Home health care
In-home nurses and therapists
Registered nurses and licensed practical nurses can carry out skilled care prescribed by physicians, such as monitoring medications and teaching recipients and their families about special care procedures. Professional therapists provide respiratory, physical, speech and occupational therapies in the home.
These workers assist with personal care tasks such as bathing, dressing, eating and exercising. Sometimes Medicare, Medicaid or other insurance covers the services.
At the end of life, hospice care in the home or a facility can provide professionally coordinated support services, including pain and symptom management, social services, and emotional and spiritual support for the terminally ill and their families.
Local centers provide structured, comprehensive programs including a variety of health, social and related support services during the day.
Help for caregivers
These groups provide emotional support and information sharing among people who are also caregivers.
Geriatric care manager
A professional who performs an assessment of a person's mental, physical, environmental and financial conditions to create a care plan to assist in arranging housing, medical, social and other services.
These services provide temporary relief to regular caregivers from a few hours a day to several weeks. The care can be in an adult day center, a nursing home, in the home (usually short term) or elsewhere. Most provide companionship or supervision when care is needed for only a few hours at a time.
Tips for linking with community services
You can do this on your own, or you may hire a geriatric care manager to conduct a formal assessment of needs and suggest sources of assistance.
Find out what community services are available where your parent lives or tap into the expertise of a local geriatric care manager, social worker or hospital discharge planner. Check with your area Agency on Aging, community or faith-based services, and your local department of social services for available programs.
While you may be able to find free or subsidized services, some may be offered only on a short-term basis. If Medicare, Medicaid or other insurance provides coverage, find out the limits.
Check out quality
Since there is limited government oversight of long-term care services, the consumer needs to check the quality of services carefully.
Helpful planning strategies
- Get referrals from friends and family.
- Interview providers personally, and when possible, involve your parent.
- Ask about worker's education and training.
- Visit facilities to learn about the activities, types of people participating and whether it's a good fit.
- Be organized. Specialists on aging suggest developing a file system for all the agencies or services you research. Information you learn now may be useful later.
- Be sensitive. Acknowledge your parents' reactions, but know your own limits. Although your parents may prefer that you or other family members provide all their care, it may be best for everyone for you to get some help.
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