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When Home Care Is Not Enough

By on August 8, 2019

Last Updated: August 8, 2019

Home care can be a great option for aging parents with little to no needs, but when a senior becomes more fragile and frail, the limitations of relying on one individual to provide care can become obvious.When Home Care Is Not Enough

Learn more about how to assist your parents or senior loved ones when home care is not enough.

Home Care: Is It Enough for Your Senior Loved One?

When seniors who live alone first begin to need assistance around the house, it’s natural for their loved ones to address the needs by hiring a home care aide to visit periodically – it’s the path of least resistance. Often, the senior doesn’t want to move, so hiring an aide or caregiver solves this problem.

For many families, it’s alright at first. Home care is often sufficient for seniors with lower needs – those who could use someone to check-in on them and do some housekeeping.

But for seniors who need assistance with day to day personal activities like going to the bathroom, it can be inadequate for these four reasons:

1. Difficulty finding a home care aide.

Families that are initially satisfied with home care often begin to find it problematic for reasons beyond cost. Matching the senior with an appropriate, trustworthy caregiver can be extremely challenging. Sometimes families will try many caregivers until they find one who seems right, but when that caregiver leaves for another job, the whole process of finding the right match begins anew.

2. Expenses of home care.

As seniors age, their needs often increase. A home care regimen that initially started as four hours per day can progress to, say, four hours per day, every day of the week. Then, eventually, a live-in aide will be required. Somewhere along the way, assisted living becomes a more affordable solution.

3. Gaps in care.

Families who find a long-serving home care aide will, like any other employee, sometimes have to miss work when sick. Unlike at assisted living, where there are a whole staff and team when a caregiver has to call-in and miss a visit, the senior is usually out of luck for that day. This can be problematic for obvious reasons, especially when there are no loved ones or relatives to fill the gaps in care.

4. Potential for isolation.

Seniors who rely exclusively on a home care aide may also begin to suffer the detrimental effects of isolation, especially if they don’t have many visitors. Whereas seniors who live at an assisted living community have someone to chat with any time they like, a senior relying on home care may have little opportunities for in-person companionship aside from the caregiver.

Home care can be a good gap measure when a senior begins to need assistance, but its price and numerous practical difficulties mean that it is rarely a suitable long-term option for seniors with high care needs.

Do you have questions about finding assisted living in the place of home care? Learn more from our resources, or let one of our Senior Living Advisors assist you today.

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Jeff attended the University of Alaska Fairbanks on an academic scholarship, and also studied creative writing at University of Hull (UK). He found his calling in 2009 when he began working with seniors and their families at A Place for Mom, and has immersed himself in writing and research about issues affecting older adults. He also enjoys literature, spending time with his daughter and recording music

  1. Brenda
    I'm glad to see that someone has (finally) addressed this issue. Is it really less expensive to use home health care? If your loved one has late on-set Alzheimer and a set income with no outside income (VA help, medicaid, no governmental supplemental income - only pensions & social security to live on) then, in my families circumstances, I would (now) say NO! Home health care is too expensive & can only work for you for medicaid spend down. If I had known how expensive it would be over time (eating up all my mother's savings) & how it helped me to not realize just how serious my mother's circumstances/disease progression were, I would have much preferred to have put her life's savings into an assisted living facility any day. Now I have no choices (or money) left to be able to put my mom into assisted living - she has to get medicaid & go into a skilled nursing facility - even though she doesn't require that type of care yet. In NYS it costs approximately $6000/mo for assisted living AND they expect you to be able to private pay for at least 2 years! If you can't afford that, they tell you there's a 6-8 month wait.
  2. aj
    There really are no alternatives for people who aren't rich. 3000 dollars a month is completely impossible for my mother. Her monthly income is half that, and in Texas that is far too much for Medicaid. She currently lives alone, and it is increasingly dangerous and lonely for her. Traditionally in this country I would quit my job, move her into my house, and spend the next however many years taking care of her. I can't do that - I'm the chief breadwinner and I carry the insurance for us. My husband's job doesn't offer any. I worry about mom constantly, and can't see any good solutions.
  3. Jeff Anderson
    Unfortunately it is true that senior care is beyond what many people can afford on their own. There are assistance programs available for lower-wealth Americans. My personal opinion is that they aren't completely adequate and that lower-wealth Americans may need more of a safety-net in case they need long-term care they can't afford on their own... In any event I wanted to point you to page we created with a list of resources that may be helpful in your situation. All the links are to government website or nonprofit organizations.

    Thanks,
    Jeff


    AssistedLiving.com Team
  4. deb
    I have recently found out that if my mother goes into an asst. living apt the possibley nursing home that they of course take her soc.sec. check but then I was told when she dies the state will force us to sell her house to get reimbursed for medicaid. We moved in with my mother about 6 yrs ago when the doctor said she shouldn't live alone it was easier for us to make the move and turn her 2 bedroom ranch into a 3 bedroom....SO My question would be Can the state force us to move out of the house? or put a lein on it? thank you for your time.
  5. Cera Ve
    I like the helpful information you provide in your articles. I'll bookmark your blog and check again here regularly. I'm quite certain I'll learn many new stuff right here! Best of luck for the next!