We as a consumer are in a habit of shopping for the best phone deals or any other item deals. Now elderly who receive elder care services in their home will be able to do the same. Receivers have a great control over which provider delivers the required service they need in which they feel happy and satisfied. Under increased choice to receive elder care reforms, if anyone with home-care package is not satisfied with the service they are getting from provider, elders should be able to switch quite easily than the previous times.
Consumers should have true choice as to what services they get to help keep them at home, as long as it is done through an approved provider and fits within the budget. Consumers can top services up using private funds.
Elder care for seniors is healthcare and a personal care support that's provided in-home. It is designed to prevent moving to a nursing home or assisted living center. The thought of paying for an assisted living facility makes you satisfied. But there are some activities of daily living like dressing, bathing driving or grocery shopping that can become difficult for several seniors. In-home care provides elders with home health care, non-medical care and even companionship. By this one can keep individual independence and house. In-home care, professionals come to serve you. And with 80 million elders starting to retire at a rate of 10,000 a day, the demand for in-home care will only increase, meaning more competition, better service and lower prices.
Expectations of elders from Home care services
A survey shows that almost 90 percent of elders want to stay in their own homes as far as possible. The reason we can easily understand. Home is a place where you feel comfort.
If you move out to an unknown living community, you are starting over. You may have to share room with a stranger. With in-home care, you're able to remain as independent as you can be. The surroundings are well-known to you. All of this familiarity can help with your comfort. One survey found that those who received in-home care visited the doctor 30 percent lesser times than those that didn't receive in-home care. Elders with Alzheimer's or other dementia diseases, made almost 50% less visits to the doctor. As a team, home care workers can deliver most eldercare services that hospitals provide. Workers can be hired for complete caregiving needs, or they can provide rest for the person's spouse or other regular care provider.
Home care has more important benefits as compared with alternatives. For example, compared with living alone, receiving nurse-directed home care after hospitalization is associated with longer life and a lower risk of re-hospitalization. They also found that because repeated hospitalization was less likely with home care, total medical bills for heart patients were about 40 percent lower. In Comparison with moving to a nursing home or any assisted living center, benefits of choosing in-home care proved to be:
- Greater Convenience
- Better Quality of Life
- Lowering Medical Bills
Services provided to elders by home care services
- Providing company to elders so that they don’t feel lonely
- Providing physical and cognitive therapies
- Managing IVs and catheters
- Providing care for wounds from injury or surgery
- Monitoring heart rate and blood pressure regularly
- Providing commutation facilities
- Preparing meals and maintaining the home
- Educating patients and caregivers
- Offering enrichment programs like word games, painting, walking and attending prayers regularly
Who require what home care services?
A man who is having Alzheimer’s but otherwise he is physically healthy, he only requires help with bill payment, few appointments etc. He only requires licensed medical professionals like physicians, nurses, therapists etc. These days, there are several increased choice to receive elder care.
According to survey, what all services elders require are:
- 60 percent times elders need home-health nurses
- 55 percent need physical therapists
- 35 percent need occupational therapists
- 38 percent had at least one home visit from a medical professional or nurse practitioner
- 20 percent need home visit from a physician
One has to choose a home provider who understands the various stages of Alzheimer's disease and their symptoms. Most importantly, find one who also utilizes a person-centered approach to improve your elder’s quality of life by:
- Encouraging social interaction and engagement to the patient's level of comfort.
- Helping elders remain calm and keeping them safe.
- Understanding how to minimize cognitive and behavioral symptoms and outbursts.
- Adapting care methods and surroundings as needed as the disease progresses.
- Offering family support and updates regularly.
Non-medical professionals care
Non-medical professionals include home health aides, personal care attendants, homemakers etc. Home health aides can also help with cooking, shopping and laundry etc. Homemakers or companions provide service regarding light housekeeping, transportation and companionship. Alzheimer’s patient use companion to help them. Daily activities where they need help are bathing, dressing, feeding, grooming, oral care, walking and many more.
