Work Postures When Assisting People at the Toilet

2015 ◽  
Vol 23 (2) ◽  
pp. 16-22
Author(s):  
Jenny Hjalmarson ◽  
Stefan Lundberg
Keyword(s):  
High Risk ◽  
Home Care ◽  
Ambulatory Care ◽  
Movement Patterns ◽  
Care Recipient ◽  
Personal Hygiene ◽  
Care Workers ◽  
Home Care Worker ◽  
Home Care Workers ◽  
Care Worker

The aim of our study was to analyze home care workers’ movement patterns and back postures, relating them to risks while helping an ambulatory care recipient to and from the toilet in a homelike environment. We found that severe risks of unpredictable movements with exposed postures could explain many injuries. Because of high-risk injuries, we suggest decreasing the time when the care recipient stands and the home care worker helps with clothing and personal hygiene. We also suggest the development of support in front of the recipient to prevent her or him from falling forward.

Fears come true: the experiences of older care recipients and their family members of live-in foreign home care workers

2009 ◽  
Vol 21 (4) ◽  
pp. 779-786 ◽  
Author(s):  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
Home Care Services ◽  
Care Recipient ◽  
Care Services ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Care Worker

ABSTRACTBackground: Foreign home care services provided to frail older adults by individuals from the developing world are a global phenomenon. This study evaluated the challenges associated with live-in foreign home care from the perspective of older care recipients and their family members.Methods: Qualitative interviews were conducted with 23 family members and seven older care recipients. Interviews were analyzed thematically.Results: Three main themes were identified: (i) the intense fears associated with witnessing the decline of the older care recipient and the subsequent employment of a foreign home care worker; (ii) actual negative experiences within this caregiving setting; and (iii) the ways in which family members and older care recipients coped with these challenging experiences.Conclusions: The key to this caregiving arrangement is the establishment of trust. Yet, many care recipients experienced violations of trust that resulted in abuse and neglect, which served to further intensify fears and concerns about this caregiving arrangement. The same coping methods used to maintain this arrangement, despite fears and concerns, are the ones responsible for maintaining the older care recipient in an abusive situation.

A triadic perspective on elder neglect within the home care arrangement

2015 ◽  
Vol 36 (4) ◽  
pp. 811-836 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Home Care ◽  
Family Member ◽  
Older Adult ◽  
Family Members ◽  
Care Arrangement ◽  
Care Giving ◽  
Care Workers ◽  
Home Care Worker ◽  
Elder Neglect ◽  
Care Worker

ABSTRACTThe present study evaluates a conceptual model of elder neglect within the home care arrangement that takes into consideration the older adult, his or her family members, and the home care worker. Data from 223 complete care-giving units, which consist of an older adult, a family member and a home care worker, were analysed using structural equation modelling. Overall, 31.5 per cent of the older adults, 18 per cent of the care workers and 32.3 per cent of the family members reported at least one type of elder neglect. The proposed model showed a reasonable fit to the data. There was an inverse effect from type of home care to family member's burden and elder neglect, with live-in (around the clock) care being associated with lower levels of family member burden and elder neglect compared with live-out Israeli home care (provided for several hours per week). The amount of informal assistance provided by family members was inversely related to the amount of burden reported by home care workers, with greater informal assistance being associated with lower levels of worker burden. The findings call for the important role of formal home care by demonstrating a potentially protective effect for live-in migrant home care. The study also emphasises the shared burden between formal and informal sources of care.

Family and family-like interactions in households with round-the-clock paid foreign carers in Israel

2009 ◽  
Vol 29 (5) ◽  
pp. 671-686 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
System Of Care ◽  
Care Recipient ◽  
Social And Emotional ◽  
Care Givers ◽  
Care Workers ◽  
Home Care Workers

ABSTRACTThis paper reports a study of family and family-like interactions and transfers, or exchanges of goods and resources, between paid, round-the-clock, Filipino home carers and those they care for in a sample of households in Israel. Qualitative interviews about their experiences and attitudes concerning the care role were conducted with 22 family members and 29 Filipino home-care workers. A thematic analysis of the interview data identified three major themes: the structure and internal dynamics of the adapted family or family-like system of care; the role of family members; and the role of Filipino home-care workers in the new system of care. Sons and daughters tended to appropriate the care-management positions and to reduce their social and emotional support for the care recipient. In contrast, spouse care-givers continued to provide some of the personal and emotional care even when a Filipino home-care worker was employed. Filipino home-care workers were made responsible for daily care and domestic routines and provided emotional and social care. It was found that family members do not relinquish their role as care-givers when round-the-clock foreign carers are on hand, but the nature of their role changes. The results suggest that foreign home-care workers' job description needs to be redefined to acknowledge the substantial social and emotional care that they provide.

Welcome to These Shores

2021 ◽  
pp. 124-149
Author(s):  
Richard Schweid
Keyword(s):  
Health Care ◽  
Home Care ◽  
Cultural Differences ◽  
Home Health ◽  
Care Recipient ◽  
Federally Funded ◽  
Cultural Attitudes ◽  
Care Workers ◽  
Software Engineers ◽  
Home Care Workers

This chapter explains that while immigrants play an important role across the health care spectrum, a federally funded 2004 report found that their numbers were greatest among home care workers. Sensitivity to cultural differences will likely need to be applied to various aspects of a home health aide's (HHA) daily tasks. In addition, aides need to leave their own cultural attitudes at the door and communicate plainly and directly with the care recipient. The chapter then looks at the effects of the Trump administration's immigration program on immigrant HHAs. It is important to acknowledge that these immigrants are as important to the economy as the immigrant physicists and software engineers. In addition to increasing wages and benefits for HHAs, efforts could be made to recruit immigrants by facilitating a visa process for those women willing to commit to working as HHAs for a certain length of time.

