chemical sensitivities, housecleaning - general, medical conditions, organization

When I Walked Away from an Ill Client

I had to walk away from a job assignment with a terminally ill client. This was quite possibly the most difficult thing I had to do professionally. My hope is that this story may help non-relative caregivers know that they are not alone experiencing an unstable and potentially hazardous work situation. (For caregivers who are relatives, I will post an article soon regarding my personal experiences).

The first month working with Susan* went very well. I avoided using any fragrances when I visited. She was a medically fragile client, suffering over the past decade from a plethora of ailments that left her immune system destroyed and her body emaciated. Although she kept her house in excellent condition, she needed additional assistance with those hard to reach places in her bedroom, kitchen, and bathroom.

The second month, after we became comfortable with each other’s company, I began to notice a change in her personality. It was little things at first – nitpicking at cleaned areas, talking incessantly and excitedly about conspiracy theories like 9-11 being an inside job, and complaining continually lament about her stressful marriage that ended fifteen years before.

I do my best to not get involved with a client’s political leanings or personal relationships. I accept who they are, and I do not attempt to debate them on most subjects.

Things went from slightly odd to alarming – she claimed her sensitivity to chemicals would not allow her to step outside. Any outdoor work I did would be done last; I could not come back into the house. The dust I brought in would give her asthma attacks for days. Her last doctor prescribed incorrect medicine that made her ill for months. The neighbors would call her from unlisted numbers, quickly hanging up. She was adamant that all these things were true, and wouldn’t listen to a morsel of reality from me.

During the third month, she told me about Jenni*.

“Let me tell you about my last caregiver,” she would gasp in between breaths, her nasal cannula a constant irritant. “She wasn’t an LVN, but her rates were good, and she seemed to really care about people.

“One day, I asked her to buy a pound of organic, raw almonds at the store. That’s the only kind of almond I can eat. She came home with a plastic bag of almonds with the produce and price sticker attached.

“I was irritated with her, because my specific instructions were to take the almonds out the bag and place them in the glass jar I provided to her once she paid for them. She claimed she forgot the jar. When she came home, she discarded the bag and placed them in a ceramic bowl.

“I waited two days before I took them from the kitchen shelf to snack on. Well, guess what?”

She was so animated at this point, she needed about a minute to lay down on her bed and breathe as normally as she could.

“I looked through the trash to find the bag. It appeared there was an original sticker, and it was replaced with a sticker that was printed as organic, raw almonds. She switched the organic almonds for regular almonds. Oh, she tried to pull a fast one on me, but the moment I bit into one, I could tell it wasn’t organic. I was sick for days.”

She looked at me from her bed, dejected.

“Why would she do that to me?”

The next week, I scheduled a handyman to come by to repair and replace most of the lights from the garage. He entered the garage and never stepped foot in the house. Susan would not allow it, so I was the point of contact, running back and forth from the garage to her bedroom, receiving her instructions.

She insisted on using another halogen bulb, and so three light bulbs were replaced. Halogen light bulbs are expensive compared to compact florescent bulbs, but she did not want to deal with the mercury inside CFB’s if they exploded.

Early the next week, I received the following email from her:

I was surprised to find one of the three light bulbs replaced in the garage missing. 
I may be wrong thinking you removed it, but I really doubt Dave* did.  So, tell me,
what did you do with it?  I hope you didn’t throw it away. That brand is no longer
made and they’re the best halogen bulb out there.  Please call me about this –
if you did toss it I’d like you to replace it with a comparable high quality 100 watt
 halogen bulb and bring it with you on Wednesday.
Why would I throw away a new light bulb? It didn’t make any sense. This wasn’t a trivial matter. She had told me several times that she had her attorney’s phone number on speed dial, and that she talked about suing service providers in the past for shoddy work.
I was about to possibly lose my reputation as a trustworthy housekeeper because she thought I threw away (or possibly absconded with) a new light bulb from the garage. I left a brief, terse email:
Susan, 
We can discuss this in person, but what you should know is that I would
 not ruin my career by throwing away a new light bulb. If you don’t believe
me, please consider this email as my resignation letter. I am unable
to work with anyone who does not trust me. I strongly advise 
you to contact Dave and ask him what is going on.

I received her phone call the next day. Her voice was soft. She apologized for the misunderstanding, and hoped I could come back later that week. I agreed, and I visited her. I felt it was best that I did not bring up that touchy subject again. She appeared drained and was unusually quiet.