These elders also need assistance in housekeeping, laundry, change in bed-sheets curtains etc., shopping, transportation, cooking, managing money, managing medication.
Home care for Dementia patients
Dementia is a progressive disorder with a wide range of symptoms. Various forms of dementia include, Vascular Dementia, Alzheimer’s disease, Dementia with Lewy Bodies, Huntington’s disease, Parkinson’s disease, Frontotemporal Dementia, Normal pressure hydrocephalus, Wernicke-Korsakoff Syndrome, mixed dementia etc.
Because of such complexity of dementia and the fact that multiple symptoms are typically present, 24-hour monitoring is often required. Recognizing the symptoms and staging early intervention such as professional dementia home care, therapies and medication can help delay the progression of dementia and even reduce symptoms. Dementia patients usually suffer two or more from the following:
- Unbalanced movements
- Problem in focusing and concentration
- Difficulty in speech and communication
- Memory loss
- Problem with sound judgment
- Colour blindness or failure to detect movements
Hence, the goal of dementia home care providers is to help the elder live safely and comfortably in their home where they feel safer and experience less irritation and confusion. Knowing when to seek outside help and where to find quality care can be challenging, as it's essential to find a caregiver who's experienced and qualified to handle the various and ever-changing challenges of dementia sufferers. So, certified dementia care managers will be a perfect option for such elders. This helps ensure that your service provider is familiar with all stages of the disease, how it manifests and how to handle the symptoms. Things need to be taken care while selecting qualified dementia home care provider include:
- Certifications of competency in memory care in dementia backed by confirmed experience.
- The ability to lawfully administer medications, especially in the final stages
- The willingness to initiate stimulation and activities for memory support based upon the patient's current abilities and interests
- Experience in behavior management and the ability to calm patients without medications when possible
- One who aggressively recognizing new or worsening symptoms and is able to adjust routines to center on each patient's unique needs.
What type of elders require home care?
According to survey, elders require home care professional in situations like:
- Mobility issues – 60 percent elders faces this problem
- Weakness – 45 percent elders deals with muscle weakness, slow walking, exhaustion etc.
- Dementia – 40 percent have problems of dementia
- Alzheimer’s – 30 percent elders suffer from dementia
- Stroke – 23 percent elders suffer from after-effects of stroke
Home care provides help to a wide range of elders and their family members. Elders mainly choose home care when they are ill or recovering from surgery. They even require for daily activities because of inconvenience due to normal aging. Some elders’ home care needs are covered by professional homemakers, who provide companionship while also keeping house, helping with shopping and preparing meals. Other elders need assistance from people with medical training, such as entry-level health aides or skilled nurses. Many home care agencies have four-hour minimum shifts. Still it's possible to get care for an hour on a daily basis. Caregivers are also available for overnight stays.
Terms and changes required in elders
It’s normal to feel confused, vulnerable, or even angry when you realize you can’t perform the activities you used to be able to do. You may feel guilty at the prospect of having to rely on outsiders to do things you’ve been used to doing for yourself. Or you may feel uncomfortable about having unknown in your home. By acknowledging these feelings and keeping your mind open to new ways to make life easier, you will cope with your change in situation better.
- Have patience. Inability are a normal part of aging and losing some of your independence is not a sign of weakness. Allow yourself to express sad or frustrated about changes in your home care situation without beating yourself up or labeling yourself a failure.
- Be open for new change. Your nears and dears may offer suggestions about home care services to make your life easier. Rather than rejecting them out immediately, try to keep an open mind and discuss the options. Sometimes, new experiences and situations can lead to you developing new friendships or discovering new possibilities.
- Give a try to home care services. A trial run lets you have the chance to experience the benefits of home care services without having to commit to anything long-term.
If you’re choosing between home care and assisted living arrangements, firstly understand that neither is a perfect fit for all situations, and you may end up using some combination for some length of time. If you do have to choose, choose carefully to get the care that best fits your needs.