Home Care

Home Care

What is home care? Home care (non-medical), also known as in-home care, private duty or custodial care; is supportive care provided in the home to assist with daily living activities. Caregivers are trained to provide non-medical care to assist seniors with Activities of Daily Living (ADLs) such as bathing, dressing, getting in and out of bed, and assistance with toilet. Other services that they can provide include: cooking, cleaning, laundry, transportation and other general assistance. Home care services allow people to remain at home rather than use residential, long-term or institutional nursing care. How do I pay for home care services? These services are usually paid with Long Term Care insurance or out of pocket. Services range from $15-35/hr depending on location and number of hours needed.

Recent Answers

Senior Advisor

The first step you should take is to do a lot of research on the subject.  Look at the specific type of cancer he has as well.  That means to search the web, talk to family and friends and maybe a doctor.  Understand everything you can about this and then be understanding to your grandfather... (more)

The first step you should take is to do a lot of research on the subject.  Look at the specific type of cancer he has as well.  That means to search the web, talk to family and friends and maybe a doctor.  Understand everything you can about this and then be understanding to your grandfather.  Things you need to learn about are behavior changes.  You need to understand the changes he might go through when and if he gets a treatment.  Look for national, regional and local resources that could help him out.  The best thing you can do is to be there for him and support him in any way you can.  

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Senior Specialist

I'm sorry to hear about your grandfather's cancer. It's a difficult time for grandfather and your family; but there are things you can do now to be proactive with the progression of this disease. Adding to Vanessa's recommendations on the medical and financial power of attorney; also look into... (more)

I'm sorry to hear about your grandfather's cancer. It's a difficult time for grandfather and your family; but there are things you can do now to be proactive with the progression of this disease. Adding to Vanessa's recommendations on the medical and financial power of attorney; also look into hospice care as this is end of life care that is covered by Medicare benefits. Hospice care is used primarily to help the individual with pain management and help the family prepare with death.

I know this may be difficult, but also sit down with your family and your grandfather and discuss how he would like to live the remaining days of his life (at home or a facility). Also if possible discuss how he would like your family to celebrate his life. What kind of funeral (burial or cremation), getting an estate plan in order if their are assets, and also access to all account information (emails, banks, life insurance, etc.)

Good luck with your journey and remember it is difficult to discuss all these topics but remember you are doing this out of love.

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Estate Planning Attorney

From a legal stand point there a some key documents your grandfather should consider putting in place: A medical power of attorney, which nominates someone to make medical decisions; A financial power of attorney, which appoints an agent to make medical decisions; and  Determine whether, depending... (more)

From a legal stand point there a some key documents your grandfather should consider putting in place:

A medical power of attorney, which nominates someone to make medical decisions;

A financial power of attorney, which appoints an agent to make medical decisions; and 

Determine whether, depending on the types of assets your grandfather has, if he needs to have a Will or a Trust.

Certain accounts and assets can pass at death via a beneficiary designation. I'd encourage your grandfather to check all accounts for this option. 

As difficult it may be, I'd also encourage your grandfather to think about end of life decisions and be as specific as possible regarding health directives. 

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Senior Advisor

There are a few ways of doing this.  I'm not sure if you have friends or family nearby to help.  If you do, I would recommend that they help you with a simple "garage sale".  Have them separate the valuable from the not so valuable.  Garage sales are not for big ticket items.  Furniture, yes... (more)

There are a few ways of doing this.  I'm not sure if you have friends or family nearby to help.  If you do, I would recommend that they help you with a simple "garage sale".  Have them separate the valuable from the not so valuable.  Garage sales are not for big ticket items.  Furniture, yes.  Diamond bracelets... No.  This is the easiest and cheapest.  And you keep all the profits.  There are companies that you can pay to come in and do this. They are called estate sale companies. These type of companies have their advantages and disadvantages.  They are going to take a percentage of the money made, but they will be asking a premium price for the items they sell.  Here is the thing with them... they will do it all.  From organizing to pricing to advertising... everything, that's why it costs you.  Another way I can recommend is going through your church.  The second part of your question about "health care and other advice as we plan to age in the home".  Don't hesitate to ask your questions, that's what were are here for.  

