Caregiving: An Underrated Job?

Did you know that November is the National Family Caregiver Month? I really didn’t have any slightest idea that the entire month of November is dedicated for caregivers until LLS (Leukemia and Lymphoma Society) forwarded  an invitation regarding a symposium on related matters with medical practitioners of the Department of Social Work and the New York Hospital Queens (NYQH) attending the said event. The National Caregiver Month was primarily designed to honor the millions of caregivers throughout the globe, especially the women, who have persevered in their duties caring for sick loved ones, for people they don’t know from day one, who are either patients in hospitals, nursing homes or in private homes.

(note that  photos shown herein are  not for reproduction/public consumption,  please)

While I join the call to honor the caregivers worldwide, regardless of the type of services whether it’s  a pro-bono  (esp. among family members) or with a hefty remuneration, this article is limited to focus on people who have sacrificed to leave their homes, migrated to other countries and joined the band wagon of “caregivers” working in developed countries either by choice or by chance. But there are some people who have no choice at all as they have only one thing in mind, to find a job no matter how hard it may seem, so as to earn a living and survive and be successful in the end. Success to some of them  is equated to certain economic variables, specifically that they are able to send money back home for their children’s education related expenses, to support their day to day living expenses, to buy a house of their own, and luxuries in life, among other things. These are the people who have learned to love the job so as to earn a decent living for their family back home, even if at the back of their minds this is not the original profession they’ve studied and longed for.

Caregiving is not new to us. As a matter of fact, our mothers when we’re young and sick were our first “caregivers”, in the strictest sense of the word. Caregivers at present, however, act as the modern day staff nurses and medical assistants, so to speak, who worked hands-on in the field, in the homes of family patients, doing the nitty gritty of the job. Some if not majority, of the caregivers nowadays are professionals in other fields of interests, but have been  trained and certified  to do such jobs.

As narrated by caregivers, their work is not easy especially when taking care of a sick patient at home, much more if the latter is bigger in terms of height and weight, and could no longer attend to his/her personal needs. They have to literally carry or support the patient by themselves in moving or transferring from one place to another There are times that caregivers bear the burden of the sick patient as in physically, not to mention the psychological stress the job placed on them.

In the course of their duty, a caregiver-caregivee relationship is established, whereby both the patient and the caregiver would have to like each other to make the process go smoothly, otherwise, it won’t work. It can be compared to someone who is engaged in a white-collar job and would try to win the affection of his/her boss, creating a rapport between them to have a smooth and friendly working relationship. 

A caregiver acquaintance once candidly shared with me her experience about the job. I understand she practically does everything, in lieu of the family members who are busy attending to their businesses and professional lives, as far as caring for the patient is concerned. She does all what is required of her by the supervising family members who visit their sick loved one from time to time. The “caring” process does not only involve attending to the personal needs of the patient (e.g. food preparation, giving  medicines, running errands, strolling  in parks, getting instructions from the doctor, etc.) but it turned out for her to be a personal commitment to make her patient feel better, in all aspects: emotionally, physically and spiritually. In the same manner, the family entrusted her their sick family member on an honor-system basis. They completely relied on her, as if she was part of the family.

As previously mentioned, caregivers have to have a lot of patience and perseverance, and the heart for it, otherwise, they might end up losing their jobs. There was one time the said caregiver was assigned to an elderly who used to be a high profile career lady in one of the multinational companies in NYC, and who was suffering from a dreadful disease. At first, there was animosity between them as the caregiver had this habit of doing her prayers thru singing while serving and comforting her. The lady patient would ask her to stop doing it which she obliged. But to her surprise, the patient requested her to sing the song which she said she liked it so much and made her feel well. The caregiver had goosebumps and was teary eyed when she heard it from her. She had a wonderful experience with her lady patient as the latter had learned to love what she was doing, despite of the differences in religious convictions. However, the good working relationship was cut short after several months as the lady patient expired. The caregiver thought her patient was happy and prepared to meet her Creator.

Caregiving is not just a job. Some say it’s one of the odd and dirty jobs. It may be quite true as at times it would require some “too personal care” related stuffs, although there’s nothing wrong with it, depending on one’s perspective.  On the other hand and in reality, caregiving is a job that is fulfilling and gratifying just like what the earlier mentioned caregiver had experienced. She served as an instrument of God to make her patient prepare for her death while she was bedridden. It was a spiritual journey for both the caregiver and the patient. From the caregivers standpoint, this is primarily one of the wondrous things which lighten their physical and emotional burden kept inside when they  make someone happy and feel better, even only for a while.   Apart from the said psychological satisfaction,  she was also able to send and complete her kids schooling, and  continue to support their needs including her extended families, from her earnings as caregiver.

