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Soup.io > News > Science / Health > The First Week of Live-In Care: What Seniors and Families Can Expect
Science / Health

The First Week of Live-In Care: What Seniors and Families Can Expect

Cristina MaciasBy Cristina MaciasMarch 26, 2025No Comments7 Mins Read
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The First Week of Live-In Care What Seniors and Families Can Expect
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When we first decided to bring in a live-in caregiver for my dad, I thought I had a pretty good idea of what was going to happen.

I mean, it’s not rocket science, right? Someone comes to live in your house and helps your parent with their day-to-day stuff. Simple. But there were so many little things that blindsided us in that first week.
If you’re reading this, there’s a good chance you’re considering live-in care for a loved one, or it’s already set in motion, and you’re wondering what that adjustment period is going to feel like. I’ll tell you upfront: it’s weird, it’s wonderful, and it’s probably not going to go exactly how you expect.
So let’s get into the good, the awkward, and the unexpectedly heartwarming moments of Week One.

Day 0: The Stress-Fueled Planning Phase

Before your live-in caregiver even steps foot into your home, you’ll go through what I like to call the pregame scramble. You’re cleaning parts of the house you forgot existed, labeling drawers, and wondering if you should bake cookies to make a good first impression.

But aside from tidying up, this stage is about logistics. Do they have their own room? Where will they shower? What time does your parent usually eat? Are there pets that might bark non-stop for 72 hours straight?

The agency you go through will walk you through a lot of this, but you’ll still have doubts. And that’s okay. No one is totally chill the night before a major life shift.

Day 1: The Arrival

This day is a mix of excitement and total social exhaustion. The caregiver shows up with a suitcase and an air of practiced professionalism, and suddenly, your private home becomes a shared space.

You’ll feel like you’re hosting a guest at first. We offered coffee, gave a tour, and explained the fact that our microwave sometimes only works if you smack it. That first afternoon is about orientation. The caregiver learns your loved one’s routine, medications, preferences, quirks, and limitations.

My dad was pleasant but visibly skeptical. “She seems nice,” he whispered to me. “But does she know how to cook eggs the right way?”

Day 2–3: The Adjustment Period

These are the days when everyone is still politely circling each other like they’re at a junior high dance. The caregiver is doing her best to learn rhythms, boundaries, and preferences. You, meanwhile, are trying to strike a balance between being helpful and not micromanaging.

It’s not always smooth. I caught myself hovering, correcting tiny things, like, “Actually, he prefers the TV volume at 17, not 20.” Not helpful. It turns out the world doesn’t end if my dad listens to Jeopardy slightly louder than usual.

The hardest part, honestly, was watching my dad cede control over little routines he’s clung to for years. It’s humbling to see someone you love have to accept help. There was a moment about mid-morning on Day 2 where he looked at me and said, “I feel like a guest in my own house.” Gutting.

But by Day 3, he was letting the caregiver help him pick out clothes and even asked her to sit with him for lunch. Tiny steps but huge progress.

Day 4–5: The Trust Starts to Build

Here’s where things start clicking, even if it’s in small, subtle ways.
The caregiver now knows how Dad likes his coffee (half-and-half, no sugar), and he’s stopped watching her like she’s going to rearrange his sock drawer against his will.

They’ve started chatting about old movies, and, to my shock, he was laughing more than usual. That doesn’t mean everything was perfect. There were still little tensions, like when she gently suggested a shower schedule, and he flat-out refused, but they were working through it.

One thing that really helped was giving the caregiver her own space and time to breathe. These folks are working, but they’re also living in your home. We encouraged her to go for walks, read in the evenings, and not feel obligated to be “on” 24/7.

That’s when I realized live-in care is a relationship like any other, which means it would take time.

Day 6: This Might Actually Work

By this point, the awkwardness had mostly melted. My dad started looking for her in the mornings. “Did Maria already make coffee?” he’d ask. When she wasn’t in the room, he even said she reminded him of my aunt. That’s pretty much the highest praise you could get.

For the first time in months, I didn’t feel like I had to be on high alert 24/7. I still checked in and handled the medical coordination and paperwork, but I wasn’t running on fumes anymore. And that space gave me something I hadn’t had in a while: the ability to just be a son.

This is where live in care really starts to shine. It creates an environment where the whole family can breathe again. Where the senior feels seen and supported yet still independent. And where family members can stop burning themselves out and actually enjoy time with their loved one.

Day 7: The New Normal

By the end of that first week, we had a rhythm. Not a perfect one — there were still small conflicts and adjustments — but a livable, peaceful flow. My dad was more relaxed. The caregiver knew the routine. And I felt like we’d found a lifeline.

Here’s what I’ve learned: the first week of live-in care is a microcosm of everything this kind of care can offer. It’s intense and emotional, yes, but it’s also revealing. You get to see, in real-time, the trade-offs and benefits. The vulnerabilities and victories.

And you’ll also learn a lot about yourself. I realized I had to let go of the idea that only I could take care of my dad “the right way.” That’s ego, not love. Letting someone else help doesn’t mean you’ve failed; it just means you care enough to share the load.

Some Things You May Not Think Of

Before we wrap up, I should be clear and point out that it’s not all heartwarming smiles and shared tea moments. Here are a few less romanticized things you should also be ready for in that first week:

1. Bathroom Politics

Everyone has strong feelings about bathroom schedules, cleanliness, and privacy. It might take a few awkward conversations to sort it out.

2. Communication Hiccups

Even the most experienced caregivers aren’t mind readers. Be clear, but also patient. It takes time to get in sync.

3. Family Dynamics

If you have siblings or other relatives involved, expect some opinions to bubble up. “Why didn’t you tell me she was starting Monday?” “I think Dad should have more say in what he eats.” Prepare for a few group texts to get spicy.

4. Your Loved One Might Act Differently

Some people get more withdrawn with a stranger in the house; others perform a weird version of themselves like they’re auditioning for a sitcom. It’s all normal.

5. You’ll Feel Guilty Even if It’s Working

I didn’t expect this one. Even when things were going well, I kept wondering if I was doing the right thing. Should I be doing more? Was this too soon? That guilt is natural. Don’t let it dominate your thinking.

Final Thoughts: Week One Is Just the Beginning

If you’re about to embark on this journey, just know that the weirdness fades. The awkward moments soften. The caregiving dynamic becomes less transactional and more human.
You’ll see it when your loved one starts calling the caregiver by their first name with a hint of affection. You’ll feel it when you’re not constantly on edge, afraid of the next fall, or forgotten medication. You’ll know it when your home starts to feel a little less like a pressure cooker and a little more like a place of peace again.

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Cristina Macias
Cristina Macias

Cristina Macias is a 25-year-old writer who enjoys reading, writing, Rubix cube, and listening to the radio. She is inspiring and smart, but can also be a bit lazy.

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