A Smooth Relationship

When an individual hires an in-home caregiver, it's important to build a good relationship from the start. There's a definite intimacy involved between caregiver and client, especially when the caregiver's job is to help with such activities as bathing and toileting. Trust and communication are vital.

Begin by paying attention when the agency explains its guidelines and the role it envisions for your home care worker. There may be limitations to what the worker is permitted to do, based on the agency's policies or other rules. Be sure you understand them. You won't want to put the caregiver in the awkward position of having to perform tasks that are inappropriate.

When your caregiver reports to work, provide an orientation, making sure the caregiver knows what you expect. Remember that communication works both ways. Try to listen to the caregiver’s concerns. Then, answer questions and clarify explanations if necessary.

Over time, always keep lines of communication open. Discuss problems as they arise and try to resolve conflicts as quickly as possible. Rarely is everything perfect and the caregiver may not always do things as you would do them. There may also be cultural differences that require understanding. But if both of you are able to communicate your concerns freely and respectfully, you’ll stand a good chance of forging a smooth relationship.

Starting at square one

When searching for a reputable agency (or trying to find out if there's a Public Authority in your area), recommendations from friends and family are a good place to start. Your physician may also have good information. If you need home care following hospitalization, the hospital’s discharge planner will be able to suggest some options, too.

Another good source is the national network of Area Agencies on Aging (AAA). Your local AAA serves as a clearinghouse for information on community services, including home care. If you are unfamiliar with your AAA, you can find out how to make contact by calling the ELDERCARE LOCATOR at: 1-800-677-1116. Just say where you live and they’ll put you in touch.

American Federation of State, County
and Municipal Employees, AFL-CIO
1625 L Street, N.W.
Washington, D.C. 20036-5687