I suspect that other caregiver not changing the patient's diaper. What should I do if the husband doesn't respond?
I take care of a 61 y/o female in a private home. There is another caregiver at night who I believe is not changing her because I routinely come into a messy nightmare after she has said the patient was dry just 1/2 hour prior. I've told and shown the husband, but he thinks this is normal. Since we are private hire, I can't go to a boss. She has extended family, but if I go to them, the husband who is also caregiving will probably fire me for doing so. Should I try to talk to the night caregiver to see what's going on? The husband has already told the night caregiver of my suspicions so she is now hostile to me and just said "things change". Do things change that quickly? A heavy messy diaper in 1/2 hour consistently? She is otherwise an excellent caregiver as the patient is dead weight and she can turn her beautifully. But she has a second job and I suspect she is sleeping her way thru the 12 hours of patient care. I've thought about buying a camera but they are too expensive and don't record 12 hours unless expensive and obvious. I'm stuck on what to do. I'm leaning toward confronting her with the husband present to show me what should be right and what is normal. Maybe a heavy messy diaper is normal? I don't get it.
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The thing is that even if she has been left that way for an hour (or more) you have already discovered it's not going to do you any good to call her out on it, the husband is unlikely to want to go through the process look for someone else who may not be as reliable unless he sees signs of skin breakdown caused by neglect. IMO your best strategy would have been to have a private chat with the nighttime caregiver to try to work this out between you, but unfortunately you have already started a war with her. Perhaps you could ask the husband to allow some overlap of your schedule so that the two of you could both tackled the morning clean up together?
BTW, I have a relative who works in long term care and this happens in facilities too.
Now, it's not my intention to be gross or disrespectful here, but people like us are experts on piss and sh*t. We know what a diaper and mess looks and smells like if it's been there for a while and not changed. If the overnight caregiver is saying she was dry for a half an hour before you came, well that a lie. A diaper that was changed 30 minutes later isn't going to weigh a ton and be saturated with piss.
As for the "things change remark" from the overnight caregiver. She's trying to push you out. She wants daytime hours or she has a friend or someone who's a caregiver and needs a job. She may even be planning on living there. You know the world of private caregivers is treacherous. If you suspect the husband will fire you if you talk to extended family about it, then you're going to be out of that job very soon. There's no two ways about it. The other caregiver is there overnight for 12 hours? That's a lot of time to work on someone. To give them a sad story or to bad-mouth other caregiver sharing a position. Talk to the client. She's 61 years old? Does she have Alzheimer's/dementia? If she's still in her right mind tell her what her overnight caregiver is planning. She might be afraid to say anything about out of fear that no one will take care of her. She doesn't need to fear.
You're getting thrown out though. I've had this happen on a couple of jobs. That's when I follow the scorched earth policy. Tell every family member who will listen what's going on. Report the neglect to every social service agency in your state including APS. Start doing this now. While you're still employed there start documenting everything and taking pictures of the condition the client is in when you arrive. Then take all of it to APS. They'll talk to you.
It is an hour long trip from my house to his. If he poops along the way, when I change him once we get home I can tell the difference between a poopy diaper that has had to wait before being changed. I imagine it is the same for adult ones.
I know OP works long hours, but I wonder what would happen if she arrive at work 40 minutes early? Is the patient is clean and dry, or a mess? If she does this, then instead of telling the over night care giver, I caught you, just offer to help with the clean up. Make it clear that she is working as a team player to provide the best care. It may not make any difference moving forward.
I can see not disturbing the patient as often overnight, but I know my mom's nursing home puts an extra pad in her diaper at night to keep from having to wake her to change it every two hours like they do during the day.
This can be dealt with without getting someone in trouble, but a meeting with the boss and then with the other caregiver is in order, so you're all on the same page.
You know what happens when an invalid is left laying in their own mess in the same position for 12 hours at a time?
UTI's happen. Skin breakdown happens. Open sores and lesions happen. Contractures happen.
It sure seems to me that the husband doesn't really care all that much. There's something going on there with him and the overnight caregiver.
Crepella is going to be let go and probably soon. She should speak up to the husband about it.