5 Common Issues That Come Up With In-Home Caregivers

An exceptional in-home caregiver is invaluable, offering vital support to seniors with cognitive or physical challenges, enabling them to remain in the comfort of their own homes rather than transitioning to a nursing home or assisted living facility. They provide companionship for the senior and peace of mind for the family. However, due to the personal nature of the caregiver-client relationship, conflicts can arise, much like in any employer-employee dynamic. Addressing these issues requires careful handling.

Setting clear expectations from the start is crucial, but even with a solid foundation, challenges may emerge. Here are some common problems with in-home caregivers and strategies to address them:

# Chronic Tardiness

Occasional lateness due to unforeseen circumstances is understandable. However, if a caregiver is consistently late, especially when their timely arrival is crucial, it may signal a lack of commitment.

To address this, acknowledge their value and commend their performance while explaining the importance of punctuality. For example, highlight how leaving the senior alone, even briefly, can be unsafe, and ask them to adjust their schedule to ensure timely arrivals.

# Excessive Phone Usage

It’s reasonable to expect caregivers to minimize personal phone use while on duty, just as employees in other professions are expected to focus during work hours.

Clarify that while emergencies and occasional check-ins with their own family are acceptable, personal phone usage should not interfere with caregiving duties. Establish clear guidelines to balance these needs.

# Frustration with Challenging Behaviors

Caring for a senior with dementia can be demanding, as behaviors like aggression, resistance to care, or unfounded accusations may arise.

If frustration becomes evident, consider consulting a geriatric care manager or seeking additional support. You may need to hire an aide with more dementia care experience or provide further training for the current caregiver. Contact organizations like the Alzheimer’s Association or engage a dementia care trainer to equip them with effective strategies.

# Lack of Stimulation for the Senior

If the caregiver isn’t engaging the senior as expected—such as taking them for walks or participating in enriching activities—it may stem from unclear instructions.

Draft a detailed care plan outlining specific tasks, such as:

- Taking a 20-minute walk three times a week.
- Attending a library book talk weekly.
- Listening to music or reminiscing over photo albums daily.

This helps ensure activities align with your expectations.

# Poor Communication

Whether you live nearby or far away, staying informed about your loved one’s well-being is crucial. However, caregivers may be too tired at the end of their shift to provide regular updates.

Simplify the process by requesting brief daily updates via text, summarizing any issues or activities. Show appreciation by responding with gratitude. Additionally, include communication protocols in the care plan. If distance prevents you from monitoring the situation closely, consider hiring a geriatric care manager to oversee and report on your loved one’s progress.

By addressing these common challenges with clarity and empathy, you can foster a more productive and harmonious relationship with your in-home caregiver.