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Host & Care home care allows seniors to avoid being hospitalized, and at the same time, provides a way for primary caregivers to obtain assistance with certain tasks that they can't perform on their own. The patient remains at home, and the home care giver lives with them. For many people, especially those who are in good health despite certain physical impairments, this may be the best option.
Many caregivers find themselves overwhelmed by the stress and demands of caring for the mental, physical, and medical needs of a senior citizen, in addition to caring for themselves and their families. Part time live-in volunteer care provider is free therefore affordable to everyone. You cool and heat the spare bedroom anyway.
Economically, volunteer home care is always a better option compared to the costs of skilled nursing homes.
There are many types Of Services that Home Care Provider can perform.
Home care providers provide many non medical services.
Personal Care Services: help with daily living activities including grooming, eating, bathing, dressing, etc.
Homemaker Services: Assist with cooking, cleaning, grocery shopping, laundry, and domestic chores.
Adult Day Care: These are facility based programs for seniors who need companionship and monitoring during the day.
Respite Care: A trained professional stays with the patient for a specified period of time to temporarily relieve the primary caregiver of responsibility.
Live-In Care: when a primary caregiver cannot provide the round-the-clock care that a person requires, a live-in caregiver can help with daily living, meal preparation, housekeeping, and many other non-medical services.
We have become all too familiar with nursing homes. Families in the United States usually move their elderly loved ones to a nursing home for a long-term or permanent rehabilitation service. However, in 1990s, assisted living facilities were born giving the elderly and their families a better option. Assisted living facility is referred to different names in different states. It is also known as senior housing in Colorado while other states refer to it as retirement living home, adult living facility, elderly care housing, among others.
Nursing home is a skilled care facility for senior citizens who need 24-hour medical attention. This is for elderly with chronic medical conditions who needs and requires round-the-clock skilled care, long-term attention, and also for short-term recovering patients after being discharged from the hospital.
On the other hand, assisted living residence is for seniors who cannot independently live in their homes, who need assistance in their daily living activities and would want to grow old in an environment that provides a warm, peaceful, and safe home environment with new and balanced lifestyle and socialization, thus, allowing them to nurture new friendships with other residents and subsequently improve their physical, mental and emotional condition.
Nursing homes typically provide room and board, meals, skilled nursing and personal care, and medication management services, and social and recreational activities for their residents. While senior housing offers long term elderly care and assisted living guidelines which includes the following services: Care management and monitoring, help with activities of daily living, housekeeping and laundry, medication management, recreational activities, security, transportation, and two or more meals per day.
Nursing home long-term patients are being assisted in multiple daily activities such as bathing, dressing, eating, toileting, transferring in and out of chairs or bed, and the like. These also include residents with cognitive impairment due to Alzheimer's disease or another form of dementia. Nursing homes provide a secure environment and an array of services to meet the physical, medical, and social needs of their residents.
Assisted living residents only needs assistance with meal preparation, activities of daily living (ADL), medication support and household chores, and/or require supervision due to a cognitive impairment related to disorders such as mild Alzheimer's.
More than 50% of the nursing home residents were women, and 14% were under 65 years old. The average age of a nursing home resident is 86 years old (Source: US Census Bureau 2007). While more than 900,000 Americans live in approximately 39,500 senior care in the country. The average age of a senior living care resident is 85 years old and the average length of stay is roughly 27 months.
Lastly, the average daily cost for assisted living is still less than half the average daily cost for a private room in a nursing home. The average rate for a semi-private room has increased by 1.1% from $189 daily (in 2007) to $191 daily (in 2008) while the average assisted living rate has increased by 2.1% from $2,969 monthly (or approximately $98 daily in 2007) to $3,031 monthly (or approximately $101 daily in 2008). The average rate for a private room in an Alzheimer's wing is $219 and $198 for a semi-private room in the same wing. Rates vary by region and depending on the number of services included.
Quality of Life - the key difference between living at home and living in an assisted living home.
Have you gotten that call in the middle of the night telling you that your mother who is 2,000 miles away has fallen and is in the hospital? Has your father come for a visit and had a slight stroke? These circumstances can interrupt your everyday life and send you into a state of panic and fear. THE MOST IMPORTANT THING TO DO WHEN YOUR PARENT IS HOSPITALIZED IS TO PUT YOUR PANIC AND WORRY ASIDE AND SHIFT INTO WARRIOR MODE. Here's what you need to do.
1. Don't panic. It is natural to be fearful and overwhelmed when your mother or dad is rushed to the hospital. Accept your feelings as natural, but put them aside right away. YOU ARE YOUR PARENT'S BEST ADVOCATE. If you live far away, immediately call a friend who can go to the hospital and be your liaison on the ground until you get there. You will quickly get frustrated and angry trying to get information about what's happening with Mom or Dad unless you have someone on the scene looking out for YOU and letting you know what's going on. If you can't get to the hospital, there are also elder care advocates like myself who can be your eyes and ears and fight through the system so your parent gets the best care.
