Twenty-four care for edlerly at home versus Nursing home care, which is best?

Question

Mother needs twenty-four care, family needs help deciding what's
best for her while taking into consideration how much money it will cost her. She only has so much to spend before she will be penny-less. She is not eligilble for any state funding.

Answer 1

Nursing home. In US Medicare will do it.

Answer 2

It depends on if you all are ready for that responsibility to take on. I would say hands down, keep her at home. I'm in the health care field and I know. Things far more worse than money could become your problems. I'm not saying that nursing homes are terrible but these days, there are to many young girls and guys getting their degree just for money. When that happens and they dont really care about their job, it becomes a problem, especially on a "bad day". Do what you can to keep her at home if you call can substain to the responsibility or try to get her 24 hr care inhome. Medicare will pay for private sitters in the US also. If not then resort to a Nursing home.

Kandi

Answer 3

Board and care properties (in California, we call them Residential Care centers for the elderly, and the better ones are often Assisted residing centers) are authorized by skill of the state for the residential care of elderly persons. My spouse and that i perform countless RCFE's. RCFE's supplies an stronger point of centers often than can maximum assisted residing centers, besides the certainty that there is a great variety of centers attainable at AL's besides. RCFE's value some million/2 what a nursing abode expenses, and the caregiver to affected person ratio is greater than in a nursing abode, because of the fact there are 2 caregivers for a optimal of 6 citizens consistent with facility. All of our centers are qualified for non-ambulatory citizens besides as for citizens with dementia, and that all of them have hospice waivers, so as that they might safeguard sufferers on the top of existence. the only reasons for putting somebody in a experienced nursing facility are that they actual require the centers of a qualified nurse periodically in the process the day, which contain for intravenous fluids or tube feeding or wound care. if your relative has no wounds, would not have a feeding tube, and isn't any longer on intravenous fluids, then a RCFE might desire to be all it is needed.

Answer 4

you are in a tough place, my prayers go out to you, we all say our loved ones will not go to a nursing home, then comes a time when you have to ask yourself -"what's best for "HER", please don't believe she can't get state funding, first 3 months are handled by medicare, that after that , someone can apply for funding,if she is not old enough for medicare she is still in titled to funding for help, just don't you or any other member of the family sign a finances statement for her. its very time and nerve racking, they try to make it has hard as possible, your first step is to check out nursing homes, find one you like, then talk to them first, they know the In's and outs of all this paper rules. May God be with you and the angels be guiding you , what you have to decide

Answer 5

GO WITH 24 CARE. believe me, i know that a nursing home is not someplace you want to be. my grandmother on my dads side ended up in a nursing home, hardly any of the nurses spoke english, most patients were insane, conditions were cramped, noisy, unsanitary, unsupervised. my grandmother on my mom's side also needed 24 care. she was able to get a nurse from slavania who spoke passable english, took care of my grandma at home, and was extremely hardworking and devoted. my grandmother was very happy with this nurse, who also became very close to my mom. it will probably cost you more, but it is much more worthwhile. your mother will be happier with 24 hour care at home.

Answer 6

One nurse : one patient ratio is still the best, but it will cost you a lot. Find some nursing home that have a quality service, ask friends, neighbors or whoever.

Answer 7

nursinghomes charge way more.. it is best to apply fro aid for her for a nurses aid or hha cna as homes cost way to much and ignore them they go there to dioe adn get infections do u want that for ur mom.. hire a cna or hha it is still cheaper.. if she is on medicare they allow so much anyway.. homes are the pits.. sign her home over to u shouldve been done if she owned a home.. they will take it.. for $ .. istay away from homes. hire a family member or cna to take turns.. somone can stay with her nights take turns.. when ur not working.

Answer 8

nursing homes are horrible. ive seen many patients get abused there.

Answer 9

Home care Vs Nursing home

Not eligilbe for state funding? Why?
What country are you in, what state?

There are various websites available to help you to make the choices. But keep it in the back of your mind, that government finds it more expensive to keep people in nursing homes rather than at home.
In Australia a government department called DADHC Dept of Aged and Disabled Home Care takes care of a lot of people.
When you say she neeeds 24 hour care, it depends on what kind of care is needed, is she showing behaviours indicating dementia? or are there serious health issues which may require a registered nurse to be on call 24 hours a day or is she... etc etc etc.

