I know many people and cultures prefer that people do not wear shoes inside the house. However, with an outside caregiver, I wonder if this request is really a good one for several reasons.
1. Some people don't have the best bathing practice, wear shoes in which their feet sweat, or have a medical condition and their feet can have an odor when they remove their shoes. I remember sitting at a table in a meeting and one of the attendees slipped off his/her shoes. Soon, there was uncomfortable fidgeting, and looks around the table as the odor of this person's feet "perfumed" the room.
2. Care workers spend a lot of time on their feet working for us. Having supportive shoes reduces fatigue, helps with back pain, and helps keep a worker from slipping and falling, injuring themselves or the person for whom they are caring.
3. Shoes are worn for safety reasons to protect feet from objects on the floor or metal on a bed frame, stubbed toes, broken glass if something is dropped, and from cold temperatures.
4. Someone who uses a wheelchair usually doesn't have an indoor and an outdoor chair and/or doesn't remove and replace tires and casters when they come in from being outdoors. I would guess that more soil is tracked into the house on the tires of a wheelchair than on the soles of someone's shoes.
In light of these, it seems odd, if not unreasonable, to request that a caregiver remove their shoes.
Maybe a better approach would be non skid shoe covers, worn inside only or ask the caregiver to have a pair of shoes that they only wear inside the house. We used to have a carpet cleaner who would change into an athletic shoe that was reserved for wearing inside only when he would clean the carpets in a house.
So, this isn't really worth a post for the purposes of this thread, but of course we make adjustments for each person who is a regular caregiver. They either have a pair of slippers or house only shoes if they prefer that. But no outside shoes in the house. We've never had a person complain or dislike it.
My father's house is a no shoes house. In our part of the country, lots of snow/rain. It just is not polite to expect that you can walk around someone's clean house in dirty/wet etc.. shoes. It really shocks me when people walk right in without hesitating. My father walks with crutches and it is extremely dangerous if there is even a drop of water on the floor.
My father also has an immunodeficiency and his house is kept clean very clean.
I guess we're just odd and unreasonable.
And they hate the shoe covers. Those are for visiting workmen etc.. They are not very safe in a house with all wood floors.
A member of Care Cure Community, who isn't here much anymore included these task in a contract she wrote for her husband's care: Primary Duties
Range of motion exercises (1 hour)
Grooming (teeth brushing, shaving, clipping nails, putting on lotion, positioning, etc) ? 30 mins
Bathing (shower or bath, must use overhead lift system) ? 1 hour
Urinary and bowel care (empty and change catheters, wash out catheter bags, digital stimulation to evacuate bowels) ? 30 mins
Preparing food for and feeding (employee not expected to cook for other family members) ? 30 mins
Dressing and putting into / out of wheelchair (must use overhead lifting system) ? 30 mins
Driving to appointments, social activities, etc using employer-provided transportation ? actual time based
Secondary Duties when caregiving duties are completed, in addition to caregiving duties or instead of caregiving duties, include but are not limited to the list below. Depending on the task, the employee will be given guidance on the amount of time to spend on these tasks when asked to perform task.
Washing dishes
Washing and folding family laundry Purchasing and putting away groceries Walking dogs
Straightening of shared living areas
Child care ? after school and track-out babysitting for minor child following parenting principles as directed by employer
Running errands (groceries, drug store, general shopping, pick up dry-cleaning, etc)
NL has a document that is a work in progress and she might not be happy that I am sharing it with anyone, but actually I think it is a pretty good account of what and how she does things. It is a good short introduction for a caregiver and an excellent reminder to me of what I require, if something should happen to her (God forbid) and I would have to call in emergency help.
I think a list is a great idea. And be as specific as you can, at least for new or temporary caregivers. It should be tailored to meet your needs, and not the needs of the caregiver, although I am sure that some people are good at negotiating out things that may or may not be in their realm.
I would encourage everyone to think about safety with their caregivers. For example, asking someone to transfer you without non-skid shoes on, could be a huge safety hazard for both of you. You may want to have your caregiver change their shoes when they come in, but please don't ask them to be unsafe.
ckf
The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.
I didn't say you were, I said, maybe your request was odd and unreasonable, especially if you are unwilling to make an accommodation for health and safety.
I didn't say you were, I said, maybe your request was odd and unreasonable, especially if you are unwilling to make an accommodation for health and safety.
We had a schedule/list of duties included in the job description for each of my mother's PCAs, which was presented to them each when interviewing, and appended this to their contract if hired. Kept it handy for evaluating performance and giving feedback to the PCA on their work, and justification for termination if not followed.
(KLD)
The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.
I'm through a company. One list for all and I don't really change it. They know who to send because they know better than to send someone that requires me to tell them to wash their hands.
One of the problems with lists is when you have a task set for a specific day and circumstances dictate that it is done outside of this. The classic example is we have floors to be washed every 2 days but I then go out in my chair, it rains and I come back with wet wheels, obviously the floors need cleaning but it isn't the "right" day. This has caused problems with staff not wanting to clean on the wrong day. Common sense needs to be applied.
I would agree on the common sense part. Unfortunately, too many don't have it these days! (lol).....
ckf
The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.
One of the problems with lists is when you have a task set for a specific day and circumstances dictate that it is done outside of this. The classic example is we have floors to be washed every 2 days but I then go out in my chair, it rains and I come back with wet wheels, obviously the floors need cleaning but it isn't the "right" day. This has caused problems with staff not wanting to clean on the wrong day. Common sense needs to be applied.
Simple fix. Floors are to be washed every 2 days or when needed.
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