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I'm a paid caregiver and I'm in a bind. The client can't walk well and he will need to be in a wheelchair to get to the doctor's office. There is a hill I will have to go down and get up to get to and from the garage. I also will have to put him in the car and take him out at an angle I don't think I can do. I am having trouble with my back and strength as it is and I just don't want anything bad to happen. What should I do?

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I think you should get a different job.

You are asking questions that say you ARE NOT A TRAINED caregiver and it is dangerous to the person you are being paid to take care of.
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PeggySue2020 Jul 2022
I don’t think this is really fair. Many caregivers can’t do it all even if they are paid and trained. In that case, they need to let the client and or family know that they won’t be doing this or attempting it.
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I think you're right.
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I would advise the client and his family, immediately, that this is out of your wheelhouse.

My own in laws caregiver, their dil, did this.

Before, so weekends were spent dragging them to the doctors on his weekends since there wasn’t a ramp. SO and his brother built one. Then mom couldn’t get in the car by herself. From that point on, she’s hired a medi van.
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caitmccait Jul 2022
Yeah I did. I told them I couldn't do it and that taking care of him is out of my wheelhouse because he basically can't stand. I took care of my father with dementia but he could stand at least enough that I could give him a shower and take care of his incontinence-hygiene needs. I think the wife is kind of in denial about how much help he needs.
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😟
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Peggy, her other question was about cleaning his anus. So it's okay that she can't do that either?

You obviously know NOTHING about a caregiver, A TRAINED caregiver that is, or you would not put your 2 cents in.
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PeggySue2020 Jul 2022
No need for insults,ITRR.

OP has cared for her father with dementia and incontinence, but has trouble with those bedbound. She already said she terminated that particular relationship, but there’s no evidence she can’t do a mutually good job providing services to those still mobile.
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Heiracy is walk, wheeler, wheelchair w car, wheelchair taxi, non-emergency trolley transport.

Where do you think your client fits safely?

Can the client stand & transfer to wheelchair with you?

If so, could you wheel the wheelchair from the home safely to the car?

Can the client safely stand to transfer to/from car? Plus, importantly, can you safely fold & lift wheelchair to put in car?

If not, wheelchair taxi is required.

If the client cannot sit safely in a wheelchair for the time required, a trolley is required.

Does that help you?

No shame if you cannot push a man in a wheelchair up/down a hill etc! You are merely using your risk assessment skills to ensure his & your safety.

Then discuss with client & his family (whoever pays) the safer alternatives.

IF he was safe with 2x assist & an able bodied family member accompanied you, this could be another option. Otherwise wheelchair taxi & you could drive or ride along in taxi.

PS or a telehealth appointment 😃
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Its called a 2 person assist and we have heard it before on this forum that even ALs will not do a 2 person assist. So why think an aide working alone should do it. He cannot assist himself so he's dead weight. My daughter is a trained LPN/RN. She was helping my Dad on the toilet when he started to go over. She grabbed for him and pulled her back muscles so bad they were literally pulling her spinal column out of alignment.

Because she can't help this man does not mean she can't continue to do caregiving.
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