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Lack of Bonding with a Caregiver Can Be Upsetting to Seniors using In-Home Care

Consistent assignments with caregivers from a reputable In-Home Care agency can provide the stability needed to help you or your loved one stay secure and well cared for.

When a person needing In-Home Care is assigned a specific caregiver on a regular basis, that type of care is called “Consistent Assignment” and it’s a big step forward in terms of senior care quality.

After all, your loved one is more likely to respond to a caregiver they know and like.  Remaining with a particular caregiver can help seniors stay happy and independent for longer while remaining in their own home and keeping their costs down.

Consistent care is not practiced by all care providers. Some facilities rotate all their caregivers so that each one has experience caring for every elder client. That way, if one caregiver isn’t available, someone else can step in. This is a fine philosophy, but is it the right one for your loved one?

At Sequoia Senior Solutions, we think its OK to play favorites. Has your loved one developed an attachment to a certain caregiver? Though there are many reasons for this to happen the primary reason seems to be the level of trust and comfort they build in their relationship. Therefore, they should always feel free to let us know if they prefer a specific care giver and ask for this specific consistent assignment as often as possible.

It could also be a good idea to ask the agency to “try out” a few caregivers so that your loved one gets a chance to meet (and like) other caregivers. No one works every day, so having your elder interact with different caregivers is important. They may have one favorite, but some changes must be expected.

Of course, there will be times where your elder will have to have a substitute caregiver. That is reality. However, the more we can help our elders relax and feel secure, the better off everyone will be, and that, to me, means consistent assignment should be the goal, whenever possible.
The information in the article is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.


Stanton Lawson is the Co-Owner of Sequoia Senior Solutions. Sequoia’s mission is to ensure a better quality of life for their elderly clients and their families, by providing dependable and affordable in-home care. Sequoia’s focus is to keep you or your loved ones at home and avoid:

  • Loss of friends and possessions
  • Loss of independence and freedom
  • Loss of spirit which is drained by the battles of daily living

Sequoia Senior Solutions, Inc. services Lake, Marin, Mendocino, Napa, Sonoma and Solano Counties. The main office is located at191 Lynch Creek Way, Suite 102, Petaluma, CA 94954. Email  Tel: (707) 763-6600 Fax: (707) 763-6607,


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  1. I think this is a great idea. As a former trustee for several clients that needed round the clock care, I searched for a crew of caregivers. One worked the ‘normal’ shift (8 to 5), another 4:30 to 12:30, and yet another worked from 12:30 to 8:30. With three more who worked 12 hour shifts on the weekend (one was off every weekend) on a rotating basis. But, the subject (they hated being called patients) always had the right to request someone else.

  2. Stanton Lawson

     /  April 10, 2012

    Thanks, Roy. It is difficult for some of our elderly to adjust to being the person getting care after years of giving it. Having the right caregiver can ease such a person’s mind whereas if there is an incompatible caregiver, the client can actually become sick with worry or anger. We try very had to match up our caregivers to the clients and are quite quick to change if things don’t work out. Come visit again. Thanks.

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