Home Health Care v.s. Facility Placement : Options in Elder Care

It always makes me sad to hear the families of anMedicare Home Health is free but can only be
elder say “Mom made me promise to neveraccessed if ordered a physician. Medicare will only
put her in a nursing home”. That is simply aauthorize the free home health services if specific
promise that most families today cannot keep. If aevents have happened such as a recent
caring son or daughter finds that they have to breakhospitalization lasting three or more days, or a recent
that promise, they may feel guilty for the rest ofchange in health status, etc. Medicare will send a
their lives. Mom probably asked for that promiseRegistered Nurse to evaluate the elder and that
because the nursing homes she remembers werenurse decides if other professionals such as physical
dark, institutional places which would be consideredtherapists, social workers, dieticians, etc. should
substandard in America today. Today’s familyperform evaluations. Each professional will determine
structure and the financial challenges of elder care,what services they will render and for how long.
make facility living a very common choice. When anMedicare services are temporary in nature and are
elder shows signs of not being able to perform thenot offered on a full time basis. The average visit by
basic activities of daily living, families or concernedthe nurse, aide and therapist is less than one hour
professionals must step in. It is actually against mosteach. Even Medicare home health aides only stay long
state laws for a professional to be aware of an elderenough to bathe and dress the patient.
in trouble without taking some reasonable action toPrivate Duty Home Health can be arranged on a full
secure their safety. There are many indicators thattime, part time or live- in basis. Many Long Term Care
an elder is no longer safe at home alone. The basicInsurance policies will pay for home health care. The
litmus test is to ask yourself is: “Could thisamount of care one can get and the duration of the
person save him or herself if their home were onservices varies depending upon which policy they
fire? Would they be able to call 911 and communicatepurchased. If someone does not have insurance,
their exact location? If left alone for any period ofthey must pay out of pocket (or private pay) for
time are they at risk for physical abuse or financialany services. Typically a private home care agency
exploitation? Do they have the skills and resources towill offer services at a minimum of four hours per
meet their daily hygiene and nutritional needs? Theday. Typical eight hour shifts are 7am-3pm, 3pm-11pm
answer is “NO” for many Americanand 11pm – 7am. Many elders complain that an
elders who live home alone.agency sends them a different caregiver each day. In
Independence vs. Isolationorder to avoid having the same aide, that as much as
Many of my elderly clients who were trying so hardpossible, order care every day for at least eight
to maintain their independence by living alone athours. This will allow the agency to schedule the
home actually maintained nothing more than ansame person for all your shifts. Because labor laws do
isolated existence punctuated by the occasionally callapply and the agency would have to pay overtime
or visit from friends and family. This type of isolationfor time which exceeds 40 hours per week, you will
was also coupled with medication errors or abuse,most likely have at least two to three caregivers on
self neglect and unsanitary housekeeping. A persona full time case. The average hourly rate is $14.00 per
living in this situation will often “bloom like ahour. A live-in will cost about $150.00 per day. A live-in
flower” in the right retirement facilitylives in your home and drives your car (or theirs for a
environment. It is amazing what three hot meals amileage fee) and you are expected to feed them as
days, social interaction, clean sheets and regularwell, even if you go out to dinner. By law, a live- in is
administration of medications can do for aentitled to two hours per day of free time. They can
person’s mind, body and spirit. A person whodo what ever they like, including leaving the house
lives alone is more likely to fall and lay alone on theduring their break. If this arrangement will not work
floor for days without being found. A person, whofor your situation, consider hiring an aide around the
lives alone may make poor choices such as keeping,clock. Around the clock care is typically delivered in
(or worse,) spoiled food in the refrigerator. If atwo twelve hour shifts which are done by two
person lives alone, there are many signs of illnessdifferent caregivers.
