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	<title>Comments on: Barbara Bowers: Studying CNA Work Like an Anthropologist</title>
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	<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/</link>
	<description>PHI works to improve long-term care -- by improving the jobs of home health aides, certified nurse aides, &#38; personal care attendants.</description>
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		<title>By: karen allen</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-3295</link>
		<dc:creator>karen allen</dc:creator>
		<pubDate>Thu, 16 Apr 2009 19:51:57 +0000</pubDate>
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		<description>iam retired nursing assisant. i worked mainly at a hospital, medical, surgical units ortho units and mostly pediatrics, was pulled to ob, retired working onconology and pulmary units. at one time i did private care. i also worked nursing hiomes for two years and at a group home for handicap childern. i,am so glad some one is trying to get a group together, to give us more respect. i preferred, doing basic care, careing for peple doing their wishes and what needed to be done. i have worked with many nurses and have seen them go down hill. i feel alot of them are in for the money, and lack respect for nursing helpers no matter what that is at any given time. i was hard worker, taught by my older parents. that prove to be a very good quility, for me as aworker.</description>
		<content:encoded><![CDATA[<p>iam retired nursing assisant. i worked mainly at a hospital, medical, surgical units ortho units and mostly pediatrics, was pulled to ob, retired working onconology and pulmary units. at one time i did private care. i also worked nursing hiomes for two years and at a group home for handicap childern. i,am so glad some one is trying to get a group together, to give us more respect. i preferred, doing basic care, careing for peple doing their wishes and what needed to be done. i have worked with many nurses and have seen them go down hill. i feel alot of them are in for the money, and lack respect for nursing helpers no matter what that is at any given time. i was hard worker, taught by my older parents. that prove to be a very good quility, for me as aworker.</p>
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		<title>By: JOY</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-2379</link>
		<dc:creator>JOY</dc:creator>
		<pubDate>Mon, 09 Feb 2009 21:22:20 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-2379</guid>
		<description>WELL I HAVE SOME LEARNING DISABILITIES I AM SLOW WHEN IT COME TO READING WRITING AND SPELLING .When i take a test i seem to fail because it takes me to long i have taking the test to be place for the cna classes but i failed because i did not finish it in time . they said i was on a 4 grade reading level my heart broke but i do not want to give up because iam slow. All in grade SCHOOL I HAD A HARD TIME AND HIGH SCHOOL WAS BASICE CLASS. SO I NOW WORK AS A PCA PLEASE HELP ME WORK ON GETTING MY CNA        THANK YOU JOY.  I WORK ONE ON ONE WITH A LADY IN HER 90S</description>
		<content:encoded><![CDATA[<p>WELL I HAVE SOME LEARNING DISABILITIES I AM SLOW WHEN IT COME TO READING WRITING AND SPELLING .When i take a test i seem to fail because it takes me to long i have taking the test to be place for the cna classes but i failed because i did not finish it in time . they said i was on a 4 grade reading level my heart broke but i do not want to give up because iam slow. All in grade SCHOOL I HAD A HARD TIME AND HIGH SCHOOL WAS BASICE CLASS. SO I NOW WORK AS A PCA PLEASE HELP ME WORK ON GETTING MY CNA        THANK YOU JOY.  I WORK ONE ON ONE WITH A LADY IN HER 90S</p>
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		<title>By: Jennifer</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-1086</link>
		<dc:creator>Jennifer</dc:creator>
		<pubDate>Wed, 20 Aug 2008 19:03:49 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-1086</guid>
		<description>This is to Brandi. Your reply really touched me. I recently lost my father while he was a resident in a nursing home. I live out of town and did not get there in time before he passed. There were two CNA&#039;s with my father at the time of his passing, each holding a hand of his. I was so grateful that he was not alone as this was my biggest fear. I was so sad not being able to get there in time but it was comforting to know there were kind and caring people with him because he was the best father a child could ask for and he deserved nothing but the best. You sound like a wonderful person yourself- very giving and caring. You should be proud of the work that you do- you are making a wonderful difference in this world.</description>
		<content:encoded><![CDATA[<p>This is to Brandi. Your reply really touched me. I recently lost my father while he was a resident in a nursing home. I live out of town and did not get there in time before he passed. There were two CNA&#8217;s with my father at the time of his passing, each holding a hand of his. I was so grateful that he was not alone as this was my biggest fear. I was so sad not being able to get there in time but it was comforting to know there were kind and caring people with him because he was the best father a child could ask for and he deserved nothing but the best. You sound like a wonderful person yourself- very giving and caring. You should be proud of the work that you do- you are making a wonderful difference in this world.</p>
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		<title>By: theresa</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-977</link>
