
Most people who need help with their dailycare, after all that is what it is all about.
activities are dependent on unpaid care for familyIf you are interviewing a caregiver agency, ask to
members and friends. Increasingly, however, theinterview the in-home caregivers yourself. Many
elderly and their families recognize the benefits ofagency employees look good on paper, but will
using caregivers to help them stay in their homesnot be a good fit for you, for cultural, religious,
longer, with more comfort and security and peacesocial, or any number of reasons. You may just
of mind. Similarly, many states (including MI) andnot like the person the agency has assigned to
the federal government, set aside some funds toyou.
allow people who otherwise could not afford toNumber seven: always check their references.
pay for outside help.One of the most important things to check in this
Here are 10 tips for choosing a caregiver:process are the provided references from each
First, test your home care needs. Evaluate theapplicant. Be sure you talk to everyone who is
need for assistance in health care, personal caregiven as a reference. If you are looking for
and housekeeping. Do you need home health care,someone who is dependable and reliable as well as
like physical therapy or medication management?someone who is qualified to do the work, their
If you need non-medical personal care such asreferences should reflect those qualities.
help with bathing, dressing, grooming, andEighth on the list: Get a criminal background check.
preparing meals, or are you looking primarily for aLet's get some things straight, people who are
companion or sitter? Decide whether you needpaid by state funds usually must always pass a
help with cleaning, shopping, home maintenancecriminal background check, but that doesn't mean
and running errands or paying bills and managingyou shouldn't check. Even if someone does not
your money?have a conviction for a disqualifying crime (which
Secondly, write a job description based on thewould be identified through the background
assistance that is needed. Remember to include:check), he or she may have convictions for
health care training required (level and type:offenses that would concern you or present a
Certified Nursing Assistant, Licensed Practicalsafety risk (using drugs; driving under the
Nurse, nurse) to drive (car or a license necessaryinfluence of alcohol or drugs; driving without a
to conduct valid) Ability to lift care recipient and /driver's license or insurance).
or operate specialized equipment.If you are hiring an agency, make sure that the
Third, develop a contract. The contract is basedagency does criminal background checks. Many
on job description and should include the following:states' laws require a background check, but that
payroll, when and how payment will be made fordoesn't mean it has been done.
hours worked. Record the employee's socialNumber 9: Be sure you hire thoughtfully. We all
security number (because you must reportwant to hire a caregiver who has experience in
wages paid to the Internal Revenue Service).the specific areas in which you need help, so
Please include unacceptable behavior jobmake sure you recognize who that is from the
description (like smoking, abusive language, delays,interviews you held. People who have Alzheimer's
etc.) Notify them of your termination policy (howdisease often need help with toileting and bathing,
much notice, reasons for dismissal, etc.) Have thefor example, so look for someone who has
dated signature of both the employee and theexperience in working with elders with this illness
employer (that's you).and can complete the needed tasks.
Fourth, knowing where to look for a careLast but not least, be sure to monitor the
provider. Identify the pool from which you cancaregiver's activities. Set up a schedule to monitor
find a babysitter. You can ask neighbors or friendsthe quality, quantity and effectiveness of the
who are good prospective families. If you belongservices the caregiver provides. This is especially
to a church, ask your pastor or minister ofimportant for family members, who may not
perspective members, your family is OK but firsthave as much experience as professional
and foremost, the management and the dismissalcaregivers. Do this by making personal contact
of a support person are all business decisions andwith the caregiver and regular home visits with
family members who are not well paid may notthe elder, and getting periodic reports from the
be your best choice. Hire a professional caregivercaregiver or the agency. Watch for signs of
if you can afford it (I can help you find one, soabuse, neglect, and exploitation and report
don't be shy).suspicious activity to the agency and state
Fifth on this checklist interviewing the candidates.authorities.
Prepare a list of questions to ask. Have aIf you're worried about the time involved with
separate list for each applicant, care givinghiring a caregiver, consider using an independent
agency, referral service, or reference you maygeriatric care manager to monitor if you are
call. You need to gather different informationunable to do it yourself.
from each of these sources. If you don't know