Recently changed care company and we are encountering a completely new issue. Basically, the care company has a very well defined set of policy and procedures designed to protect both the carer and client. This may work well with most situations but with my wife she will always refuse to cooperate and verbally object in the strongest terms. The end result is her personal hygiene needs are not being met and I have to step in as best I can. It reminds me of the industrial action in the past when employees would perform their duties strictly to the letter of their contract. I don't think the care company is in the wrong but with dementia and Alzheimer's situations what do you do?