		<dc:creator>theresa</dc:creator>
		<pubDate>Wed, 30 Jul 2008 03:31:25 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-977</guid>
		<description>I too think cna&#039;s should get paid well with benefits; we do a job well skilled to our capability, we established professionalism with the client and charge nurses,lvn etc...we are there when pt become ill more we are the first to report any and all symptoms when noted. Yes,cna&#039;s have hard work from cleaning a stomy, to a colonscopy we do it all, even vitals.. I am a cna and now going to school for medical assistant,also Lvn I have two more months for med assist. I am very lucky i enjoy what i do and do it well&gt; I tell every nurse assistant out in the world, take it farther because you will be so skilled in every field and when time comes you will reap the rewards and remember the people you took care of as a token of appreciations.</description>
		<content:encoded><![CDATA[<p>I too think cna&#8217;s should get paid well with benefits; we do a job well skilled to our capability, we established professionalism with the client and charge nurses,lvn etc&#8230;we are there when pt become ill more we are the first to report any and all symptoms when noted. Yes,cna&#8217;s have hard work from cleaning a stomy, to a colonscopy we do it all, even vitals.. I am a cna and now going to school for medical assistant,also Lvn I have two more months for med assist. I am very lucky i enjoy what i do and do it well&gt; I tell every nurse assistant out in the world, take it farther because you will be so skilled in every field and when time comes you will reap the rewards and remember the people you took care of as a token of appreciations.</p>
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		<title>By: Brandi</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-917</link>
		<dc:creator>Brandi</dc:creator>
		<pubDate>Thu, 24 Jul 2008 23:18:13 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-917</guid>
		<description>I&#039;ve been doing pt care for quite a while. I started out as a care giver, and then went ahead and got my CNA license because I knew that this was something that I wanted to continue for a very long time. I love the hands on care, and I love knowing that I am making a difference in somebodies life. Thats the part that I love. I&#039;m not in it for the paycheck, b/c if I were, I most certainly would not be where I&#039;m at right now. 

As for the nurses, what a lot of them don&#039;t realize is, CNA&#039;s have not been around forever. There once was a time, when the Nurse had to do the job that we Nurse Aids are doing. They used to be the ones who put them on the bed pan, dressed them, fed them, cleaned, showered, bathed, them, kept them happy, got them out of bed, etc etc, it seems as if maybe the nursing programs have gone down hill somewhat since the Nurse Aids have come about, b/c they don&#039;t know what it is to do what used to be referred to as Nursing Care.  I believe that maybe its time that these Nurses have to step back into our shoes for a while so that they can see exactly what we do, and go through on a daily basis.  
To me, the best nurses were CNA&#039;s first.  Those are the ones that treat us with respect, and care, and know exactly what we are going through, and those are the ones that will jump in and lend a hand. 
I think that maybe it should be required for a RN or an LPN to have to be a CNA for about 2 years before they are allowed to start taking any kind of a Nursing class. 
I do get asked a lot, why don&#039;t you go to school and get your nursing license, well, to tell you the truth, I do plan on that someday. I plan on that when My body can&#039;t handle the stress of being a CNA any longer.  I know that I won&#039;t be able to do this kind of work forever, but while I can, I will treasure every moment of it.  This may sound funny, but I will treasure every time I need to change a brief, or dump a urinal, I will treasure holding a residents hand when they are scared and forget where they are, I will forever treasure getting to be in the room as their spirit is leaving the room, knowing that I was able to give them the comfort of knowing that they are not alone during their last moments of life. I will forever treasure them, b/c without them, we wouldn&#039;t really be here now. Without them, society would not be the same. They need us, the same way we needed them. I will forever be grateful knowing that I was there for them, the way they were once there with us.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been doing pt care for quite a while. I started out as a care giver, and then went ahead and got my CNA license because I knew that this was something that I wanted to continue for a very long time. I love the hands on care, and I love knowing that I am making a difference in somebodies life. Thats the part that I love. I&#8217;m not in it for the paycheck, b/c if I were, I most certainly would not be where I&#8217;m at right now. </p>
<p>As for the nurses, what a lot of them don&#8217;t realize is, CNA&#8217;s have not been around forever. There once was a time, when the Nurse had to do the job that we Nurse Aids are doing. They used to be the ones who put them on the bed pan, dressed them, fed them, cleaned, showered, bathed, them, kept them happy, got them out of bed, etc etc, it seems as if maybe the nursing programs have gone down hill somewhat since the Nurse Aids have come about, b/c they don&#8217;t know what it is to do what used to be referred to as Nursing Care.  I believe that maybe its time that these Nurses have to step back into our shoes for a while so that they can see exactly what we do, and go through on a daily basis.<br />
