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In-Home Caregiving, also Known as ‘Home Care’

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Description

Home Care provides supportive care in the home to those needing assistance with their Activities of Daily Living (ADL’s) including bathing, dressing, grooming, and feeding. Caregivers can be licensed or un-licensed and are typically Certified Nursing Assistants (CNA’s) or certified caregivers. Caregivers are employed by an agency and work in the home in shifts ranging from just a few hours to around the clock. Their responsibilities will vary depending on your needs but can include assistance with ADL’s, housekeeping, grocery shopping, meal preparation, and transportation. For more information on how to locate an Adult Day Care program please click here.


Who is it for?

Home Care is designed for those needing supportive, non-clinical, care with a goal of remaining independent in their own home. Caregivers are not able to provide clinical care including catheter care, wound care, injections, and medication administration.


Where it fits in my Health Care Team

Those needing clinical care at home can still use home care for their other caregiving needs but would need a community partner such as Home Health or Hospice for all clinical care. Individuals can be receiving home care in coordination with home health, hospice & palliative care, and even in Independent and Assisted living apartments.


How is it paid for?

Home care is primary private pay, but can be subsidized through the state or through the VA. Some long term care insurance policies (link) will include this service in their benefits. Medicare, AHCCCS, or private insurance does not cover this service. The price varies depending on agency, hours, and services provided but can range from $12-30 per hour and some agencies will offer a flat rate for a bath visit.


What I should know

It is important to select an agency where caregivers are licensed, bonded, and insured. This will provide stability in care in addition to protecting you and the caregiver if something happens. It is also important to know the risk involved in hiring a caregiver that is not with an agency, like a neighbor or friend, including instability and liability.


Adult Day Care

Description

An Adult Day Care is a planned set of activities designed for seniors that are usually available during business hours Monday-Friday. This can be provided through a public or private organization. It is designed to provide socialization for seniors as well as respite for caregivers. In most Adult Day Care centers assistance with medication administration and assistance with ADL’s are available, as well as meals, activities, and supervision. Some activities can include games, music, arts and crafts, outings, book discussions, and light exercising.


Who is it for?

Adult Day Care is designed for those who are able to do their own ADL’s or require some assistance but do not need total care or one on one supervision. It is ideal for those who enjoy social interaction or need light supervision whether they live alone or with a family member. People with cognitive deficits are eligible and some locations specialize in those with dementia, in particular those that wander.


Where it fits in my Health Care Team

A person attending an Adult Day Care program will still be eligible to receive visits from their health care team including home health and hospice. Verification from the Adult Day Care program and the provider would be advised.


How is it paid for?

Adult Day Care is paid for through private funds or through ALTCS in some cases. The ALTCS case manager should be involved in locating an appropriate and contracted program. Prices can range from $25-$75 per day and vary depending on program, services, and level of care. Some may offer an hourly rates as well.


What I should know

Adult Day Care can be overwhelming for those who are not social, as locations can be busy and noisy at times. Those with dementia will need to seek a program specifically designed to meet their special needs. Most Adult Day Care programs are not equipped to handle complex medical needs and a full evaluation should be done prior to admission to a program.

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