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My mother in law lives alone, until now she was doing everything her self, but now its going down the hill. so we need to do some struction in her life. I could do everything but medical, and she needs some activity.

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Wow, I feel for you all! Maybe we got lucky... but we love our gal! However, I will say we used a small local agency.. maybe they have more reason to be accountable?
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Oh, and the agency one stole my coat, a lamp, some plants and gawd knows what else along with throwing my mother's sweat pants in the trash.
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Reverse Roles, I also got burned by an agency "background checked" caregiver that they charged me $18 per hour for her to come out & sit on her butt. I got a lovely lady from website care and she has a slight disability. She can only earn so much. She is lovely. She lives in our home now, has been here 6 months. She is so professional and like our family. She worked with the public in retail etc for most of her work career. She understands that I'm tired from my job and tries to make my life easier AND takes great care of my mother. Good luck with your search. My lady was the FIRST person that I met from care.com. I had the opportunity to do a background check and I hired her on the spot.
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As I stated, not all caregivers from agencies are bad. 2 of the 3 I interviewed got arrested for stealing. within a year. I nearly died when I read about them in the newspaper. Yes of course there are very unprofessional people of care.com also, and all over the world. You have to pick and chose and be very strict about who you have. I have interviewed over 100 caregivers. My best caregiver is from care.com who has been with me 5 years. She retired after 30 years at a publishing company and is in her med 50's. She is now doing what SHE wants while she collects her pension, and that is taking care of the elderly. She got her liscense and does only home care and pays her own taxes. I have never found anyone like her. Thats the type of person I want, someone who loves doing it ,hard to find I know. If it were my Dad I would prefer a male caregiver as we did for my FIL when he was dying of cancer.
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I disagree about the agency CG. They may not all be educated, but the girl we have has been with us going on 2 years now. She is friendly and willing, and only on her kindle (not her phone) if Mom and dad are reading too, and she is done with her other stuff. We just need a companion/helper. The agency does the background check/ drivers licence check and provides the insurance and bonding.. something very important in this day and age of lawsuits! They also handle all the taxes, etc!
I checked into care.com when I was new to this. some of the "hoochie mama" pictures put me off... Yes dad perks right up when a pretty gal is around, but I don't need Ms Cleavage taking care of dad... some of the pictures were so not "professional" CG type photos.. more like dating site stuff. And I sure did not find any PhD candidates there! LOL
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I use care.com to find caregivers, interview via email, phone and then if they get that far, my home. I pay for 3 months on care(dot) com to find the right person. They provide a background check included with your payment of all the caregivers. I went thru many many many but found a few great ones! The cost is $79 for 3 months and then when you leave they offer you 6 months for $50 lol. I pay caregivers $12-$15 an hour depending on their experience. If its 3-4 hours I pay $15 an hour but if its a whole day I usually pay $12 an hour and never had a complaint in years. Good Luck
PS agency caregivers are not as good as finding your own, they are usually high school drop outs, or cannot do anything else. I dont mean all of them but most of them are because a friend of mine had medicaid for her mom and gets them free. She has sent some to me and they were horrible, uncaring, and want to be on their cellphone .
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In our area St Paul MN the Home Instead rate for 2013 was about $29/hr for 2hrs and slightly less per hr if you did 3 hrs. We learned that the franchise got most of that, the aide got about 10/hr. There were some issues we could not resolve and with it being really expensive, and not liking the aide, we now have 3 different private persons for $20-22/hr and this is much better.
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we have been looking at care. mom needs a break from us and we need a break too.they seems very reasonable and offer a lot of different services.
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Talk to her doctor and tell the MD what losses in functioning you see. Go with her to the MD, have him assess and recommend assistance in front of you, maybe even telling you to get the help which makes the MD the "bad guy". Then if it is in home help, it is about finding the right person. We had some very "energetic" helpers that were exhausting to be around. Now we have people who work hard, but seem calm, quiet, and flexible. Good Luck.
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See what her insurance can do first and contact them for arrangement. It will cost about 19.00 -20.00 dollar but short hours . Also check with aging in yourstate and what they recommend for your elderly parent. Also found someone in the family and them about 300-400 permonth to be your parent.
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Your county should have a Dept./Office of Aging; contact them for information and assistance.
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+1 on what ferris1 said..
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I have no idea what question about services you are asking. Please clarify.
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When my paralyzed-on-one- side wife was still at home several years ago I had nice ladies come in and provide companionship for 4 hours twice a week so I could have a break...I paid them $12 an hour for this service..they were not trained, just nice ladies....I also had "home instead" send CNAs on occasion...that was about 2008...I paid the company $16 an hour and they in turn took a profit and paid the CNAs whatever their wages were..
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You can often get meals on wheels to deliver 1 meal per day and some counties provide a service of sending someone in. Check with the county in which you live. She may be able to get help she needs free. If she's on Medicare, have her doctor send in a request for nursing. It is not every day and it doesn't last forever, but it's a start.
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Through Council on Aging in Hamilton Co, Ohio, I was able to get mom in a daystay program 3 days a week but she hated it. Now she gets 7 hours a week with an aide from Helping Hands.
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I have caregiver service thru an agency ... They charge $19-22 per hour and require a minimum of three hours per visit. There are several franchise agencies...i.e., ComfortKeepers, Helping Hands, etc. google for your area.
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If she needs structure in her life, perhaps sending her to adult day care would be one possibility . Contact you local area agency on aging to find out what options exist in your area.
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What cost are you asking about? Caregiver, companion? If you do everything but medical, what else does she need..I am not trying to be critical but do not understand where you are coming from....please forgive me if my comment seems blunt....I just don't understand what you seek to know.
Kind regards,
Bob
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