What are your thoughts about home care?

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When I spoke with various home care agencies during my search for a caregiver at home, they all said that home care is now a trend in dementia care, because everyone wants to be at home, not in a strange place. I was aware that I was talking to the people in the business to provide home care for money, but it did make sense. I for one would not want to be in a facility. What are your thoughts about home care? Is this a trend that people in the medical field start to recognize?

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the cost of a facility is cheaper than home care, but as a caregiver who has worked at both, I myself would rather keep my parents at home and get the extra help. really, that's what it's all about. it's about making them feel comfortable and for some it's staying in their own home.
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Barb and Pam: Thx for the replies. Made a lot of sense.
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For us it was part time home care,, while hubs and I worked. Mom was in rehab when it started and we had to move them in with us. Dad's "buddy" kept him company and safe, and took him to see Mom every day. If we were off work, she had another client she saw. After Mom came home, we kept the "buddy" coming to allow mom a break and some help. And also great company for her! But when dad got worse, we opted for a respite stay at a local MC, and he ended up passing away there (not any fault of theirs). If he had not passed, we had already begun the process to have him stay there. And it was MUCH cheaper at the MC than 24 x 7 home care would have been! So I guess I think it depends on how much care they need. Good luck!
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if a person needs 24/7 care, that amounts to around 19,000$ per month, USD. My mom's NH, by contrast, cost 12K per month.

We also didn't have to worry if mom fell, or got sick, or needed something. There was medical staff on hand to take BP, temp, O2 levels and call us with expert advice. As opposed to aides who could simply report that parent was in pain, hysterical or some combination of the two, leaving us needing to rush from work.
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I agree with everyone about the cost of homecare, but I also wonder if cost in a facility is cheaper. My experience is that it is MORE expensive in a facility. Anyone else thinks so too?
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We tried to keep my mom in her home with Visiting Angels. It did not work; mom couldn't figure out what she wanted them to do and felt as though she needed to entertain them.

We tried giving her lists of tasks, but she didn't want them using her washing machine or other appliances. It was a very frustration and expensive week.

We eventually found an Independent Living facility. The geriatrics doctor who was on-site a couple of days a week simplified mom's medications and gave her his cell phone number. Rather than giving her complicated instructions about her bp meds, he said " if it goes above x, call me. If it goes below Y, call me".

He sent in the geriatric psychiatrist, who better managed mom's anxiety, and who insisted mom go for cognitive texting. THAT'S how we discovered that mom had MCI, which was driving her anxiety.

A village indeed!

I am currently watching a friend whose mom has dementia try to manage her mom's care at home. The woman has 24/7 aides. The fires them, is suspicious of them, has very limited medical oversight because she has to be gotten to doctor appointments. When she feels unwell, she insisted she's dying and has the aide take her to the ER.  She is getting substandard care in the name of maintaining her " independence"  
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Home care or facility care, it all depends on what is the right choice for the person and if they can budget the cost.

My Dad had 24 hour care at home [3 shifts of caregivers from a professional Agency] he was a fall risk, with very mild dementia. Thank goodness my parents were very fugal their whole lives as it was costing my Dad $20k per month, yes per month. Yes, YIKES!!

The caregivers were a godsend as they didn't mind getting meals for my Dad [I hated to cook], doing the laundry, and doing light housekeeping. They also took Dad to his doctor appointments and for his haircuts.

Then Dad decided he no longer wanted to be home, the house maintenance was too much for him (he was in his 90's) even with the caregivers helping him, and Dad wasn't one to call for outside help. They also kept Dad away from the snow shovel any time it snowed. A neighbor would use the snow blower on his driveway.

Dad picked out a place he really liked and was happy as a clam being there around people from his own generation. The cost was around $5k per month... and Dad was able to budget for his favorite caregiver to come help him in the mornings... it gave him a sense of routine.

So there are pros and cons to each decision.
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NomadSE: Where do you live?

I am worried about costs of home care too, but in my situation, facility is also expensive.
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I would much rather have mom at home than in a facility but it takes a village and is expensive and even agency caregivers are not dependable - they cancel at last minute and agency can't replace the shift

Now that mom is immobile it would be near impossible to have her home - who could use a hoyer lift - Wheelchairs wouldn't fit in bathroom - there'd be no way to transport her to appointments

The whole thing is very frustrating for everyone
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I'm in Canada Nomad - where we supposedly have equal access to care regardless of income - many people here do pay for extra care, but for those who can not the only choice is to accept the inadequate level of funded home care or go into the nursing home, where those with low income are subsidized. The ridiculous part of that is that it costs much more to keep people in a nursing home than it would to fund decent care in the home.
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