that no one will notice during sporadic short visits.One aide comes to the home from 8am until 8pm
Medical appointments may be missed andand is relieved by the second caregiver at 8pm until
prescriptions left unfilled. Many people feel that they8am. Around the clock care can be delivered in many
are honoring their aging loved one by letting them liveschedule formats. A live- in is expected to have their
alone, even though all the tell tale signs of selfown private bedroom and bathroom although many
neglect are apparent. There is no honor or dignity inagencies are flexible on this issue. The live- in is
being found on the floor after one has laid in theirexpected to be awake all day and have at least 7
own excrement for three days. Unfortunately, manyhours of sleep at night. If the elder does not sleep at
families will wait for this type of incident beforenight, a live- in arrangement will not work. One option
insisting on either home health care or facilityis to have the live in ($150/day) plus hire a caregiver
placement. If an elder is physically or verbally abusiveto come to the house and stay up all night with the
to family and care givers, they are much more likelyelder ($14.00. hour for eight nighttime hours). This
to be left alone to make their own decisions,costs $112 + $150= $262.00 per day. The only other
regardless of how dysfunctional their situation mayalternative is to have around- the- clock care which
be. Elders with difficult personalities are many timeswill cost $14.00/hr X 24 hr=$336/day. Adding the
more likely to be abused by caregivers. They needeight hour night shift to the live in, saves about
more supervision, not less.$3,000 per month. The Veterans Aid and Attendance
American Family Dynamics and the Pressures ofPension is available to qualified veterans who need a
Today’s Worldcaregiver in their home on a regular basis.
I hear people say “Americans don’tTypes of Adult Housing and Facilities:
take care of their elders like other countriesIndependent Living Facilities usually offer small
do”. Well that is not my experience. The adultapartments with some meals included in the price. A
children who consult with Geriatric Care Manager orperson who lives in an Independent Living Facility is
other eldercare professionals are very concernedexpected to manage their daily care needs on their
about their parents. They love them and they wantown, but the staff would readily recognize if needs
the best care their money can buy. That’s theincreased and assist the resident in obtaining the
clincher: what their money can buy. In America,needed help. Some facilities have extra care services
caregivers, maids, etc,, are expensive. Perhaps inavailable for additional charge to help the resident
another country where slave labor is commonplace,“age in place.” Others may ask a
people can afford plenty of care. But in this countryresident to move out if their needs exceed the
it costs $12.00 per hour (or more) for a home healthscope of that particular facility. Limited transportation
aide. At eight hours per day, that is $96.00 per day.is usually provided although many residents are still
That is $2,880 per month or $34,560 per yeardriving when they enter an Independent Living
– more than the average working AmericanFacility. These facilities may cost anywhere from less
earns per year. The average woman gets a socialthan $1,000 per month to over $5,000 per month
security check of less than $500.00 per month. Dodepending upon the luxury amenities and location.
the math and you will soon see that unless you areAssisted Living Facilities usually offer hotel size rooms
wealthy, many people cannot afford to keep theirwith the option to share a room or pay extra for a
elders in their own home with a part time caregiverprivate room. Three meals and snacks are usually
or even in their children’s home with aprovided as part of the price. Residents are expected
caregiver.to need some assistance with their daily care needs.
Now couple this financial problem with another veryMedication administration is strictly supervised. The
real problem. Most middle income women in theirState laws dictate who can live in an Assisted Living.
fifties, who are caring for their elderly parents, areThe State does not want Assisted Living facilities to
also trying to hold down a job, help their young-adulthouse nursing home candidates or Nursing Homes to
children and maintain a marriage. If a middle incomeadmit people who could function just as well in an
woman stops working to care for her parents, sheAssisted Living Facility. Assisted Living residents must
and her husband either cannot pay their bills or theybe able to walk and transfer ( from bed to chair or
must significantly reduce their standard of living. Ichair to standing) with the assistance of only one
know a few husbands who are fifty-something andother person. An Assisted Living resident can be left
feel they have worked too hard and too long toalone in their room for two hours or more. Nurses
have their dreams of retirement evaporate becauseaides are on duty around the clock. Registered nurses
someone else’s needs are suddenly moreor Licensed Practical Nurses are on duty at least
important than their own. Now that Americans haveduring the daytime. Many medical services may make
come to grips with the concept that it takes tworounds and visit residents at least monthly. It is not
incomes to live well in this country, they are moreuncommon for an Assisted Living resident to never
determined than ever to have a retirement. Payinghave to leave the building for a medical or beauty
$35,000 per year for a caregiver can take a hugeappointment. Prices may range from under $1200
chunk out of the retirement savings. Frankly, mostmonth to over $8,000/ month, once again depending
people couldn’t afford to do it even if theyupon the amenities. Medicaid has a program called the
wanted to. Because most Americans’ netMedicaid Waiver which can pay part of the cost of
worth is in the equity of their home, selling the familythe Assisted Living. However, funds have been
home is the most common way to finance elder carehistorically limited and waiting lists can be long. The
services. If the family home sells for $100,000.00 andVeteran Aide and Attendance Pension is designed to
the average cost of an Assisted Living Residence isfinancially assist qualified veterans who need the
$36,000.00 per year, an elder can afford to live inservices of an Assisted Living facility
that Assisted Living for 2.7 years. Coincidently, theDementia Specific Facilities are designed especially for
average amount of time a person lives in an Assistedthe memory impaired resident. The building, floorplan,
Living before moving on to a nursing home is 2.5furnishings, décor, activity program and even
years.the lighting have been scientifically engineered to
Many adult children, who do have the desire andenhance the lifestyle of residents with dementia.