2. Contact your mother or dad's physician immediately. As a side note here, it is very important that your parent have a general internist physician (preferably a gerontologist if you can find one) WHO IS WILLING TO FOLLOW YOUR PARENT TO THE HOSPITAL IF NECESSARY. This is obviously something to arrange now, before any unforeseen hospitalization occurs.
Many hospitals now promote to patients a new system of "hospitalists" -- these are physicians who only work at the hospital and don't have a private practice. The problem with this is that your parent will be a new patient to the hospitalist and you might not have the same hospitalist every day. WHAT YOU WANT IS YOUR PARENT'S PHYSICIAN WHO KNOWS YOUR PARENT'S HISTORY TO VISIT THE HOSPITAL EVERY DAY AND DIRECT YOUR PARENT'S CARE! This is very important for the continuity of care for your mom or dad and for your comfort. A hospitalist might not pick up on something about your parent that his or her own physician would because of their history together.
3. Don't be intimidated by the hospital system. The reality is that hospitals have their own protocols and systems which may work for them, but may not necessarily work for you! You land in a place that's all new to you -- and they've got the advantage. Do not be afraid to ask questions of the nurses, other staff or the physicians. Hospitals tell us that their mission is to take the best care of their patients, but the reality is the only person who will be looking out for the best interests of your parent is YOU or YOUR ADVOCATE.
When my mother was in the hospital, I walked up to the nurses' station behind which about 10 people were chatting away, and the one who was sitting at the desk right in front of me refused to look up. I finally called out, Hello, anybody home? And they all turned in disbelief, but I got what I needed.
4. If possible, keep your parent in the hospital for THREE OVERNIGHTS. True, you do not have complete control over this, that's why the presence of your parent's own physician can be so important, but if your parent will have to go to a rehab facility or go home for therapy, and he or she is on Medicare, Medicare will only pay for follow-up treatment if your parent has spent three full overnights in the hospital. Not days, but overnights.
Don't let them try to push Mom or Dad out too early. If it's legitimate for them to stay in the hospital, make sure they stay. I had a friend who unfortunately did not know the three-day rule at the time, and her mother wanted to leave the hospital early. She needed therapy at home as the doctor prescribed but had to pay for it herself because she did not meet the three-overnight rule.
5. Manage the hospital's discharge planner. Within a day or two of your parent's admission, you will meet the discharge planner, whose job it is to arrange for where Mom or Dad goes and what help they need after the hospital. THIS IS VERY KEY -- if your parent is going to have to go to a rehab facility, a skilled nursing facility, and the three-day rule is met, Medicare will pay for the best or worst facility. IT IS YOUR JOB AS ADVOCATE TO FIND OUT THE BEST FACILITY AND GET MOM OR DAD IN THERE! This will make a world of difference in their aftercare.
The discharge planner will give you a list of facilities in the area. They are not ethically allowed to tell you what the best ones are. Typically, they will ask you to pick three, and then whichever of those three facilities has a bed on the day Mom or Dad is discharged from the hospital, that's where they'll go.
BUT HERE'S THE CATCH -- THERE MAY ONLY BE ONE GREAT FACILITY IN THE AREA. SO HOW TO GET THERE? First, you have to find it. Ask friends, families, colleagues. If you've hired an advocate, they'll be able to guide you. If you're on the ground, go visit the facilities. Ask for a tour of the skilled nursing facility. Talk to the admissions officer at the facilities you like. If one stands out above the rest, keep talking to the Admissions officer at that facility (you won't know exactly what day your parent will be discharged) and tell the hospital's discharge planner that you want your parent to go there.
This is so important and the trickiest part. When you find out (usually the day before) when Mom or Dad is to be discharged, call the facility (or facilities if you're blessed to have several you like) and ask if they will have a bed open the next day. Some hospital discharge planners are wonderful, others are annoying and territorial. They may see you as interfering with "their" job. But put any concerns about that aside, and recognize that they are treading on YOUR territory, where Mom or Dad goes will make no difference to them, it will make all the difference to you. If there's a bed open where you want to go, tell the discharge planner that day -- tell them you've talked to the admissions representative at the facility, there's a bed available, and you want Mom or Dad to go there. DO NOT GIVE IN AT ANY POINT AT THIS STAGE. YOU'VE DONE THE HARD WORK, IT'S TIME FOR MOM OR DAD (AND YOU) TO REAP THE BENEFITS OF YOUR INVESTIGATIONS AND ADVOCACY!
Remember, regardless of your past history, fighting for your parent at this time in his or her life when they may need you most, can become the most rewarding time of togetherness for both of you and lead to great healing, if needed, and joy. It won't be easy, but it will be worth it. Hopefully, with these tips in mind, you can focus on loving your parent to the best of your ability and not on the frustrations that come from navigating unknown waters.
