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I use the time when she is in bed to catch up on myself. I love going to my room and shutting the door at the end of each trying day.
Does your boss need all-day assistance? or are you able to escape to do the shopping? Are you able to take her out to eat? Sometimes doing things like going out to dinner goes a long way in satisfying the need for company.
Anyway... it is totally okay to not spend a lot of time keeping your boss company. Sometimes coming in and out of the room periodically is all it takes. Now, if we could only find a way to not feel guilty for not wanting to be with them more. Each of us needs our own lives and space, so I don't think we're unusual to not want to spend so much time in front of the TV, etc. For me, sharing meals with my mother and watching a TV show or two with her works.
Are you a live-in? If not, what are your hours with this lady?
You're working a job. Yes, you are a caregiver but still, it's a job, and like any job you need a break...or two....a shift. If you're working a 12-hour-shift you should take a 15 min. break every 4 hours and that means 15 min. when you're not caring for her or taking care of her house or sitting with her, etc. I know it's difficult when you're in the home, you can't leave her, but bring a snack and go into another room for a few minutes. Professional caregivers need breaks just like every other caregiver.
But I understand the dynamic. I'm a home health nurse and usually work 12-hour-shifts but if you've been with this lady for a while then you know her routines and can probably find a few minutes here and there to go into another room and read a book or magazine. Unless I am expressly invited, I do not eat meals with my patients. With most of my patients there is usually someone else in the home like a family member so if I go in another room my patient will be ok. I get to know the routines of my patients and then find the time to eat my lunch when they're not eating. Maybe my patient is dozing in a recliner and I'm in the kitchen or my patient is eating at the table and I'm sitting in the next room (provided the patient doesn't need supervison while eating). But it sounds like you've been with this lady for a while, are familiar with her habits and routines and unless she cannot, under any circumstances, be left alone for 1 second then there's nothing wrong with taking a break that you're entitled to.
I work for a great agency and if I had a question about something like taking a break I wouldn't hesitate to ask my care coordinator.
Even though we're working in "the home" doesn't mean that we're not, in fact, WORKING. We may not be on our feet for 8 hours or we may not have to handle customers the whole time or answer phones or anything else like that but we're still working.
You're not neglecting her if you don't sit with her all the time. You need your breaks. But companionship is part of what home healthcare workers do. And it is exhausting and draining which is why you need BREAKS :-)
Are you with an agency? Are they supportive of their caregivers? Maybe you could ask someone how to balance being a caregiver in the home and taking a couple of breaks so you can recharge your battery. To your patient, you're there to care for her and it hasn't occurred to her that it's a job to you and that you're working. Our business is very personal by nature and boundaries can get a little fuzzy at times. I've had patients that will not ask me for anything until I have sat down and eaten my lunch and then I've had patients who need almost constant care and close supervision. It sounds like your lady might be somewhere in the middle. When do you eat your meals? My suggestion would be to eat separately from your patient. Make your meal according to her schedule. Does she nap? Does she watch tv? Take those opportunities to eat/have a break. Don't respond to her banging on her soup bowl! Can't she speak? If she can speak and she starts banging on her bowl go to her, lightly put your hand on hers and tell her nicely that it isn't necessary to bang on her bowl, that you're right there, what can you do for her? Since you've been responding to her dramatic attempts to get your attention it might take you a little longer to break her of that habit but unless she's completely lost to Alzheimer's or dementia there's no need for her to resort to such rude and childish antics.
Is there someone else in the home? A spouse? A son or daughter or other family member? If there is that makes it easier for you to carve out 15 min. here and there for yourself.
There's a reason why she went through 7 caregivers in a year. But expecting a break here and there is reasonable.
Are you "on call" 24/7? What do YOU WANT to be the answer to your dilemma?