Home Care Decisions

In Home Care….

The in-home caregiver is one of the fastest growing and most requested services in the United States today. Agencies providing in-home care offer a range of different services from simple companionship to supervision and personal care. In-home caregivers are appropriate for individuals who want to stay at home, but also need ongoing care that family members and friends cannot provide.
It allows seniors to age in the comfort of their own home. Most in-home care plans include a combination of assisted living, or non-medical, services and skilled health care services. In the past, there was no significant difference between “home health care” and “in-home care”; however, many people now refer to home health care when skilled nursing care is involved and in-home care when only non-medical care is required.
While those differences may seem insignificant, they are actually important since they help people understand the level of care being offered.
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Non-Medical Care Services Typically Include:
• Personal care
• Companionship
• Supervision
• Laundry
• Light housekeeping
• Meal preparation
• Medication reminders
• Shopping
• Errands
• Transportation
Insurance companies and in-home care agencies often use an individual’s ADL (Activities of Daily Living) rating to determine the needs of that individual. ADL ratings are based on six basic activities that show an individual’s abilities to provide self-care. These activities are:
• Walking
• Bathing
• Transferring
• Dressing
• Eating
• Using the Toilet
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• These Six Tasks Are:

• Managing personal finances
• Taking medications
• Using the phone
• Shopping for food and clothing
• Light housework
• Meal preparation
Although it is important to understand the differences between in-home and home health care in today’s terminology, it is true that, in reality, most individuals who require one form of care will eventually require the other as well.

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First Step – Determine How Much Help You (or Your Loved One) Needs
Before you make any decisions, you must figure out the exact needs of your loved one. Once you understand these needs, you can compare them to the help that is already available. Start by making a list of everything your loved one needs assistance with on a monthly, weekly and daily basis. This will give you a clear picture of the right level of care required.

Pros
• It allows the individual to benefit from one-on-one care that can be tailored to meet their unique preferences and needs.
• The senior gets to remain in the comfort of their own home or the home of a close relative as they get older.
• The senior, along with their family and friends, have the opportunity to choose the person who will be providing care.
• Instead of receiving care from many different caregivers, the individual can get comfortable with one caregiver.
• Depending on when the care is needed and the skill level of the care required, in-home care can cheaper.
• Different types of care can be combined to lower overall costs.
Assisted Living
Cons
• Since frequent changes to the staff are common, one-on-care won’t be as consistent.
• The quality of care can differ depending on the specific staff members.
• In some cases, residents may get kicked out of their assisted living home for a long list of reasons with little to no advanced notice.
• Your loved one may simply not enjoy living in a group environment.
Source: Aging.com

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