In view of the vital roles played by caregivers throughout the globe, I would like to echo any calls for Government and politicians to formulate policies and enact laws which would protect the health care of caregivers and their patients as well. As you may know, caregiving demands several hours of duty per day. In fact, some would stay in the patient’s home 24/7. As previously mentioned, caregivers’ work includes substantial emotional and physical strain and it is but prudent for them to be given such valuable recognition. 

How about making “caregiving” a full pledge profession, just like other medical related field of studies such as Nursing?  Some professionals who have decided to be caregivers actually go to a training center or a specialized vocational schools to study about caregiving basics or probably “caregiving 101”, if any, but it’s not enough. How about creating a new curriculum for a Bachelor’s Degree in Caregiving? How about that?

So, for all the caregivers worldwide, this is “myusefultips” way of greeting you a happy caregivers month, even tho the greeting’s late! Better late than never, right?

UN Zeroing In On Zero Targets For HIV/AIDS : HELLO?

 

Last week, the United Nations General Assembly (GA) convened a high-level meeting to discuss critical issues, particularly on how to address the global problem on HIV and AIDS. As mentioned in myusefultips earlier blog under MDG (Millenium Development Goals) category, one of the targets (Target #6) ) included in the UN-MDG is to combat HIV-AIDS by halting and reversing the spread of the disease by 2015 via adoption of various strategies. The said meeting lasted for three days and Government leaders and its representatives in attendance reaffirmed previous commitments and came up with resolutions which shall serve as guidelines of each country to respond to the various issues confronting the subject matter within the next five years or so. Worth noting to mention is the statement made by GA's President Joseph Deiss, in a press conference, encouraging world leaders to implement certain strategies that would result in “zero new infections, zero discrimination and zero AIDS-related deaths.” This is quite a brave call from a smart and honorable man, challenging the world leaders to exert more effort to completely eradicate the spread of the disease. I share and echo the said worthy calls because it's beneficial for mankind, not a tinge of doubt about it.

In an article posted last year about MDG, when it was first time introduced  in this blog site, it was viewed that the MDGoals are rather time bound and pretty ambitious, thus it may not be achievable within the specified  timetable. For this particular goal No.6, it would be interesting to monitor on a regular basis, on whether or not the same is on track as far as targets are concerned.

Now, let's zero in on the 3 zero targets. Briefly, hereunder are some humble opinion from an ordinary blogger  like me.

1. Zer0 new infections:

UNAIDS data for the past 10 years, showed that about 182 countries made significant strides on rate reduction of new HIV infections, reduction of transmission from mother to child, and the expansion of treatment access. The said report, however, mentioned that despite the said considerable achievements, five people are still infected on daily basis, even including children, where most infected individuals are unable to access the necessary drugs or medicines  to save and prevent them from infecting others.

UN Secretary-General Ban Ki Moon, in one of the hearings with civil society groups, urged the latter to assist them to achieve the said MDG target for the same purpose. He recommended courses of action that are “cost effective, efficient and sustainable”, within which all stakeholders are requested to implement and do their part for this meaningful endeavor, for an HIV-free world. The said action plan includes, among others, the promotion of health, respect of human rights and the dignity of each person, especially women. Said plans are pretty straightforward and easy to read with our naked eyes , but the implementation of which, on the contrary, is tedious and requires a lot of explaining to do.

While UN's recommendations are generally laudable to many, they may also be plausible to some good conservatives out there. A target of zero infection may be too bold to say for now. While UN, World Bank (WB) and other advocacy groups could go on and on spending billions of dollars giving assistance and educating everyone about the disease but unless people's values and attitudes towards sex are changed, there will always be tragic incidents of this nature. The WB alone for instance has already provided about $4.5 billion for HIV prevention and treatment related activities, including support programs in developing countries. Rather, a massive information dissemination should be actively undertaken about the dreadful effects of the disease especially to people in rural communities and adolescents in urban areas and metropolis who are perceived to be more sexually active and susceptible to making spur-of-the-moment related decisions. Conducting seminars to merely inform them about prevention and adoption of safe sex methods may not be the solution, after all. Normally, when a person learns that engaging in sexual activities without cautiousness can jeopardize one's health and may result in death at the end of the day, he or she will think twice before doing the same compared to a situation wherein a person learns that there is always an option for said activities, under certain requirements, like the use of condoms.

