An older in woman in pink is being assisted to stand up from her wheelchair by a woman in white. The two are outside.
Go beyond the basics to enhance homecare & empower both caregivers and clients
by Paul Joiner

Late last year, the homecare industry observed National Homecare & Hospice Month and recognized the invaluable contributions of caregivers who provide dedicated service every day to clients across the country. In this spirit, many homecare organizations created initiatives and programs to acknowledge and celebrate the achievements of extraordinary caregivers. Their tireless efforts represent selfless service, commitment and integrity in their roles.

The homecare industry boasts exemplary models of compassionate care, characterized by workers' strong bonds with clients. In fact, the 2024 Homecare Insights Survey found that 91% of caregivers consider client relationships crucial to their job satisfaction, underscoring the mutual benefits of meaningful connections in homecare. To develop a thoughtful approach for authentic relationship-building, look to successful caregivers who’ve demonstrated that going beyond the basics fosters deeper connections and satisfaction for both caregivers and clients. While it’s essential to cover fundamentals like delivering high-quality care and being punctual, there are more nuanced best practices caregivers can use to elevate the connections they share with their clients. Such partnerships can profoundly enhance quality of life by fostering trust, openness, and a sense of security that make clients look forward to care visits in the comfort of their own homes.

Trust, Understanding & Communication Facilitate Respectful Connections

As most caregivers know, successful client relationships are built on trust that is established through consistency, reliability and solid communication. Demonstrating transparency and maintaining confidentiality make clients feel secure and valued. Those feelings, experienced steadily over time, reassure clients that their caregiver is a dependable source of support. Prioritizing clear communication sets expectations, fosters trust and ensures clients’ autonomy is respected. Clients’ faith in their caregivers is typically reinforced by an abundance of empathy and understanding in a relationship, creating the potential for connections to exist on a deeper level. Addressing a person’s emotional well-being and comfort creates a safe and nurturing environment where clients truly are understood.


Every client is different when it comes to their individual preferences, habits and expectations. Taking the time to understand these aspects prepares caregivers to deliver customized care that resonates with their clients. Learning likes, dislikes, routines and small details creates a comfortable and familiar rapport. This tactic is especially useful for personalizing care plans to meet a client’s unique needs, which enhances their overall well-being. Caregivers can bring joy to daily life by tailoring their home visit time to a client’s preferences, if allowed as part of their care plan. Nurturing a client’s love of nature with short walks to the park or setting up the checkerboard to indulge a board-game enthusiast are simple ways to brighten someone’s day. Though consistent assignment to the same client is not always possible, it can build familiarity and lead to more enriching care experiences. If there is a new match, caregivers can help by striving for flexibility as they adapt to their client’s changing requirements and preferences. 

Research shows that clients’ participation in their own care is most influenced by a variety of factors that include their associations with healthcare professionals, emotional connections, and their experiences in relation to health services. When people feel heard and acknowledged by those caring for them, they're more likely to engage actively in decision-making, empowering them to take control of their health with confidence.

Providing quality care requires a delicate balance of active listening, constructive feedback, and conflict resolution. Truly hearing a client’s concerns and taking action to make improvements demonstrate compassion and understanding. When a client feels secure enough with a caregiver to be honest about a challenge, and a caregiver receives feedback eagerly and is comfortable responding, mutual respect deepens and misunderstandings can be prevented. When conflicts arise, adept caregivers employ resolution strategies to address issues before they escalate. Calm interactions and open dialogue create a trusting environment where both parties feel valued and supported—and since 92% of older adults prefer to live out their later years in their current home, a supportive atmosphere is crucial.

Best Practices Born From Compassion & Encouragement  

Building mutual respect in a care partnership requires clearly defined roles, responsibilities and expectations, so caregivers can cultivate professional yet personal connections. Balancing empathy with clinical neutrality while on the job generates the right blend of help and encouragement so clients can maintain independence and ownership of their health. Care that respects individuality fosters a robust bond, reinforced by shared appreciation and gratitude between care caregivers and recipients.

The dynamic nature of homecare necessitates continuous improvement based on feedback from clients and employers along with ongoing training and development. Caregivers who solicit and respond to client feedback without defensiveness demonstrate a commitment to enhancing care quality through ongoing growth and development. Homecare professionals who pursue regular learning and training opportunities expand their expertise, staying abreast of industry advancements and best practices. Requesting regular supervisory check-ins and evaluations showcase caregivers’ commitment to accountability and client-centered care


Meaningful care partnerships have a profound impact on both parties involved. For clients, such relationships facilitate aging with dignity and provide comfort during challenging times. For caregivers, they offer fulfillment and the opportunity to make a lasting difference in someone's life. National Homecare & Hospice Month serves as a timely reminder for caregivers to reaffirm their commitment to exemplary care practices, which are rooted in strong relationships. Empathy and connection are at the heart of homecare, and by embodying these qualities, caregivers can forge lifelong connections that stand the test of time.



Paul Joiner, CEO of HHAeXchange, is a seasoned leader with more than 20 years of experience in the healthcare industry. Before joining HHAeXchange, he served as CEO at Kipu Health, a software company focused on behavioral health, leading the formation of teams that improved product and service delivery. Previous roles include chief operating officer as well as executive vice president and general manager at Availity, and vice president of Client Engagement and Business Development at Midas+ Solutions, Xerox Healthcare Provider Solutions. Visit hhaexchange.com.