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[quote=Anonymous][quote=Anonymous]I’m surprised at the number of posters who seem to think that theft and abuse are unique to home aides. I’ve seen theft in institutions and homes, and abuse in institutions. Bad things can happen at home or in an institution.

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Our experience with "institutions" is if you visit, treat the staff with gratitude and are a member of the team, the care is quite good on average. Yes, things go missing-so no valuables.

There is another issue, that if you loved one needs medication to be a decent person and not abusive to staff, you pay extra for a nurse to administer at home, because an aide cannot, They can only remind the person to take it. Also, much harder to enforce. At the residential, they make sure the meds are taken which helps PREVENT abuse. Contrary to popular lore we did not find over-drugging, but we did find it was collaborative and we had to adjust to the fact the loved one needed more meds to not lash out. If you have dealt with a difficult elder, you know why this is needed. I reached my limit and realized I could become abusive right back-yelling right back and if I was ever struck, which I felt was a true risk, then there is a natural instinct to physically defend yourself. Dementia can be really ugly caregivers-whether family or hired help have a right to an abuse-free environment.[/quote]

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