transcript

transcript  Watch a Video on becoming a MassHealth PCA

0:07

My name is Carmen

Meet Carmen

0:09

and I'm 38 years old.

0:13

And I became quadriplegic

0:18

due to a spinal cord tumor from birth.

0:25

Without my PCAs, I would be lost,

0:29

not be able to live independently.

0:34

The best part of my job is knowing

0:36

that I'm going somewhere to help someone, you know,

0:41

and waking up in the morning

0:44

knowing that I'm changing someone's life.

0:45

My name is Rob, I'm 40 years old

0:49

and I have cerebral palsy.

0:50

I got on the PCA program when I was 18,

0:54

and before I got on the PCA program,

0:56

my parents were totally responsible for my care.

1:01

And, you know, by the end of the week,

1:04

we'd kind of be at each other's throats,

1:08

as parents and children are,

1:12

but when I got on the PCA program,

1:14

it changed the nature of our relationship

1:17

because they knew that we could go out to dinner

1:21

and that fact is

1:22

that I could go back to my own apartment

1:24

and they could go home and know

1:26

that they didn't have to worry

1:28

about how my needs were going to be met,

1:31

that I could get into bed and be able to get up

1:35

and get going to work the next day,

1:37

and it takes a lot of stress off them,

1:40

so now they don't have to be in that caregiver role

1:44

and we can develop more of a friendship.

Pat

1:48

My name is Pat.

1:50

I'm 66, and I've got cerebral palsy.

1:56

I can't cook, wash myself, get dressed,

2:03

so that's why I need them.

2:05

She is very good at giving directions,

2:07

how she likes things.

2:08

She has certain ways of doing anything

2:11

from, like, cleaning to personal care.

2:14

And she's very good at telling you what she wants,

2:17

how she wants it done, when she wants it done,

2:19

if she wants it done.

Anne

2:21

My name is Anne and I'm 63 years old,

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and I have a form of muscular dystrophy

2:27

called Charcot-Marie-Tooth disease,

2:30

and I've been in a power chair for about 25 years.

2:33

August of 2005, I, all of a sudden, could not stand

2:38

to transfer to bed and back into my chair again.

2:43

And, you know, I didn't know what to do.

2:48

And as far as I knew and as my doctors told me,

2:52

the only choice was a nursing home.

2:55

I had feared going into a nursing home

2:59

all my adult life--

3:01

the loss of privacy, sharing a room,

3:06

personal care, the food, you know, that kind of thing.

3:10

A friend put me in touch

3:12

with Boston Center for Independent Living.

3:16

They told me, you know, "You could live in the community.

3:18

"You could have your own home again.

3:20

"You could hire your own people to help you

3:25

and manage the physical things."

3:29

Finally I felt sort of empowered again

3:32

that I could do this to get out.

3:35

Anne is, um... wonderful.

3:40

I... the minute I met her I felt a bond,

3:43

I felt that we were going to get along,

3:46

being of the same age.

3:48

And as I got to know her, we've got a lot in common.

3:55

We have the same beliefs on people with disabilities

3:58

and how they should be treated,

4:01

and she's kind and she's friendly

4:04

and she's honest and she's patient,

4:12

which is one of the most important things.

4:14

She's very patient with me,

4:15

because I'm still in the learning process.

4:17

I work for the Boston Center for Independent Living,

4:20

and I would not be here working for BCIL

4:24

if I did not have PCAs that were reliable

4:30

and able to come and get me up in the morning

4:32

and get me going.

4:34

Being a PCA is a tough job

4:38

because you have to be able to care for someone,

4:45

but at the same time,

4:48

you need to let them, the person, be independent.

4:53

Each person is really very individual

4:56

and needs very individualized care

4:59

that only that person can direct, can tell you.

5:03

"This hurts, that doesn't work for me," whatever.

5:07

And, you know, to listen,

5:10

because the person knows themselves the best, obviously.

5:14

My name is Eddie, I'm 16 years old.

Eddie

5:17

I was born with a rare muscular disease

5:20

called arthrogryposis--

5:23

I think that's how you say it.

5:25

In my case, my sister is my PCA.

5:28

She helps me brush my teeth, take showers,

5:32

transfers me into my bed, helps me get dressed,

5:36

all that stuff.

5:37

The first one, I sort of was stumbling around a little bit

5:42

about, um...

5:45

Well, it felt a little intrusive, sort of,

5:47

to be asking someone, you know,

5:50

"What are your references?

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"What is your experience?

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"Do you know how to use a Hoyer Lift?

5:56

"Are you willing to take instruction from me?

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"Are you... you know, you realize

6:01

"that this will include a lot of household tasks

6:05

"of light cleaning and dishes, cooking,

6:08

you know, changing the bed, that sort of thing."

6:14

And, you know, to explain the job as I see it.

6:19

And it was a little bit awkward,

6:21

but now I've really got a pretty good sense

6:23

of what it is I'm looking for

6:26

and have done pretty well so far picking it out.

6:33

The first thing that I ask,

6:35

if they have had experience working as a PCA.

6:40

Also, I let them know that I'm their boss

6:44

and they are not hired by the agency,

6:47

that they are hired by me.

6:50

When I first started with this program,

6:55

I, uh... I had PCAs.

7:02

And they thought that I wasn't their boss,

7:09

but I am.

7:10

I need to know in advance if they're not going to be here.

7:14

I need to know if they're feeling ill

7:17

as soon as possible so I can try to find someone else.

7:21

But really all the PCAs I've had

7:25

have been wonderful women

7:27

and I really enjoy knowing them

7:31

and sharing my life with them.

7:34

They're what make my life possible.

7:38

And I am... (chuckles)

7:40

everlastingly and profoundly grateful to them

7:46

to be free again, to be out in the world again,

7:50

to have my life back.

7:54

And they are what make that possible.

7:57

Trust is very important

8:00

due to many incidents that I had had in the past.

8:08

For example, stealing money from me,

8:18

writing hours that the person never worked,

8:25

and leaving me in the chair for hours.

8:30

Trusting my PCA is the most important part

8:37

in my life.

8:39

If I didn't have the PCA program,

8:41

I'd be probably living in a nursing home.

8:46

Once I realized that the PCAs that I had at the time

8:51

were going to work out and that they were reliable,

8:54

then I could relax and just enjoy the fact

8:57

that I was, you know, in my own accessible unit

9:02

and could come and go to work

9:05

because I had transportation--

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you know, the bus and the train, near me--

9:11

and I could come and go as I wanted.

9:14

That... then I knew that I was truly independent.

9:19

They just are the extension, really, of my arms and legs.

9:26

And it's a very personal relationship

9:30

and to say that they're useful

9:34

would just be a gross understatement.

9:36

They're just... they're just everything.

9:40

It's just a vitally important function.

9:42

I couldn't live my life without them.

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