The contribution of working conditions and care recipient characteristics to work-related abuse and exploitation of migrant home care workers

2017 ◽  
Vol 39 (7) ◽  
pp. 1001-1014 ◽  
Author(s):  
Ohad Green ◽  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Working Conditions ◽  
Migrant Workers ◽  
Initial Period ◽  
Care Recipient ◽  
Snowball Sampling ◽  
Content Type ◽  
Work Related ◽  
Care Workers ◽  
Home Care Workers

Purpose Migrant home care workers constitute a vulnerable group in society, which is often exposed to work-related abuse. The purpose of this paper is to explore which characteristics are linked with their abuse. Design/methodology/approach Overall, 187 Filipino home care workers who work in Israel were recruited via snowball sampling and filled an anonymous questionnaire regarding work-related abuse incidents and working conditions. Findings More than half of the participants reported exposure to abuse (e.g. sexual, physical, or emotional) or exploitation (e.g. asking to do more than job requirements). Particularly vulnerable were migrant workers during their first year in the host country and those who were taking care of an older adult with cognitive impairment. Interestingly, men who served as care workers were more susceptible to abuse than women. Originality/value The findings point to specific characteristics which make home care workers more susceptible to abuse illustrate the need for a closer supervision on the working conditions of home care workers, especially during the initial period of their work. Training migrant home care workers in the area of dementia care is also important.

scholarly journals Utilization, Contributions, and Perceptions of Paid Home Care Workers among Households in New York State

2022 ◽  
Author(s):  
Madeline R Sterling ◽  
Joanna Bryan Ringel ◽  
Jacklyn Cho ◽  
Catherine A Riffin ◽  
Ariel C Avgar
Keyword(s):  
New York ◽  
Home Care ◽  
Medical Care ◽  
New York State ◽  
Perceived Value ◽  
Care Recipient ◽  
Personal Care ◽  
York State ◽  
Care Workers ◽  
Home Care Workers

Abstract Background and Objectives While family caregivers have traditionally provided care for older adults with chronic conditions and disabilities, the demand for paid home care workers has increased in the last decade. Although typically thought to assist with personal care emerging data suggest that paid home care workers assist with a wider scope of care. However, the extent and quality of the care they deliver remains poorly understood. Research Design and Methods Using the Empire State Poll, a telephone-based cross-sectional survey of 800 adults in New York State, we characterized the types of care that paid home care workers provided and the perceived value of that care. Results Of 800 participants surveyed, 274 reported that they or an immediate family member received care from a paid home care worker (34.3%). Of these, the majority (73.9%) reported that paid home care workers provided emotional and/or medical care, in addition to personal care. In adjusted models, providing emotional and medical care (compared to personal care alone) was associated with nearly a two-fold greater perception of importance and experience by the care recipients. Discussion and Implications Our findings provide additional data on how paid home care workers contribute to patient care, from the perspective of the care recipient(s). The type of care provided is associated with varying magnitudes of perceived quality. Although limited to New York, these findings have implications for paid home care workers’ training and compensation. Future studies are warranted to investigate the specific factors that mediate the association between types of care provided and their perceived value.

Home Care Worker Resignations

1991 ◽  
Vol 12 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Nancy J. Gilbert
Keyword(s):  
Home Care ◽  
Home Care Worker ◽  
Care Worker

“Then They Trust You …”

2017 ◽  
Vol 27 (2) ◽  
pp. 225-245 ◽  
Author(s):  
Marsha Love ◽  
Felipe Tendick-Matesanz ◽  
Jane Thomason ◽  
Davine Carter ◽  
Myra Glassman ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Team Members ◽  
Physical Independence ◽  
Care Workers ◽  
Communications Skills ◽  
Home Care Workers

The home care workforce, already at 2.7 million caregivers, will become the nation’s fastest growing occupation by 2024 as the senior boom generation accelerates the demand for in home services to meet its long-term care needs. The physically challenging work of assisting clients with intimate, essential acts of daily living places home care workers (HCWs) at risk for musculoskeletal disorders (MSDs); yet, HCWs typically receive little formal job training and may lack appropriate assistive devices. In this qualitative pilot study, HCW focus groups described workplace MSD risk factors and identified problem-solving strategies to improve ergonomic conditions. The results revealed that HCWs rely on their behavioral insights, self-styled communications skills and caring demeanor to navigate MSD risks to themselves and increase clients’ physical independence of movement. We suggest changes in employer and government policies to acknowledge HCWs as valued team members in long-term care and to enhance their effectiveness as caregivers.

Computer-Mediated Peer Support Needs of Home Care Workers: Emotional Labor & the Politics of Professionalism

2021 ◽  
Vol 5 (CSCW2) ◽  
pp. 1-32
Author(s):  
Anthony Poon ◽  
Vaidehi Hussain ◽  
Julia Loughman ◽  
Ariel C. Avgar ◽  
Madeline Sterling ◽  
...  
Keyword(s):  
Home Care ◽  
Peer Support ◽  
Emotional Labor ◽  
Support Needs ◽  
Computer Mediated ◽  
Care Workers ◽  
Home Care Workers
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