To me, the best nurses were CNA&#8217;s first.  Those are the ones that treat us with respect, and care, and know exactly what we are going through, and those are the ones that will jump in and lend a hand.<br />
I think that maybe it should be required for a RN or an LPN to have to be a CNA for about 2 years before they are allowed to start taking any kind of a Nursing class.<br />
I do get asked a lot, why don&#8217;t you go to school and get your nursing license, well, to tell you the truth, I do plan on that someday. I plan on that when My body can&#8217;t handle the stress of being a CNA any longer.  I know that I won&#8217;t be able to do this kind of work forever, but while I can, I will treasure every moment of it.  This may sound funny, but I will treasure every time I need to change a brief, or dump a urinal, I will treasure holding a residents hand when they are scared and forget where they are, I will forever treasure getting to be in the room as their spirit is leaving the room, knowing that I was able to give them the comfort of knowing that they are not alone during their last moments of life. I will forever treasure them, b/c without them, we wouldn&#8217;t really be here now. Without them, society would not be the same. They need us, the same way we needed them. I will forever be grateful knowing that I was there for them, the way they were once there with us.</p>
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		<title>By: Terri</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-164</link>
		<dc:creator>Terri</dc:creator>
		<pubDate>Sun, 06 Apr 2008 23:41:42 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-164</guid>
		<description>To the response posted by Rebecca Huffman -  she stated she would love to share her ideas with anyone who would like to hear them - 
I would love to hear them !!  anyway you can put me in contact with her?</description>
		<content:encoded><![CDATA[<p>To the response posted by Rebecca Huffman &#8211;  she stated she would love to share her ideas with anyone who would like to hear them &#8211;<br />
I would love to hear them !!  anyway you can put me in contact with her?</p>
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		<title>By: Patti</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-45</link>
		<dc:creator>Patti</dc:creator>
		<pubDate>Tue, 26 Feb 2008 03:22:58 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-45</guid>
		<description>Amen Bonnie. 

In this work we do have far too many who are in it for the paycheck and nothing else. Management loves them because they work tons of overtime and complain little. But their ability to truly care and do good work is overlooked...the quantity is more important than the quality.

You speak of Management and front line staff being &quot;friends&quot;- yes, it&#039;s a big problem. What is worse though is the floor nurse and her buddy aides. They go out after work together; they hang out on weekends off...and the nurse never sees her buddy&#039;s work ethics and poor performance everyone else bears witness too...on a daily basis. Morale breaker big time.</description>
		<content:encoded><![CDATA[<p>Amen Bonnie. </p>
<p>In this work we do have far too many who are in it for the paycheck and nothing else. Management loves them because they work tons of overtime and complain little. But their ability to truly care and do good work is overlooked&#8230;the quantity is more important than the quality.</p>
<p>You speak of Management and front line staff being &#8220;friends&#8221;- yes, it&#8217;s a big problem. What is worse though is the floor nurse and her buddy aides. They go out after work together; they hang out on weekends off&#8230;and the nurse never sees her buddy&#8217;s work ethics and poor performance everyone else bears witness too&#8230;on a daily basis. Morale breaker big time.</p>
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		<title>By: Bonnie</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-28</link>
		<dc:creator>Bonnie</dc:creator>
		<pubDate>Thu, 21 Feb 2008 02:21:30 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-28</guid>
		<description>I do agree that the job of a CNA or PCW is a thankless job.  I started out as a CNA and have felt all of the things that have been reported here.  I have, however also experienced the other end of the spectrum as an Administrator and having to address the human resource issues that arise with front line staff.  I think that both aspects are extrememly difficult as CNA&#039;s deserve better pay and many smaller companies can not afford to pay super wages or even offer benefits.  I have also experienced building better relationships between administration and front line workers as well as between workers and clients.  There are a number of problems with this as well;  when the staff are &quot;friends&quot; with Administration they have a difficult time accepting direction or having the level of respect that they are supposed to, when the staff are &quot;friends&quot; with clients they cross professional boundaries by doing something nice for one client but not the rest.  As far as training is concerned, I believe that you can teach but only to the extent in which people are capable of learning.  (Example:  I teach Fire Safety many times a year and there are always a number of CNA&#039;s or PCW&#039;s that do not pass the test.  I always offer assitance if someone has a learning disability or has difficulty taking tests.)  I believe there are always 2 sides to the story and I do understand both sides of it.  I feel that some people are made to take care of people and others are not.  If someone is doing it for the wrong reasons - to get a pay check or because they feel they can not do anything else, I sure would hope that they have enough confidence or pride in themselves to pursue something else as this may not be the right thing for them.  Long Term Care definitely takes a special kind of person and I commend all of you out there who work as CNA&#039;s or PCW&#039;s or any other capacity.  In an ideal world you would be making more than others who do less work and get paid much better.</description>