financial means to bring their elders to live with them,Many Assisted Living Facilities and Nursing Homes
still cannot. They cannot because the medical oroffer a dementia program or dementia unit, but there
psychological needs of the elder are beyond theirare entire facilities which specialize in this unique
capacity to manage. For example, if Grandma ispopulation. Dementia Specific Facilities can be either
sweet and docile by day, butAssisted Living Facilities or Nursing Homes. They are
“sundowns” or grows agitated assecure in order to prevent residents from wandering
evening falls, this poses a difficult problem for theoff the property and getting hurt or lost. The price
caring family. When some people experiencefor this extra level of care is usually about $1,000 to
dementia or other medical issues, they may stay$2,000 more per month than a non-specialty building.
awake all night. They sometimes wander out ofNursing Homes are State regulated and are inspected
doors or rummage through drawers and closets. Thisat least annually. A person who needs a nursing home
behavior will keep the whole family awake at night. Ifgenerally cannot live safely in an Assisted Living
a working family cannot sleep at night, this situationenvironment. A typical resident is either wheelchair
will become intolerable very quickly. Some adultbound or bed bound. Those who can walk around
children have been raised by violent, aggressivefreely may need the nursing home environment
parents who are now violent aggressive elders.because they need constant medical supervision. The
Children who have been raised under these conditionsmedical component of this environment is similar to a
need not feel obligated to bring their parents to livehospital or hospice setting. The emphasis is on
with them, despite the pressure they may get fromrehabilitation or custodial care rather than socialization
outsiders who do not know the real story.and activities. The ICP Medicaid Program (institutional
Elders and their families who are trying to makecare program) will pay for the room, board and
difficult choices about elder care benefit from amedical costs of those residents who meet the
professional assessment from a geriatric specialist.financial and medical criteria. It is possible to plan in
Professional care managers can offer an objectiveadvance to help an elder meet these strict criterion.
opinion based on a clinical evaluation of the physicalFinancial Realities
and cognitive status of the elder. Physicians, hospitalKeeping an elder at home with a caregiver can be
case managers, facility admissions coordinators andthe most expensive option of all. Many families feel
social workers can also offer advice aboutkeeping their loved one in the comfort of their own
appropriate placement of an elder or even suggesthome is priceless. If a paid caregiver cost $14.00
how to set up services in the home to best meethour, eight hours per day is equal to $2,880.00 per
the elder’s needs.month. Around the clock care exceeds $10,000 per
Home Health Care – Stay Home without Beingmonth. Independent Living Facilities cost an average
Aloneof $2,300.00/ month and provide no personal
At the very least, any elder living alone should have aassistance. Assisted Living Facilities range from about
medical alert system. This is a necklace or wrist band$2,500/month to $5,000/month and provide limited
with a panic button that can be pushed in case ofcare. A Nursing Home (without ICP Medicaid
emergency. If the button is pushed a dispatch centerassistance) can cost from 5,000.00 to $7,000.00 per
receives the signal and makes and attempt tomonth and will provide total care.
communicate with the elder through a speaker placedAnyone considering hiring home health or moving an
in the home. If the elder needs help or does notelder into a care facility of any type should have their
respond to attempts to communicate, emergencyelder’s current needs assessed by a qualified
services will be dispatched to the home. Manyprofessional who can ascertain the elder’s
services will also contact friends and family to notifycurrent medical/psychological and financial needs and
them that assistance is needed. A good candidate foranticipate future needs/solutions. With careful, realistic
this device is one WHO DOES NOT have memoryplanning, caring for an elder does not have to be a
loss as memory loss makes it difficult to learn tofinancial or emotional nightmare. Making the right
operate new appliances.choices for you and the elder you care about is
There are two basic types of home health careeasier when you enlist the help of people who know
services: Medicare and Private Duty:the eldercare community and all that it has to offer.