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I am looking to hire a person to assist me mother who is 92-years-old and lives in Lake Peekskill NY (10537) to do exercises for about one hour a day three to five days per week. Any advice or websites are welcome.
It sounds like you are hoping someone on this forum lives in Lake Peekskill, NY and can give you a name. I do have a website suggestion for you; Google. Google it. Look for a PT who comes to the home, or call and ask her insurance for a name, if they have one. It might be easier to find a personal trainer to come to the home, but please don't make your 92 year old mother do exercises 5 days a week. If she is recovering from something and needs physical therapy, you can have her admitted to a short term skilled nursing facility for rehab.
I used a friend who is a yoga instructor for a while. She did not want to charge us because of our friendship so we periodically bought gifts to give her - like gift cards, etc. She customized yoga stretches my mother could do in her chair and bed since she is bedridden. Nothing super hard - just soft movements, stretches, deep breathing, and a little bit of arm and leg lifting. She was 94 when we started this five years ago. She will be 99 soon. I stopped the sessions a year ago because the benefit vs my friend taking time every Sunday seemed like enough. My mother can still move all her limbs and help me turn her. I think the yoga was better for her than traditional PT. I still encourage her to use her “yoga breaths” when she gets anxious.
Discuss with her primary care physician. The physician can recommend therapy exercise, if in agreement. Medicare generally covers the cost of such therapy. It has for my spouse.
No homecare agency is going to send someone an hour a day. So you will have to hire privately. Go on a caregiver website like care.com and put up a profile. Explain exactly what you're looking for. Of course, you will have to make worth a person's while to come out for one hour a day. How to figure this is to double what your state's minimum wage is for the hour. If the exercises are written down with instructions by PT there should be no problem finding someone. Good luck.
When my now 99-year old aunt was still in her apartment (in 2023), her PCP ordered pretty much ongoing PT and OT covered by Medicare. The therapists came to her apartment because her mobility was limited. The doctor ordered those therapists for “physical maintenance” purposes.
Periodically the sessions would stop for a very short duration, I’d set up either a FaceTime phone call with the doctor or a visiting home visit with a PA, and the prescription for PT and OT services would resume, again covered by Medicare.
My Aunt had Medicare Part B and a Medicare Supplemental Policy, if that means anything. It was easier to get therapy services in her home for maintenance than it is in the nursing home, and her medical insurance coverage has not changed. Go figure.
You may find it valuable for a 92 year old woman to be exercising 1 hour a day for 3 to 5 days a week. Does MOM want to do it, is the question? If so, and there's no pushback from her, call a caregiving agency in that zip code and hire an aide to exercise her to your specifications. Or call a local gym and hire a personal trainer to go to her home. Or get moms doctor to recommend a physical therapist and call him or her to come to moms home to privately exercise her. That's my suggestion, since you're willing to privately pay for this service.
One of my dad's caregivers had a daughter who was in school studying physical therapy. She was more than willing to help dad with his exercises, and her charges were really reasonable because she wasn't a PT yet. She just followed the plan set up by the actual PT for us to do, but we didn't have time to do. Dad enjoyed her company because she was young, enthusiastic and eager to help him.
I am responding to your reply to me. No, Medicare will not pay someone to come to your Mom daily just to help with exercises. But there is Intermittent in home help. Her PCP can order physical therapy for her which includes exercises. The therapist will evaluate her. Like I said its a tempory thing but you will know what she can and can't do. Someone should be present to see how these excercises are done. I had in home for my Mom and was left a sheet of exercises to do with her in between the therapists visits. Medicare will pay with a doctor's order. I would start there and when she is discharged, ask the terapist if she knows of anyone willing to help with continuing to make sure her exercises are done.
I'll add in our experience Medicare would pay for home PT prescribed by the PCP for 8 or 12 weeks at a time and I think they came out twice a week. Medicare won't pay for this indefinitely. I don't believe you are getting accurate information from the local senior support center.
We pushed walking for Mom.
Anytime we hired anyone we had to spell out Mom's walking schedule. We said Mom walks to the end of the farm lane mid morning and Mom does the same mid afternoon. You have to spell this out in America because many applicants assume home care jobs are about sitting and tv watching.
