Care for someone's mother
the way her daughter abroad needs.

What a carer does hour by hour; who decides what between the client, the family here and abroad, the agency, the nurse and the doctor; the line; reminders versus administration; confidentiality; dignity; the daily log and the handover.

• What a home carer does hour by hour, and for whom
• The carer's line: what a carer never does
• Medication reminders versus administration: the line in the kitchen
• The daily log as the spine of the job

Talking with older adults; hearing and sight loss; confusion and repeated questions; what a family abroad worries about; the weekly update; the difficult call; boundaries, money and gifts; the nurse, the doctor and the agency.

• The daughter in Houston: what a family abroad worries about and why
• The weekly update: what goes in, what stays out, how it is sent
• Money, gifts, favours and the requests that put you at risk
• Escalating: what you report, to whom, how fast

Washing, dressing, continence and oral care with dignity; nutrition and hydration; swallowing difficulty and safe feeding; moving and positioning step by step; falls; night care; the home environment.

• Washing and dressing with dignity
• Hydration: the quiet emergency
• Repositioning in bed and the chair transfer, step by step
• Falls: why they happen and the ten things in a home that cause them

Recognising deterioration; the observations a carer can make; reporting with the right words at the right time; common conditions at a carer's level; pain; the medication reminder record; hand hygiene; pressure areas; the doctor's plan; discharge and coming home.

• Recognising deterioration: breathing, colour, confusion, pain, intake, output
• Medication reminders: the record, the times, the refusal, the missed dose
• Hand hygiene and infection prevention in the home, step by step
• Wound care at a carer's level: what you do, what the nurse does

Dementia at a carer's level; responding without force; wandering and the night; depression and loneliness; the confusion that is an infection; abuse and neglect and the duty to report; financial exploitation when the children are abroad; the carer's own protection and burnout.

• Responding to distress, repetition and refusal without force
• Confusion that is new: the urine infection the family thinks is dementia
• Financial exploitation of elders when the children are abroad
• The carer's own protection: hours, days off, a written agreement, pay

The emergency call and the first minutes; CPR, choking and the recovery position around the official demonstrations; stroke and heart attack by the clock; seizures, falls with injury and bleeding; fire, gas and power cuts; the incident report; end-of-life care; a death at home; grief.

• The emergency call and the first minutes: what you do before help arrives
• CPR for an adult, taught around the demonstration
• Stroke and heart attack: the signs and the clock
• A death at home: what you do in the first hour, who you call

Lane A: home care as a business, the HEFAMAA requirements named, vetting a nurse and a carer, the intake with a family abroad, pricing in dollars and paying in naira, contracts. Lane B: how hiring works for someone with the right to work, the credential each country still requires, background checks, the interview, visit verification, the first month.

• Home care as a business in Nigeria: registered home nursing service versus caregiver placement, and the question for the lawyer [NG-A]
• The intake with a family abroad and the care plan that follows [NG-A]
• The credential each country will still require, and the roles that hire without one [ABR]
• Live-in work abroad: the carer's protections and the questions to ask before you accept [ABR]

Lane A: rotas and cover, supervision visits, the weekly update and the emergency call, incidents and complaints, the family's data and the NDPA, foreign payments, finding clients where families ask. Lane B: mandatory reporting, presenting your transcript, the certifications worth holding, documentation an agency can audit, boundaries, progressing.

• Rotas for live-in and visiting care, and cover when a carer does not turn up [NG-A]
• Finding clients where families ask, which is not Google [NG-A]
• Mandatory reporting abroad in outline: what you must report and to whom [ABR]
• The first shift abroad: a walkthrough from arrival to handover [ABR]

Timed shifts on the Marula simulator in your lane: Lane A on the agency desk (intake, care plan, a rota with a no-show), Lane B in the client home (the daily log, a deterioration reported, the family video call). Graded on the log, the report, the call and the decisions.

More shifts: the supervision visit, the incident and the weekly update for Lane A; the emergency drill, the boundary refused and the handover for Lane B. A shift passes only with zero critical errors. Certification week.