Is it wise to stay in long term care?

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Hello everyone.

I'm going to start training CNA in Castro Valley Adult School, CA, in this September. According to the brochure, I'll practice my skills in skilled nursing facility and long term care. I'm new to healthcare, so I don't know what a skilled nursing facility like. I know a little bit of long term care, which is basically nursing home.

As a Vietnamese, I have known a fact that elderly people in the USA who are put in nursing home are usually lonely and need compassionate care to retain a productive life. I'm also a person who doesn't like skipping around. I'd rather stay in one place and keep improving myself in that particular area. Therefore, given a chance, no matter where I work, I want to work in geriatric field to help them even though I'm not an outgoing person. Besides geriatrics, I also consider hospice and oncology because I believe these areas will help me bring out my most compassion for patients.

Let's assume that I'm offered a job in long term care after I obtain my certification. I will stick with it instead of considering it a stepping stone. However, I wonder if that is a wise decision. Salary is a big thing, but I'm more concerned about is whether I'll lose my skills if I never change my work setting. I hope you guys can give me some insights about this. Thank you.

Do you plan on becoming a RN in the future? If so consider your CNA position a stepping stone to a better career. I do hope you go on and continue your education in the future, and not stay a CNA for the rest of your life. IMO I wouldn't work in a LTC facility forever, plan on moving on to another health care setting. I don't think your skills will be lost if you move on to something else. IMO CNA skills are not that technical.

If you like taking care of people even though it may be hard work sometimes, it would be good to stay in long-term care if you can. Because the work is hard and the pay is low, there is a high turnover rate of employees. If you are not going to continue your education on to becoming a licensed nurse, it's kind of nice to see someone who enjoys working as a CNA because you will become better at it the longer you stay.

Do you plan on becoming a RN in the future? If so consider your CNA position a stepping stone to a better career. I do hope you go on and continue your education in the future, and not stay a CNA for the rest of your life. IMO I wouldn't work in a LTC facility forever, plan on moving on to another health care setting. I don't think your skills will be lost if you move on to something else. IMO CNA skills are not that technical.

Thank you very much.

I'm still thinking about becoming an RN. However, even if I do go on my education, I still prefer geriatrics. Not sounding like a racist, I have heard horrible stories about how elderly people are treated in our society. This is the aspect of American culture that I don't want to adapt, so I really want to take care of old people regardless of my CNA or RN status. I may or may not move on to another setting. If I do, oncology or hospice would be my option. But the job is only in hospital, isn't it? Perhaps after ltc, I may try hospital, but I still want to work in the areas I have passion for. How long did it take you to find work?

Thank you very much.

I'm still thinking about becoming an RN. However, even if I do go on my education, I still prefer geriatrics. Not sounding like a racist, I have heard horrible stories about how elderly people are treated in our society. This is the aspect of American culture that I don't want to adapt, so I really want to take care of old people regardless of my CNA or RN status. I may or may not move on to another setting. If I do, oncology or hospice would be my option. But the job is only in hospital, isn't it? Perhaps after ltc, I may try hospital, but I still want to work in the areas I have passion for. How long did it take you to find work?

If you were planning on becoming a RN in the future than working in the hospital would be the way to go. I believe you won't do much, if any Pt care in a LTC or hospice setting working as a RN. Keep this mind, by working in a hospital as a CNA you still have the opportunity to work with the elderly. Granted, by working at a hospital the Pt won't be living out there life there, but at least you have the opportunity to care for them. Also, in most the pay would be better at a hospital, plus you may have a better work environment.

As far as the culture of treating our elderly, yes it's very different from Asian culture. In most cases it's hard to give a family member 24 hour care when you have your own financial obligations. It's easier to put the family member in a nursing home, so they are able to get all full care they need. That's not always the case though. I myself never want to be put into a nursing home with all that I've seen.

I am not working as a CNA at the moment. I work for a private ambulance company doing IFT transport(nursing home, hospital to hospital), with the occasional emergency call. I have a PCA position at a hospital lined up once the State of Texas verifies my CNA cert from California. I for one will never work in a LTC/nursing home no matter what. Oh yes my wife is a BSN =D

If you were planning on becoming a RN in the future than working in the hospital would be the way to go. I believe you won't do much, if any Pt care in a LTC or hospice setting working as a RN.

This is not universally true. At the facilities around here, the RNs work the floor just like the LPNs do.

If you are passionate about long term care stick with it. Long term care is not for everyone (like me I can't wait to get out) and the people in long term care facilities need people who are passionate about it. Always remember nothing is forever, if you ever felt burnt out then you'll be able to look for another place to work. Good luck!

If you are passionate about long term care stick with it. Long term care is not for everyone (like me I can't wait to get out) and the people in long term care facilities need people who are passionate about it. Always remember nothing is forever, if you ever felt burnt out then you'll be able to look for another place to work. Good luck!

Thank you and good luck with the setting you choose to work.

My youngest aunt worked in a nursing home. Her job was mostly serving food to the elderly people. The people from that nursing home were from wealthy families, so they were very difficult and easily moody. They would find any reason to criticize employees there. According to my aunt, they acted like that because they lived on money. My aunt quit her job because it was too physically demanding. I know that some day I may have to get out too. Perhaps I won't be able to stay as long as I think I could. Although I say what I say, I'm not perfect and who knows I won't be able to stand patients' attitude. I'll do my best.

Is it difficult for you to find work? Did your clinical site hire you?

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