We had CNA's who helped with walking. We also had unskilled home workers who helped with walking.
I wasn't as successful in getting compliance with Mom's range of motion exercises given by the PT. We had one CNA who had trained as a PT assistant and she regularly worked with Mom on Mom's exercises. The other workers I don't think ever felt comfortable assisting with exercises,
I would google caregiving agencies in Mom's hometown and talk to the agency head about getting someout out to walk with Mom.
You can google personal trainers and the name of Mom's town and see if anyone is interested in the job.
If you get someone you need to be very clear and specify that the job is about walking and Mom gets walked at this time and you need to specify the distance. We also specified on a rainy day that Mom gets walked inside and I believe we specified that we go outside if temps are over 45 degrees and Mom would get bundled up in her puffer coat, hat, mittens and scarf.
As mentioned below, I was less successful in getting her range of motion exercises done.
One CNA lost 30 pounds just from walking with Mom (no diet changes.)
Best of luck to you. After working with Mom I am fully convinced that movement is really really key for seniors.
You could also hire a personal trainer to come out for an hour and walk with Mom and do range of motion exercises etc. You would need to google some local websites for this. You would pay personally.
I think getting a PT prescribed by the doctor would be better as they have a hire level of education.
A PT has years of training. A personal trainer has a weekend of training followed by an exam.
Mom's primary care physician should be able to order PT to come out to her home a couple of times a week. Schedule a remote appointment with Mom and you all and Mom's primary care physician. Tell primary care physician Mom needs a PT to come out to the home to assist with walking. Mom's primary care physician prescribed home PT several times for Mom and the PT and Mom would go outside walking. This WAS covered under Medicare.
Hire a CNA to be present when the PT comes out. The CNA can work with Mom independently on the list of exercises. You will have to pay a 3 or 4 hour minimum for the CNA from most agencies. No one can afford to work for only 1 hour. The CNA can help Mom with laundry, making the bed, and meal prep. The CNA and Mom would do the above mentioned together.
Plenty of 90 year olds go to my gym in Florida. Most go 3 times a week but some go every day.
Exercise is strongly recommended for those in their 90's.
Find a local caregiving agency and hire an aid through them to come on the schedule you need. Be prepared for an hourly rate of anywhere between $35 - $45 p/hr. Where I live (in metro Minneapolis) I'm paying $46 p/hr for my Mom's care.
You can try to find someone privately since Peekskil is a sufficiently populated area. We are in a labor shortage right now and if you advertise publicly you risk getting some very sketchy people. Maybe try advertising at a nursing college?
You said that Care.com only gave you general information but I'm thinking you don't know how to navigate the website properly, or there are literally no people available for caregiving there.
When I was a CNA, I had any physical therapist that came to work with my patients teach me all the exercises and then I would continue to do them with my patients once the physical therapist was done. I would take advanced aged into consideration though... Sometimes simple chair exercises are good too... Just making sure that she's moving her feet and legs a little bit and arms...
Dear JoAnn29, The Putnam Valley Senior Citizens help center says she cannot get some to help her exercise under Medicare. I make this request as some who works on public health issues abroad. There is significant evidence that regular exercise improves the quality of life of elderly person. Such services are often offered in European countries, for example. When we visited my Mom recently, she could barely walk with a walker as she had been doing very little exercise. After spending a month with us, exercising ever day she was able to walk about a kilometer a day without assistance. I should note that my wife is an internationally recognized physician. An although we did not provide her any drugs we regularly exercised with her, exposed her to things that stimulated her mind (opera, concerts), and made sure she ate three nutritional meals a day. In any case, although we are not wealthy (I am a professor on a local salary at a university in Sierra Leone Annette attorney that only represents people pro bono), we are willing to pay for a person to come two or three times a week or even every day to help my Mom exercise. My query was about how to find such a reliable person in or near Putnam Valley or Lake Peekskill as the local senior services say this is not covered by Medicare and we have not yet enrolled her in Medicaid. Any suggestions you have would be welcome. Thank you in advance.
Thank you MG8522, we tried this but they only replied with general information. Any help on finding a reliable person for this task would be gratefully received.