		<content:encoded><![CDATA[<p>I do agree that the job of a CNA or PCW is a thankless job.  I started out as a CNA and have felt all of the things that have been reported here.  I have, however also experienced the other end of the spectrum as an Administrator and having to address the human resource issues that arise with front line staff.  I think that both aspects are extrememly difficult as CNA&#8217;s deserve better pay and many smaller companies can not afford to pay super wages or even offer benefits.  I have also experienced building better relationships between administration and front line workers as well as between workers and clients.  There are a number of problems with this as well;  when the staff are &#8220;friends&#8221; with Administration they have a difficult time accepting direction or having the level of respect that they are supposed to, when the staff are &#8220;friends&#8221; with clients they cross professional boundaries by doing something nice for one client but not the rest.  As far as training is concerned, I believe that you can teach but only to the extent in which people are capable of learning.  (Example:  I teach Fire Safety many times a year and there are always a number of CNA&#8217;s or PCW&#8217;s that do not pass the test.  I always offer assitance if someone has a learning disability or has difficulty taking tests.)  I believe there are always 2 sides to the story and I do understand both sides of it.  I feel that some people are made to take care of people and others are not.  If someone is doing it for the wrong reasons &#8211; to get a pay check or because they feel they can not do anything else, I sure would hope that they have enough confidence or pride in themselves to pursue something else as this may not be the right thing for them.  Long Term Care definitely takes a special kind of person and I commend all of you out there who work as CNA&#8217;s or PCW&#8217;s or any other capacity.  In an ideal world you would be making more than others who do less work and get paid much better.</p>
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		<title>By: Patti</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-26</link>
		<dc:creator>Patti</dc:creator>
		<pubDate>Wed, 20 Feb 2008 04:39:55 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-26</guid>
		<description>I remind the nurses that the job I do is one they would prefer not to do...and without me, and my skills, resident/patient care would suffer. I also remind them that those who chose to be CNA&#039;s as a career are not bad people, are not unmotivated or otherwise lacking in some desire to improve. Some of us simply like hands on caregiving. I don&#039;t give respect automatically; it must be earned. I also don&#039;t expect anyone to respect me without that being earned.</description>
		<content:encoded><![CDATA[<p>I remind the nurses that the job I do is one they would prefer not to do&#8230;and without me, and my skills, resident/patient care would suffer. I also remind them that those who chose to be CNA&#8217;s as a career are not bad people, are not unmotivated or otherwise lacking in some desire to improve. Some of us simply like hands on caregiving. I don&#8217;t give respect automatically; it must be earned. I also don&#8217;t expect anyone to respect me without that being earned.</p>
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		<title>By: Elise Nakhnikian</title>
		<link>http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/comment-page-1/#comment-25</link>
		<dc:creator>Elise Nakhnikian</dc:creator>
		<pubDate>Tue, 19 Feb 2008 23:23:56 +0000</pubDate>
		<guid isPermaLink="false">http://phinational.org/archives/barbara-bowers-on-our-long-term-care-system/#comment-25</guid>
		<description>The lack of respect for direct-care workers is such a huge issue. I was encouraged to hear Barbara saying that the long-term care nurses she talks now respect nursing assistants, even if they often don&#039;t know how to show it. But it&#039;s also clear -- and she talks about this too -- how much much anger and frustration nursing assistants still deal with due to the disrespect they encounter daily. Has anyone out there been in a situation where they felt disrespected and found a way to get some satisfaction? If so, how did you do it?</description>
		<content:encoded><![CDATA[<p>The lack of respect for direct-care workers is such a huge issue. I was encouraged to hear Barbara saying that the long-term care nurses she talks now respect nursing assistants, even if they often don&#8217;t know how to show it. But it&#8217;s also clear &#8212; and she talks about this too &#8212; how much much anger and frustration nursing assistants still deal with due to the disrespect they encounter daily. Has anyone out there been in a situation where they felt disrespected and found a way to get some satisfaction? If so, how did you do it?</p>
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