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He has a lot of health issues and don't get around good. Basically he cant do anything without help. I am burning out fast a need to get away but, have no outside help. What can I do ?

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If your grandfather is a veteran, ask VA for help, apply for his benefit.
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Check with churches in your area. Some have dementia and Alzheimer's ministries that will assist and you don't have to be a member.
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I wish you good luck. I've been taking care of my mom for YEARS with NO help. She's 91 now but went to bed years ago. I've contacted every agency and program under the sun. There is nothing I can afford and Medicare and Blue Cross won't do anything. She doesn't qualify for any help and sitters charge so much it's unreal. Of course they have to make a living and I understand that. My mom has a life alert button and when I have to run to the store or pharmacy I have to call her and keep her on the phone until I can get back. There is no help out there that is affordable to people on fixed incomes and when your retirement is over the limit to qualify, but is barely enough to pay the bills and buy meds and food then there is nothing you can do. I have not been anywhere in 12 years. My daughter and her family stopped coming because my mom wants everyone to sit for hours in her room. They say its just misery because she's a hypochondriac and constantly talking about her illnesses. She is also mean and judge mental. No one comes.
I wish you luck in finding a way out. I've found nothing affordable.
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If you feel you need to take a break, then do it. Caregiving can drain you physically and mentally, you can get the services of a respite care if you will be a away for several days, like a week to a month. Respite care can be provided either at home or in a facility. But if only need a day off from taking care of you grandfather, you might as well choose adult day care.

In terms of caregiver support groups, check the link below for the list of different organization that provides caregiver support, it also includes their contact details and websites:

http://www.infolongtermcare.org/caregiving/caregiver-support-organizations/
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I have read of others here who would put their loved ones in a rehab or respite care while the caregivers had some respite. You may need to check if his insurance, or Medicaid, or whatever would cover for his stay. If not, then it might come out of his pocket. Sorry, I was reading other people's experiences but I wasn't really paying much attention. Only that I was envious that they were able to do that. I also remembered people contacting the Alzheimer organization who also helped them on finding a temporary place so that the caregiver can have respite.

Have you tried hitting the "Caregiver Support" on the above blue tabs? Maybe something there can help you with ideas and in your area. Hopefully someone who has done it - will comment here.
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Do you have another family member who is willing to help for the time you need. or you can check with adult day care services in your town or elderly care. If nothing is available try a nurse and maybe the insurance will cover her services if not make a deal with the nurse about the pay.
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What you can do is ask the primary physician to write an order for a nursing agency to get into the home & make an assessment. After that is done, you can get help into the home so you can get away for a bit.
If $ is not an issue, You could find some one else & just do it . I advise you to have anything of value to you removed from the premises & placed some where else. Have all jewelry locked in a bank in a locked box too.
Look to your area & the help the community offers you.
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I am waiting for the Blue button caretakers to call me. I have found out on my own from calling mother's insurance company that if she meets all the criteria they will pay for home health care but her doctor has to sign for exactly what type of care.(Care plan).Any thing outside of the care plan she has to pay for and anything I need like a vacation or a night off, I have to pay. I haven't had a vacation in 4 years, nor have I had one meal out with my husband, or been to church. Research all the medical insurances on home health care before you sign any parent up. Even if it cost more a month to get your parents good care.
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If money is not an issue, check with assisted living places nearby. The one my dad lives in provides respite care, for a nice fee, of course.
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There are companies that provide respite services for a fee, if the individual does not qualify for Medicaid. Some long term care insurances pay for respite care in the home. Usually medical insurance and Medicare will only cover if there is a skilled need.
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