While UN's HIV/AIDS experts could have thoroughly studied the benefits of the use of safe sex related procedures, based on reports and experiences, however, the use of said methods (e.g. condoms, etc.) is neither a guarantee nor effective, in reducing transmission of HIV/AIDS from an infected person to an uninfected clean individual.

It would still be best to adopt the natural means of curbing and preventing HIV and AIDS, such as abstinence from sex and loyalty to husbands and wives or partners. UN and other multilateral agencies could probably use a chunk of their coffers by extending financing aid to poor countries to strengthen health systems through proper education, thus improving the health condition of the people. Better still, UN and other large institutions could probably likewise promote the conservatives' view of abstinence only and one-man-woman or one-woman-man relationship! Seriously, come to think of it, hmmn.

2. Zer0 Discrimination:

As enunciated earlier, this blog site echoes UN's call for human rights for victims of HIV and AIDS. There is no reason not to, especially with the sad condition they are facing. These people are not only physically in pain, but they're also emotionally and spiritually in need of someone to understand and sympathize their situation.

However, even with all the technical assistance and ad campaigns on this matter from large institutions, e.g. tapping prominent figures and celebrities to promote their programs, what is happening in the real world is different. Perhaps it could be the lack of proper education and right information on the subject. In a specific workplace, for instance, when someone tells you that Mister so and so is infected with the virus, the natural reaction would be to pity the person but at the same time to start to be cautious in dealing with the concerned individual. Most, if not all, of the people would start distancing themselves from the infected person because of fear that he or she might get it, unless he or she is a close friend or a member of the family. This is how serious and dreadful not only the disease is but the attitude of some of the people as well. This is in fact the reality regardless of the country's economic status and in contrast to statements that HIV/AIDS is no longer a “shunned disease”.

To avoid the said problem on discrimination, a solid and concrete tri-media campaign, including search engines (Bing, Yahoo and Google) and social networks (Facebook, Twitter, etc.) should be done repeatedly and aggressively, on a weekly basis, to educate the people about the facts and figures of HIV/AIDS. Rather than publishing or twitting on non-sensible matters and engaging in gossips, search engines and social networks should play an active role in this meaningful endeavor. As such, people especially the younger generations would then be able to learn about the ins and outs of the deadly virus, including the fact that the infected person should not be treated as someone different. We all  know  that ignorance can actually lead to social stigma in people with disabilities, much more those with HIV and AIDS. If these people are being feared, for sure they'll feel inferior and would hide from people due to shame, embarrassment and even to the extent of harassment, thus not being given an opportunity for an immediate treatment and counseling. As such, it should be emphasized that it is never correct to put a bad impression on an infected person as it has already been proven that doing so would only serve as barrier to HIV treatment.

3. Zer0 Related Deaths:

 This is a worthy move to save lives of people already afflicted of the disease as well as to keep everyone from facing further similar deaths.  

For the benefit of those who do not even bother to learn about the disease, from the time HIV/AIDS was discovered, UNAIDS data to date estimates that about 60 million people have been infected by HIV and close to 25 million people have been killed related to the disease. At present, majority of people living with the virus are found in Sub-Saharan Africa, followed by South and South-East Asia. Note that North America is only in the third place and fourth is occupied by Latin America. This is quite alarming for the South East Asia to place second.

The lack of adequate education and preventive measures, coupled with low public awareness especially in developing economies contributed to the increase of afflicted individuals worldwide. Education on the subject should really start at home. Parents who heads the family,  which serves as the command center of a child's social life, including value formation, should take the responsibility in molding and guiding their children to the right path so they will not commit mistakes in the long run. The respective Governments on its part, should take the initiative and  be conscientious enough in doing their job and commitments by enacting related laws and regulations and not just wait for and rely on grants and aids from international communities in order to implement the same.

HIV and AIDS remains a global challenge, not only for the Governments but also for all of us. We have to be informed and take part of our own accord, we don't have to wait to be recognized and compensated for what we do, contribute something in our own little way so as to achieve the set goals, ambitious as they are, but good for all of us , for our world to live in, for a clean, uninfected, HIV-free environment

Feel free to say your piece, it would be greatly appreciated.

The Saga Of An Underemployed Immigrant: A Quest for Her Dream – Tips and Thoughts On The Impact Of The U.S. Bleak Job Scenario

 

Two months ago, I met Ana from Bulgaria in one of the mentor-mentee training sessions organized by a non-profit organization dealing with employment related issues. Ana has been here in the U.S. as an immigrant for 4 years now and is still looking for a “good” job in a dynamic city like NYC. I would say Ana is both academically competent and functionally well-equipped. She obtained her PhD in engineering and held senior technical job positions in the same and related fields in her homeland for many years. Her work experience is exceptional and she speaks German, English and her native language fluently.