ACAT Aged Care Assessment Team, can be accessed by referal by the GP, they give a rating of the persons condition called an RCS Resident Classification Scale. If the person is rated 1,2,3,4,5 - the person is eligible to enter a care facility, anything higher and the person will not be eligible, so they have to stay at home.
If the person is eligible, the person has to pay the facility a quarterly fee, and provide a deposit. The fee is negotiable and the deposit is negotiable depending on which facility you choose.
Some facilities charge $200 per week, some charge $1000 per week, some negotiations reduce the fee to a percentage of the old age pension.

24 hour care is difficult to provide by family, it is usually too difficult for the benefits that are achieved.
For example, if you split the day into 6 hour shifts then you need 4 people per day, plus you need the infrastructure to provide information management to maintain an effective level of care through out the day throughout the week month by month, ideally it would all be documented on each shift, but! who pays for it all? for example, if you work 6am til 12noon, your other siblings take turns 12noon til 6pm, 6pm til 12 midnight, 12 midnight til 6am and on and on and on then each of the four people must find ways to schedule their work life around this timetable, day in day out.
If the person is admitted to a care facility, then it is going to be more expensive, but the level of care is higher in every aspect.
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Consider, four people working full time earning a mediocre wage about $25,000 per year trying to pay for caring for your mother.

Then consider four people working part time earning a decent part time wage of about $15,000 per year.

The difference is about $10,000 per year each, thats about $40,000 per year that can go towards the quality of care that your mother receives in a cre facility

Vs

Four people working part time while part time caring for your mother.
Each of the four people would have to undergo at least 6 months training as an Assistant in Nursing, then one of you would have to undergo three years training at university to train as a registered nurse, then you'd would need someone to do a management course to keep everything running smoothly on the financial front.
There is of course the option of hiring home care services, but this service is more along the lines of giving the home carer a rest from the care duties for a while so the carer doesn't go insane and have abreakdown themselves, If you hire a carer, there is only so much the carer can do at home, so it depends of he condition of the person, what kind of care.
If it dementia care, then it may be possible for you to hire a carer, in Australia, the government pays a carers allowance and a carers payment these total about $500 per fortnight, or $250 per week, or about $12500 per year. The catch here is, that the carer is only permitted about 20 hours per week away from the care recipient. That means just under 3 hours per day away from the care recipient.
Now if the carer is receiving payment, then their pension is reduced, but by defining the structure of employment it is possible to get around this income assessment.
For example;
if you hire a lady to provide care services 24 hours a day, then you must inherently provide living quarters, so the person doesn't have to pay rent ($7500 per year), the carer can be provided free food (($100 per week - $5000 per year), The carer can be provided a house keeping / diversional therapy budget ( funding for the car recipient, so the carer can spend money on hiring videos, or going out to the movies or for lunch etc to take the care recipient out for entertainment etc. So effectively the carer can save $12500 per year which is pretty good savings. Then if the carer wants more money, the carer can also be hired as the gardener, pay him / her $25 to mow the lawns each week, and another $25 per hour to clean the house.
I work in aged care.
I couldn't be a 24 hr home carer, I have a girlfriend, I enjoy my own time too much, It is a lot to give up, I suppose if some one approached me with a good enough deal I would consider it, but honestly, 24 hours a day 7 days a week!!!??? The work load is not too heavy, but the amount of time I lose is enormous.
Consider
$12500 from gov
$7500 saving from rent
$5000 saving from food
Thats $25000 per year for 21 hours a day 7 days a week
7644 hours per year
That's about $3.30 per hour !!! But it is easier work to look after one person rather than splitting time up to look after 10 people.
Whereas, I work in a job 35 hrs a week, $18 per hour
That's $630 per week = about $32000 per year
1750 hours per year
Plus if you hire me to look after your mum, it is only going to be for a short time relatively, that is , once she moves on, I would be out of a job, so there are a lot of reasons for me to not want employment as a 24 hour home carer.
Sorry about the long winded answer, but it has given me a chance to explore the possibility of being a home carer, I guess I would take on a job like that if I was paid 6 monthly up front for an annual pay equivalent to $20,000 per year of savings after tax with all expenses paid. But I guess that would be not worth your while.
Good luck