The next week was uneventful, but Susan continued on one tirade after another, whether is was 9-11, weather modification, or how the chemical industry has a stranglehold on Congress.

I did my work, only nodding slightly at her to stop her from expending so much energy by talking. Every visit was draining for me. Eventually, my twice weekly visits were now once a week.

One day, an hour before visiting Susan, I emailed her about speaking to her about an important matter. I kept it opaque so that we could talk face to face.

At the end of my shift, I sat down with her and gave her a three week notice. My explanation for leaving was very generic; I felt telling her the truth at this time in her life, and with the illness so advanced, that it would physically harm her.

I tell you this story not to complain about my work. I find helping the disabled and the elderly very rewarding. This is an explanation of how I saw my frail, kindhearted client become this raging, paranoid invalid.

So when is it time to give a heart-to-heart talk and leave? What should be said to someone who is clearly no longer thinking rationally?

I am not a psychologist, but I have helped the disabled, the elderly, and special needs families for many years now. What I do know is that every human is unique, precious, and fragile. We all have a breaking point, and it is not my job to determine when that is. My job was to provide a safe environment while I worked, but once that trust was broken, it was no longer safe to do my work effectively. I did the only prudent thing I could think of:  prepared a heart-to-heart talk, offered reliable resources for her, and left.

 

*  Names and details have been changed to protect identities

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chemical sensitivities

What Are You Wearing? Tips for Housekeeping Pros Helping Chemically Sensitive Clients

My work as a housekeeper has lead me to some very fulfilling assignments. I’ve assisted hoarders, special needs families, and the chronically ill. However, it is those clients who are allergy and chemically sensitive that are the most challenging to help. I will explain my history with this group and how I successfully assisted my clients with their unique cleaning needs.

One of my first assignments was with a terminally ill cancer patient who wished to remain at home as long as possible. Sara, as I will call her, was battling a rare form of blood cancer for almost ten years. Her small, frail body had withstood the various chemotherapy and radiation treatments, but her immune system could no longer fight natural infective or synthetic agents. If she ventured outside during a day of high allergen count, or if she caught a whiff of bug spray, she would be bedridden for a few days. She feared the common cold or flu would kill her.

My duties were simple: washing dishes, sweeping, moping, wiping down counters, and making the bed. Her requests weren’t extraordinary, but her prerequisites were exact and nonnegotiable.

Sara’s nose was like a hound dog. In spite of her requirements and my adherence to no perfumes, fragrant soaps or shampoos, I was in the penalty box my first day of work. I used a commercial brand “sensitive” laundry detergent that wasn’t fragrance free. I worked in one room while she waited in another, shouting her requests to me. She suggested baking soda for my work clothes, so I complied.

My second day at work was better – I could tell she was genuinely happy to see me, not just because I was cleaning her home, but because my presence would not be an issue.

I do not have a background in chemistry, but I do know through trial and error what products irritate and effect some clients. Here is how I prepare before arriving at a sensitive home.

My food choices change right before an assignment. I avoid strong smelling foods or those with garlic, onion, pickles, etc. I stick with simple salads, fruit, and steamed vegetables.

I prefer Crystal Body Deodorant, the roll-on product, for my underarms. There are no aluminum ingredients or fragrances to this product. It does require several applications daily, especially if going to multiple assignments during the Texas summer.

For haircare, I use J.R. Liggett’s Original Formula Shampoo Bar. I do not apply any hair gel or other sprays. I wear a ball cap to keep my hair out of trouble, or I wear a bandana for my most sensitive patients.

This job is not a beauty contest, so I avoid any makeup, lip gloss, nail polish, or lotions before I head out to an assignment.

I put on my cleaning clothes right before I leave my home. I am fine with using plain baking soda for my work clothes. There are many reasons why homemade laundry detergent doesn’t work, and many online articles explaining why. I wear the same clothes for my assignments, so if they’re not perfectly clean, I’m ok with that.

I do not figure out if my clients are certain they have sensitivities. If my clients say their body reacts negatively to certain scents or chemicals, I believe them. My goal is to provide the best cleaning service possible, reassuring my clients that their interaction with me will be a pleasant experience. It’s the least I can do, because the last thing I want to hear from my clients is, “What are your wearing?!?”.

Please note: I am not compensated by any person or company when I mention a certain product.