Ana embarked on a trip to US, leaving her native land  to pursue her lucrative career with the end goal of becoming a successful engineer in the U.S. someday. She was convinced that the U.S. is the place flowing with “milk and honey” and where she could hone more her talents and expertise and eventually realize her dreams. As soon as she arrived, she started scouting for jobs, applying for various positions at different offices, sending out resumes and joining in social networking clubs. She managed to grab a couple of interviews but the agony of counting the days, months, and years passing by with no positive results was too frustrating and demoralizing on her part. As a matter of fact, she even took the advice to diversify, develop her other skills, explore all possible options to the extent of investing money and time to expand her horizons and to spruce it all up, so to speak. She undertook preliminary licensure examinations for teachers, so she can land in a teaching job as an option, regardless of education level, particularly in math related subjects. She came to a point where she thought her identity was in crisis, began to lose hope on her engineering career and have even contemplated to stop sending out CVs to prospective employers. But she’s not a full blown loser as of yet, as she still believes that she’ll get what she desires in due time. I don’t have to elaborate on how she's managing  to survive with NY’s high standard of living, particularly in the Manhattan area where rental fees for a one bedroom cramped apartment is relatively exorbitant. One could only surmise that what she’s doing now for a living may  be considered “odd” but dignified, however not the kind of job she’s dreaming for and definitely not the job that’s commensurate to her qualifications.

So, what’s wrong? Where did she get wrong? Why can’t she find a good job with all the stellar qualifications and glowing references on hand? Believe me, these could also be the series of questions boggling the minds of thousands of competent and bright “unemployed”/ “underemployed” immigrants originating from all corners of the globe who are trying to penetrate and understand the upper U.S. labor market.

There is absolutely nothing wrong with Ana. I told her, “it’s the economy” chummy! She could just be one of the victims of the economic recession in the U.S. which started a couple of years back. It was just unfortunate that she came to the U.S. at a time when recession was budding, about few months upon her arrival. As such, her great professional track record guaranteed her nothing during those times. It  is no longer a brain race anymore, the real score is that most of the financial and multinational institutions and high paying companies are stocked in trade: it’s either they were obligated not to get new entrants under the stimulus act or they have adopted the so-called wait-and-see attitude, which is taking long years already, and that’s the bad news.

Specifically for U.S. immigrants, underemployment and unemployment are mounting concerns during economic hard times. Jobs aren’t offered to applicants on a silver platter; it doesn’t come easily especially during recession when companies are edgy about their ROIs which made them decide to freeze hiring and stop recruiting new faces. Job hunting activities for immigrants are no funny as well. Competition is stiff as they have to contend with the American citizens who are equally qualified as they are but are also struggling to get their means of living in these difficult times. Hence, this situation adds more to the emotional, physical and financial stresses which some immigrants are facing nowadays. So, is there still hope for underemployed and unemployed professional immigrants like Ana to get a decent high paying job in the future?

The job scenario continues to be bleak based on recounts of U.S.-based economists. The Bureau of Labor Statistics (BLS) latest data shows an unemployment rate of 9.5%, which means that it hasn’t change much, indicative that the recession in the US has never really ended. Even for the American youths (16 to 24 year olds) , BLS data showed a 19.1% , the highest unemployment rate on record since 1948. One economist even emphasized in a forum that the end of recession in the U.S. is not in the offing. She further mentioned that the U.S. economy could suffer slow growth and high unemployment for more long years as a result of the global economic crisis and the collapse of the housing market. Such dismal outlook may not be in consonance with the U.S. Government, specifically the President’s program to create 3.7 million jobs under the American Reconstruction and Reconciliation Act of 2009 or the so-called Stimulus Act. The present Government could have underestimated the problem from the very beginning. The dismal forecast of some of the economists could possibly be valid as based on a report released by a member of the House Committee of the Ways and Means, a total of 2.6 million jobs have been lost from the time the said bill was enacted into law, thereby not meeting the targets of creating million jobs as espoused in the stimulus bill.  Such report does not provide much hopes  to the newly graduates who are very much excited to land in a job and to the laid-off employees who are as desperate to go back into the workforce.

The said unpromising job scenario  hit ordinary immigrants like Ana as she had difficulty in getting better opportunities as far as her career is concerned. While job sites often publish job openings everyday, it is very seldom that one could hear a story about company hiring back workers or getting new applicants on a full-time basis. Rather, what is clear and evident is that there were companies which have been closed and there are companies that are about to close and stop its operations due to the current crisis. Thus, there is no sign that permanent jobs in the U.S. will either pick up soon or in the near future.