PT ordered by her doctor will be covered. You can have a caregiver some out and do some things to keep mom moving. But honestly what purpose is there is having a 92 year old "exercise"? You do not go into detail. As I mentioned PT and if necessary rehab would be covered by insurance as long as she meets goals established by Medicare/Medicaid. If she does not meet goals and insurance does not pay then you can Private Pay for PT but it probably will not help her much at all.
You don't tell us why your 92 yr. old mother needs to exercise that much, but if you are concerned why don't you put a call in to her doctor and have them order some PT so a physical therapist can come out to her house as often as ordered. But guaranteed no doctor is going to order PT for a 92 yr. old 5 days a week that's for sure.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I do have a website suggestion for you; Google.
Google it. Look for a PT who comes to the home, or call and ask her insurance for a name, if they have one. It might be easier to find a personal trainer to come to the home, but please don't make your 92 year old mother do exercises 5 days a week.
If she is recovering from something and needs physical therapy, you can have her admitted to a short term skilled nursing facility for rehab.
Periodically the sessions would stop for a very short duration, I’d set up either a FaceTime phone call with the doctor or a visiting home visit with a PA, and the prescription for PT and OT services would resume, again covered by Medicare.
My Aunt had Medicare Part B and a Medicare Supplemental Policy, if that means anything. It was easier to get therapy services in her home for maintenance than it is in the nursing home, and her medical insurance coverage has not changed. Go figure.
We pushed walking for Mom.
Anytime we hired anyone we had to spell out Mom's walking schedule. We said Mom walks to the end of the farm lane mid morning and Mom does the same mid afternoon. You have to spell this out in America because many applicants assume home care jobs are about sitting and tv watching.
We had CNA's who helped with walking. We also had unskilled home workers who helped with walking.
I wasn't as successful in getting compliance with Mom's range of motion exercises given by the PT. We had one CNA who had trained as a PT assistant and she regularly worked with Mom on Mom's exercises. The other workers I don't think ever felt comfortable assisting with exercises,
I would google caregiving agencies in Mom's hometown and talk to the agency head about getting someout out to walk with Mom.
You can google personal trainers and the name of Mom's town and see if anyone is interested in the job.
If you get someone you need to be very clear and specify that the job is about walking and Mom gets walked at this time and you need to specify the distance. We also specified on a rainy day that Mom gets walked inside and I believe we specified that we go outside if temps are over 45 degrees and Mom would get bundled up in her puffer coat, hat, mittens and scarf.
As mentioned below, I was less successful in getting her range of motion exercises done.
One CNA lost 30 pounds just from walking with Mom (no diet changes.)
Best of luck to you. After working with Mom I am fully convinced that movement is really really key for seniors.
Your suggestions are very helpful. We live in a college town that has a PT program. I’m going to reach to them. Thanks
You could also hire a personal trainer to come out for an hour and walk with Mom and do range of motion exercises etc. You would need to google some local websites for this. You would pay personally.
I think getting a PT prescribed by the doctor would be better as they have a hire level of education.
A PT has years of training. A personal trainer has a weekend of training followed by an exam.
Hire a CNA to be present when the PT comes out. The CNA can work with Mom independently on the list of exercises. You will have to pay a 3 or 4 hour minimum for the CNA from most agencies. No one can afford to work for only 1 hour. The CNA can help Mom with laundry, making the bed, and meal prep. The CNA and Mom would do the above mentioned together.
Plenty of 90 year olds go to my gym in Florida. Most go 3 times a week but some go every day.
Exercise is strongly recommended for those in their 90's.
You can try to find someone privately since Peekskil is a sufficiently populated area. We are in a labor shortage right now and if you advertise publicly you risk getting some very sketchy people. Maybe try advertising at a nursing college?
You said that Care.com only gave you general information but I'm thinking you don't know how to navigate the website properly, or there are literally no people available for caregiving there.
You can have a caregiver some out and do some things to keep mom moving.
But honestly what purpose is there is having a 92 year old "exercise"?
You do not go into detail.
As I mentioned PT and if necessary rehab would be covered by insurance as long as she meets goals established by Medicare/Medicaid.
If she does not meet goals and insurance does not pay then you can Private Pay for PT but it probably will not help her much at all.
But guaranteed no doctor is going to order PT for a 92 yr. old 5 days a week that's for sure.