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Senior Advisor

99 and still active!  Wow!  That's awesome.  I couldn't agree more with her family to use the walker more.  It's for her own safety.  It's better to use it and slow down than to fall.  It's tough to recover from a fall at that age.  You should encourage her to use it every time she is walking and... (more)

99 and still active!  Wow!  That's awesome.  I couldn't agree more with her family to use the walker more.  It's for her own safety.  It's better to use it and slow down than to fall.  It's tough to recover from a fall at that age.  You should encourage her to use it every time she is walking and stay close to her to assist if needed.  

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Senior Advisor

Sorry to hear that things are not working out.  Medicaid is state run program and each state has different rules they follow.  You can always request a different caregiver from the agency.  You just to tell them that things are not working out.   As for using someone else that might not be working... (more)

Sorry to hear that things are not working out.  Medicaid is state run program and each state has different rules they follow.  You can always request a different caregiver from the agency.  You just to tell them that things are not working out.   As for using someone else that might not be working for the agency, that would be a question for the agency.  Most likely you will not be able to use them unless they work for the agency.  State funds might cover the care but they will not pay out to just anyone.  I would approach the agency for options for your situation.  

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Senior Advisor

I would like to be clear of the understanding of companion care.  Companionship care offers company and friendship to the loved one. Companions may help with certain household chores, but their primary purpose is to spend time with the patient. This is all non-medical care.  I do know that Senior... (more)

I would like to be clear of the understanding of companion care.  Companionship care offers company and friendship to the loved one. Companions may help with certain household chores, but their primary purpose is to spend time with the patient. This is all non-medical care.  I do know that Senior Helpers (626) 241-1348 and Home Instead (626) 938-0113 offers this type of care in that area.  

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Senior Advisor

I would only recommend going through an home care agency.  There are agencies throughout the state of California.  When you are searching for the right agency, keep in mind that the agencies that use W-2 employees are more likely to provide you with everything in their price.  Using those type of... (more)

I would only recommend going through an home care agency.  There are agencies throughout the state of California.  When you are searching for the right agency, keep in mind that the agencies that use W-2 employees are more likely to provide you with everything in their price.  Using those type of agencies, you shouldn't have to worry about required licenses, background checks, workers comp insurance, and paying their taxes.  Not to mention the laws on payroll.  There is a lot involved when you hire the caregiver direct.  Going through an agency cost a little more, but in the long run will be much better for your peace of mind.  Some of the larger franchised agencies are: Home Instead, Senior Helpers, Comfort Care, Right at Home.  

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Senior Specialist

Having to talk to our parents about various senior care issues is difficult and depressing. But it could also be a great bonding opportunity for parent and child. As our parents grow frail, roles reverse where the child now has to take charge to do what's best for mom or dad. Take this as an... (more)

Having to talk to our parents about various senior care issues is difficult and depressing. But it could also be a great bonding opportunity for parent and child. As our parents grow frail, roles reverse where the child now has to take charge to do what's best for mom or dad. Take this as an opportunity to really connect with your mom and understand what she needs and wants. You mention your mom can be difficult, but no matter how difficult she can be, she needs you now more than ever.
 
Start by asking your mom what she wants, such as whether she prefers to age in home with family or is comfortable with an assisted living facility. Your mom could be upset for many reasons and the discussion of moving to a facility may not be the root cause of her anger. You really need to have that heart to heart conversation with her.

As for affording the cost of an assisted living facility, there are states that have Medicaid Waiver programs which provide assisted living subsidies for low income individuals. You need to contact your state's Medicaid program for details. Here's a link for Maryland: http://mhcc.maryland.gov/consumerinfo/longtermcare/caregiverresources.aspx

There are other options as well, but I do not have all the specifics to your situation. You can contact me directly for help. Good luck.
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Private Fiduciary, Trustee,Conservator, Financial Advisor

This is a hard situation, when Medicaid only pays for nursing homes and not a less restrictive assistant living community.  You are not expected to bring her into your home, as so many people want to "guilt trip" you with this argument.  You may not have the resources to help her, and could hurt her... (more)

This is a hard situation, when Medicaid only pays for nursing homes and not a less restrictive assistant living community.  You are not expected to bring her into your home, as so many people want to "guilt trip" you with this argument.  You may not have the resources to help her, and could hurt her trying to move her in with you.  

