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View Diary: Unemployment is mine, now. (48 comments)

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  •  you better be strong enough to lift people (15+ / 0-)

    onto and off of bed and the toilet. it is an extremely physical job.

    •  Not all clients require that level of care (10+ / 0-)

      The company that we use has services divided into 2 categories:  personal care is one and the other one is general assistance.

      The personal care aides do more services like monitoring blood pressure, making sure people take their meds (although they don't administer it) assistance with bathing and toilet, etc. I think all the aides in this category are CNAs.

      The general assistance aides are the ones who can come in and simply do shopping, light housekeeping, cooking, companionship, etc. and they are paid at a lower hourly rate.

      Notice the category "companionship"? That is a big and overlooked area. Sometimes an older person who is lonely and isolated appreciates someone to come in and play gin or cribbage or Scrabble or something. That kind of mental stimulation is every bit as important as the physical assistance.

      Veterans who require Home Health Assistance can apply for special benefits that apply specifically to this kind of situation. It's worth looking into for all veterans - you need documentation from a doctor that the assistance is necessary.

      “Human kindness has never weakened the stamina or softened the fiber of a free people. A nation does not have to be cruel to be tough.” FDR

      by Phoebe Loosinhouse on Mon Apr 29, 2013 at 05:50:52 AM PDT

      [ Parent ]

      •  I'm pretty sure you need a CNA license (1+ / 0-)
        Recommended by:

        and a physical to do the work where you're lifting people.

        LBJ, Lady Bird, Van Cliburn, Ike, Ann Richards, Barbara Jordan, Molly Ivins, Sully Sullenburger, Drew Brees: Texas is NO Bush League!

        by BlackSheep1 on Mon Apr 29, 2013 at 09:40:18 AM PDT

        [ Parent ]

        •  a lot of this work is done off the books (2+ / 0-)
          Recommended by:
          BlackSheep1, Sunspots

          by anyone people can find to do the work. it's quite common in these parts for relatives to pay a person to live with someone 24/7. there's an entire underground economy of such arrangements, necessary because our society refuses to meet the needs of its people.

          •  Ok, let me put that another way (2+ / 0-)
            Recommended by:
            Sunspots, leftangler

            one of the hardest concepts to somebody on a CERT team is the notion that sometimes you not only should not go, you DO NOT go, because you risk making yourself a casualty, which is the opposite of helping.

            So if you cannot pass the physical (I can't) and the basic CNA course, you should not, even off the books, be doing the work of a CNA. Not because of risk to the patient but because of risk to the people who will wind up having to rescue  both the patient and you -- and if the family is finding barter-economy ways to augment caregiving, the last thing in the world they need is to be discovered as the reason there are two (or more) people in need of rescue now.

            We all have to behave responsibly. Sometimes step one is to recognize that the first phrase in the Hippocratic Oath ("first, do no harm") INCLUDES the person contemplating how to help, here.

            I remember vividly how embarrassed and angry I was when a TEEX instructor in our CERT class stopped me from helping with a fireman's carry evacuation (of a person in a chair) because the instructor saw my knee not holding up. I, on the other hand, had already sucked down the pain and compensated for the give with balance-and-grip (like I do every day since I was 20 years old and trashed my knees in the Air Force) and thought I'd be fine if we didn't waste around on this lift.

            There were not enough people on the team to carry two people out of the situation.

            LBJ, Lady Bird, Van Cliburn, Ike, Ann Richards, Barbara Jordan, Molly Ivins, Sully Sullenburger, Drew Brees: Texas is NO Bush League!

            by BlackSheep1 on Mon Apr 29, 2013 at 10:08:34 AM PDT

            [ Parent ]

        •  Not here in Va. n/t (0+ / 0-)

          Only thing more infuriating than an ignorant man is one who tries to make others ignorant for his own gain. Crashing Vor

          by emmasnacker on Mon Apr 29, 2013 at 03:28:26 PM PDT

          [ Parent ]

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