I am from Chile, and when I came here I started working in nursing, taking care of an elderly woman who had lost her husband. And honestly - at first I thought it was only domestic tasks: cooking, cleaning, reminding her about her pills. And then I realized that the most important thing is just to be there for her. She and I read, talked, I even learned from her how to make apple pie. By the way, when I was studying how the system works, I found useful information here - https://carepointpa.com/can-a-family-member-get-paid-to-be-a-caregiver-in-pennsylvania/. It talks about whether a spouse can be a paid caregiver in pennsylvania, and what the responsibilities are. So a caregiver is more than just caring, it's also about caring.
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