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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
If either is a veteran, home care assistance is available. If not already, the veteran would have to be enrolled in the VA healthcare program but you only have to go once a year for checkup to stay in the system. It may vary with each VA hospital but our program gives up to 28 hours a week. Even with this, depending on the agency you use it is a minimum of 3-4 hours at a time.
Kathi383: Perhaps you can check with the COA (Council on Aging) in your town, Warrenton, MO. There they should have on staff an elder case worker, who can perform a needs assessment for your father in order to determine how much help that he requires and IF your mother is physically able to handle the tasks. The COA should also have on staff a social worker.
Check with insurance company to see what kinds of help is covered. If home health aides are covered, then check with local home health care agencies. If not, check into home health care agencies as well as skilled nursing facilities.
Speak with his PCP for a " level of care needs assessment" for your father ( and perhaps your mother). Obtain the services of a case manager or licensed social worker to further assist with care options. The PCP should be able to provide you directions on all of the above.
Barb brookyn had excellent advise. Have the inhome assessment. Some practical training for your mom as well as your family in safe transfer. Make sure the environment is maximized for safety. Make a detailed list of the daily routine and what can be accomplished in the allotted time.
See what can be realistically accomplished at home while planning for the future needs and inevitable changes.
I have just contacted an Agency. I'm in the begining process with them. They have a minimum of 4 hours @ $40 an hour. You could probably pay $40 twice a day. That is for an aide- not a nurse. A nurse would cost morem. With the amount you would pay, has assisted living been considered?
No one has to pay $40 an hour for aide care. I operate a homecare agency and I did hands-on care for 25 years and no one's paying that. If they want a one hour in the morning one hour in the evening set up, they will have to hire privately. Agencies do a minimum number of hours per visit. One hour here and there is not worth our time or insuring the aide for.
Does he have a grab bar near his bed to help him up? Perhaps PT can be instituted to improve his upper body strength so he can transfer without an assist.
Not helpful, but good luck. Maybe it will help for you to realize you're not alone in this awful struggle, though. Even when doc "prescribed" some in-home/PT/Public Health visits for my parents, the people just didn't exist. And this was before COVID. Agencies wouldn't help...one "kid" who was clearly just answering the phone at one place said off the record it was b/c my mom needed (very minimal) lift assistance. We were able to put together some private help...*Most* were good enough. But my parents let most of them go ($ I'm sure.) Then, when we needed more help, we really struggled. Again private care, most OK (though there was the thief and Meth Girl.) My sister and I kept close eye on things...I traveled 3 hours every Sunday/she lives nearby. I don't think we give ourselves enough credit for pulling it off. Dad died from COVID before there was a vax. Aide brought it in. Mom died at home last fall after brief decline.
As others have said, finding someone to come twice a day, every day for an hour in the am and then back again a night will be a challenge. Most aides (regardless of how they are paid -- Medicare, Medicare Advantage, Long Term Care Insurance, private pay) will come for a 3 or 4 hour shift (longer if one pays more privately) and perhaps only for a few days per week (not every day).
Of course every day (weekends too) and a spilt session (am and back in pm) -- if one is willing to pay a lot -- can be worked out. If one has lots to spend, there are many more "arrangements" that can be worked out. A friend had to have a day aide and another night aide, for her failing husband. At over 6 feet tall, she could not handle/move him at all. Two men came: one day, one night. Each got $500 for their 12 hour shift (in other words $7K a week), but then she needed full time, 24/7 help.
If there is "live-in" space at their home and they are willing to provide free room (maybe board too?), you might be able to work something out with a person who wants/needs their days free but would be there to help with the morning get him up, dress and put into the living room and then be back on duty to help with the pm back to bed routine. Obviously you'd have to really check the person out and have a signed agreement as to what you and they expect. Might be an option for someone in graduate school or studying in the health field: physical therapy student, nursing school student, etc.
If your father has Medicare Advantage, he will be qualified for home health agency care. Prior to receiving home health services, his doctor will have to certify that he is home bound and that he needs the care. The doctor’s office will authorize and order home health services to be provided by a home health agency. Medicare Advantage will pay for part-time home health aide services. The services provided must total fewer than 8 hours a day and fewer than 35 hours a week.
Have you looked into care agencies in your area, L? That would be your best bet. Some have, unfortunately, minimums, such as four hours a week three times a week.
You can contact your local senior services as they will most likely a list of agencies and can make recommendations. Most people and agencies require a minimum time so there may be other needs besides putting him to bed and getting him up that can be served. If it is just these two simple service (which I doubt) perhaps church volunteers can help.
This isn't a homecare agency. If you want to hire privately, try a caregiver website like care.com and advertise what you're looking for and what the pay will be. You can do your own checks on any potential employees.
Or you can go with a homecare agency for your needs. An agency usually has a minimum of hours required. I get many calls from people looking for a caregiver to come one hour in the morning and one hour in the evening. I do not send anyone out to a client for less than two hours. Most agencies won't.
I'll tell you straight though. If you're only looking for a one hour in the morning one hour in the evening set up, you won't save any money. A private caregiver will charge you top dollar for that hour. I always did.
I had really good success posting on Nextdoor. I found really good people. However I doubt you will find someone who will want to do less than three consecutive hours a day. Caregivers want steady work.
Not necessarily. If the position pays well enough, a private caregiver will take an hour in the morning and evening. I used to. If that was all the time, I always charged more than if it was a few hours.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The PCP should be able to provide you directions on all of the above.
See what can be realistically accomplished at home while planning for the future needs and inevitable changes.
No one has to pay $40 an hour for aide care. I operate a homecare agency and I did hands-on care for 25 years and no one's paying that.
If they want a one hour in the morning one hour in the evening set up, they will have to hire privately. Agencies do a minimum number of hours per visit. One hour here and there is not worth our time or insuring the aide for.
Has he recently had at OT/PT evaluation?
Does he have a grab bar near his bed to help him up? Perhaps PT can be instituted to improve his upper body strength so he can transfer without an assist.
Of course every day (weekends too) and a spilt session (am and back in pm) -- if one is willing to pay a lot -- can be worked out. If one has lots to spend, there are many more "arrangements" that can be worked out. A friend had to have a day aide and another night aide, for her failing husband. At over 6 feet tall, she could not handle/move him at all. Two men came: one day, one night. Each got $500 for their 12 hour shift (in other words $7K a week), but then she needed full time, 24/7 help.
If there is "live-in" space at their home and they are willing to provide free room (maybe board too?), you might be able to work something out with a person who wants/needs their days free but would be there to help with the morning get him up, dress and put into the living room and then be back on duty to help with the pm back to bed routine. Obviously you'd have to really check the person out and have a signed agreement as to what you and they expect. Might be an option for someone in graduate school or studying in the health field: physical therapy student, nursing school student, etc.
That would be your best bet. Some have, unfortunately, minimums, such as four hours a week three times a week.
Hope you find reliable help in your area.
Or you can go with a homecare agency for your needs. An agency usually has a minimum of hours required. I get many calls from people looking for a caregiver to come one hour in the morning and one hour in the evening. I do not send anyone out to a client for less than two hours. Most agencies won't.
I'll tell you straight though. If you're only looking for a one hour in the morning one hour in the evening set up, you won't save any money. A private caregiver will charge you top dollar for that hour. I always did.
Nextdoor may be another idea. I would request references if you hire without a service agency.
Check using your search engine for your area. Wishing you good luck.
Not necessarily. If the position pays well enough, a private caregiver will take an hour in the morning and evening. I used to. If that was all the time, I always charged more than if it was a few hours.