Home Care Overview What You Need to Know About Home Care

About Home Care Seniors choosing care at home Not choosing to live in a senior living community Non-medical services, providing assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) Different from home health care, which consists of skilled nursing services

Seniors choosing care at home

Not choosing to live in a senior living community

Non-medical services, providing assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)

Different from home health care, which consists of skilled nursing services

Activities of Daily Living Bathing Dressing Hygiene (brushing hair, brushing teeth, denture care, etc.) Toileting (including hygiene, use of incontinence products) Transferring (moving from bed to chair, walker to toilet, etc.)

Bathing

Dressing

Hygiene (brushing hair, brushing teeth, denture care, etc.)

Toileting (including hygiene, use of incontinence products)

Transferring (moving from bed to chair, walker to toilet, etc.)

Instrumental Activities of Daily Living Light house-cleaning and upkeep Meal preparation Medication management Shopping for groceries or clothes Using the telephone to schedule appointments, etc. Managing money (balancing a checkbook, paying bills)

Light house-cleaning and upkeep

Meal preparation

Medication management

Shopping for groceries or clothes

Using the telephone to schedule appointments, etc.

Managing money (balancing a checkbook, paying bills)

Frequency of Home Care Services Varies Level of independence senior is able to maintain while ensuring basic needs are met May only need assistance with IADLs May need daily supervision of all ADLs for safety

Varies

Level of independence senior is able to maintain while ensuring basic needs are met

May only need assistance with IADLs

May need daily supervision of all ADLs for safety

Frequency for Specific Services Medication management Correct dosage and timing for medications taken several times each day Meal preparation can be provided at the same time For some, spouse is primary caregiver – home care services are intermittent break in responsibilities

Medication management

Correct dosage and timing for medications taken several times each day

Meal preparation can be provided at the same time

For some, spouse is primary caregiver – home care services are intermittent break in responsibilities

Home Care is Flexible Short-term or long-term Often after a medical crisis, e.g. stroke or fall Temporary assistance while individual gains strength, mobility Long-term basis – daytime care while caregiver works

Short-term or long-term

Often after a medical crisis, e.g. stroke or fall

Temporary assistance while individual gains strength, mobility

Long-term basis – daytime care while caregiver works

Home Care Costs Needs determined by an assessment, normally in the home (location may vary) Determines frequency of care, estimated expense based on hourly rate Many have 4-hour minimum per day Average hourly rate: $18 in 2008 Round-the-clock or overnight care: $150-$375

Needs determined by an assessment, normally in the home (location may vary)

Determines frequency of care, estimated expense based on hourly rate

Many have 4-hour minimum per day

Average hourly rate: $18 in 2008

Round-the-clock or overnight care: $150-$375

Insurance Coverage Medicare does not cover home care Medicaid does cover some home care Most agencies do not accept Medicaid Private pay usually necessary Veteran’s Aid and Assistance benefits http://www.veteranaid.org

Medicare does not cover home care

Medicaid does cover some home care

Most agencies do not accept Medicaid

Private pay usually necessary

Veteran’s Aid and Assistance benefits

http://www.veteranaid.org

Choosing a Home Care Provider Reputable agency: licensed, bonded, and insured Independent advertisers may not have qualifications Agency employees have state and/or nationwide background checks and formal training

Reputable agency: licensed, bonded, and insured

Independent advertisers may not have qualifications

Agency employees have state and/or nationwide background checks and formal training

All Senior Homes All Senior Homes is a resource for seniors and families searching for housing and care services Visit http://www.allseniorhomes.com for more information on senior housing Information in this presentation provided by Sara Shelton, gerontologist, for AllSeniorHomes.com

All Senior Homes is a resource for seniors and families searching for housing and care services

Visit http://www.allseniorhomes.com for more information on senior housing

Information in this presentation provided by Sara Shelton, gerontologist, for AllSeniorHomes.com