Contact your local agency on aging and see if there are any sliding scale or Medicaid paid home care and chore services.  This way she may be able to stay a little longer in her home.

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Senior Advisor

Thank you for reaching out.  You are not alone.  Buying in bulk from a warehouse style company like CostCo or SAMs can save you money rather than buying it at the local supermarket.  Some local churches help their congregation with this.  From time to time the Convalescent Aid Society has it for... (more)

Thank you for reaching out.  You are not alone.  Buying in bulk from a warehouse style company like CostCo or SAMs can save you money rather than buying it at the local supermarket.  Some local churches help their congregation with this.  From time to time the Convalescent Aid Society has it for nothing more than a donation.  They are local and non-profit.  Their address and number is 3255 E. Foothill Blvd, Pasadena CA. 91107.  And their number is 626-793-1696.  They also offer assistance with borrowing durable medical equipment.  You can try the LA County Community and Senior Services at 1-800-510-2020 and see if they can assist.  Also,  the Huntington Hospital Senior Care Network might provide resources through the hospital.  You can try them at 626-397-3110.  

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Senior Advisor

First, refer to an earlier article that discusses the differences between "Home Care" and "Home Healthcare".  There is only 1 word that is different but both carry a completely different meaning and how they are paid.     Visit... http://caregivinganswers.com/questions/what-is-the-difference-between... (more)

First, refer to an earlier article that discusses the differences between "Home Care" and "Home Healthcare".  There is only 1 word that is different but both carry a completely different meaning and how they are paid.     Visit...

http://caregivinganswers.com/questions/what-is-the-difference-between-home-healthcare-and-just-home-care

Most companies specialize in what they do best.  So Home Healthcare companies provide skill nurses, OT, PT to help one get better faster.  That doesn't mean that they couldn't help with other things like meals and transportation, but most likely they don't (so just ask them).  You are going to have to rely on other resources to assist with these other things like transportation, meals etc.  Let's take "transportation" for instance.  There are several types of transportation.  You have emergency, medical and non-medical transportation.  Emergency transportation is for 911 situations.  Medical transportation provides a specialized vehicle.  If you are confined to a wheelchair, they will have a mechanical lift to get you in and out of the vehicle safely.  Non-medical transportation could be provided by a home care company that offers a caregiver to take you to your appointments in their car or your car.  

Meals can be provided by meals on wheels, church communities or a home care company.  Home care companies provide the caregiver to come to your home and make the meals for you right in the home.  As for electric wheelchairs, these are expensive.  Insurance companies on very rare situations provide these.  Did I say "very rare"?  There are nonprofit organizations out there that loan medical equipment for in-home use.  They work on donations.  The Convalescent Aid Society services the San Gabriel Valley of Los Angeles.  You can find them on their website     http://cas1.org/wp/services/   to see if they are in your area.  Some churches offer the same type services.  

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Senior Specialist

It sounds like you might be looking for a home care  company  vs. a home heath care company. Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care... (more)

It sounds like you might be looking for a home care company vs. a home heath care company. Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF). 

Examples of skilled home health services include:

Wound care for pressure sores or a surgical wound

Patient and caregiver education

Intravenous or nutrition therapy

Injections

Monitoring serious illness and unstable health status

The goal of home health care is to treat an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible.

Home Care services include: Grooming Assistance* Dressing Assistance* Walking Assistance* Meal Preparation/Diet monitoring. Light Housekeeping. Errands and Shopping. Medication Reminders. 

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Private Fiduciary, Trustee,Conservator, Financial Advisor

No, electric wheel chairs are called Durable Medical Equipment and are a specialty item provided by a specialized equipment company or a pharmacy.   Home health care is a Medicare service, and does not transport or cook meals, only private duty home care does transport or cooking.

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