However, BLS  projects that total employment will increase by 10% (or will create 15.3 million jobs) within a span of 8 years, until 2018. But the said jobs will not be evenly distributed among the major industries and that  the said job creation is still dependent on various factors (e.g. changes in consumer demand, improvements in technology) which are crucial in the employment structure of the U.S. economy.

I would say, Ana and other similarly situated immigrants should remain hopeful in the U.S. Government. Just like any recessions in the past, it will have its ending- it will be over, hopefully soon. With a Divine miracle perhaps, it is possible. Recent survey of a sample of respondents conducted by an online magazine owned by one of the top search engines reveal a slight improvement, but not bright. Overall, 36% of the respondents have been employed in a job that suits their skills while 22% have been underemployed in a job that neither meet their skills nor salary needs and the rest have been unemployed for a certain period of time.

I spoke with Ana lately and she is definitely not taking a lackadaisical approach on her quest for her American dream, “no matter how hopeless, no matter how far”! As a matter of fact, she has learned to accept the cheerless facts and instead  decided to make use of her talents by volunteering and tutoring 'special" kids.  According to her, this new endeavor gave her the chance to give back the blessings she received before and a time to appreciate life even more.  She said maybe it will take another time to put everything in place, to have a “good life”. She’s still very much optimistic and confident that she’ll realize her American dream someday!

 

Note: Please fee free to share your thoughts on this.

Tips And Thoughts To Ponder On Life And Its Challenges

Hey guys, I would like to share with you excerpts of the Valedictory Address authored by someone very close to me. I thought what he prepared was something worth sharing and could serve as inspiration for those facing difficult challenges in their lives, to the young and old , to people from all walks of life. The said address is entitled, “The Value of Everything” primarily to wake up and eventually make up our minds that material things are not essential to achieving lifelong peace and happiness.

The following are excerpts from the said draft speech:

 

"The Value of Everything"

 …………..

In behalf of the graduating students, I would like to take this opportunity to thank …. for providing us with excellent education and genuine support.

The most memorable experience that I had …….was the opportunity to meet a lot of other students – foreign and local – each of whom had his or her own aspiration in life.  Although we belonged to different cultures we shared the same vision and conviction to make this world a better place to live in. During our spare time or on our way home, we would engage in discussing our assignments, our teachers, our lives, the current economic crisis, and our careers after graduation.  Some of them were quite pessimistic about the job scenario that was unfolding because of the economic crisis, yet some of us would insist that there's more to life than finding a job after graduation — not that they would not find a job but that they could do better than that.

Today, we graduates should feel proud for we have surpassed a challenging path in our lives, and we should take this occasion to thank those who have supported us in reaching this far: our family, our friends, our teachers, and our God. We also have to thank ourselves for enduring those trying times.

…………..

But this graduation is a mere gateway to further challenges. There's a lot more to do.

 

I therefore would like to delve briefly on what we value in life and how a clearer understanding of it can shape not just our lives but also the society in which we live. I would beg you to listen to the thoughts that my mind whispers whenever the meaning of life strikes my curiosity.  I am not going to say new things. I would just remind each of us of what we learned during our freshman year of what we can do to make our society better.

 

A thing becomes worthless or valuable depending on its state. A bottle of mineral water is practically worthless until somebody drinks it.  A piece of bread given to a needy is mightier than a bar of gold exchanged for illegal drugs. A special minute spent with a loved one is more valuable than an hour spent on a flimsy film. A split second was what Michael Phelps needed to complete a new world record.

 

For many, success is measured by money. The more money you have, the more successful you are. But money is just a thing, and its value is relative.  A beggar who spends his $10 to feed his family is richer than  a man who saves money for the sake of saving money. Money is worthless until you spend it the right way. You become rich not because you have a lot of money, you become rich because you use your money the right way.

 

My fellow graduates. Let's fight to find that high-paying job. Let's fight to become rich and famous. But let's remember that true success is not just about money nor fame. True success lies beneath the value that we make out of  the things that we have. 

 

My fellow graduates, let's discover our true values. Let's be worthy. Let's blaze a trail for ourselves, for our family, for the needy, for the hungry, for the society. We will succeed.  We have to…for the society needs us.

 

Congratulations to all of us!”

_____________

 

Incidentally, the author of this draft Valedictory Address was also named as the Alumnus of the Year and was confered the Special Achievement/Academic Excellence Award in his field!

Almighty God, Thank you so much!