Welcome to SeniorWeblinks.org. This site is for all those looking for the resources to care for the elderly and disabled. We fulfill the educational mandate of A.G.E.D., a Non-Profit Organization. As such our duty is to provide you the education and resources to assist you with the care of your family, friend or client. SeniorWeblinks.org is a website created and maintained by medical professionals for anyone to use.
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What is a Caregiver or Home Helper? After making the decision that your parent or loved one requires some professional in-home assistance, the next step is finding the appropriate caregiver. Most caregivers either work for an agency as "homemakers" or "home health aides", while others are independent providers. Caregivers can be utilized on a short or long term basis. Short term care may include respite care or simple domestic chores to assist a patient who has undergone a brief hospitalization. Long term care may be used for more chronic health concerns, or for hospice care. Before embarking on the quest to find the perfect caregiver, sit down and make a list of the specific tasks you wish for the caregiver to undertake. What Services are Provided by Homemakers and Home Health Aides? Most homemakers can assist with the activities of daily living including, but not limited, to dressing, grooming, light housekeeping, meal preparation and cleanup, shopping, running errands, and providing companionship. Home health aides often have more experience with hands-on care (like bathing), not to mention that they usually have some training in providing appropriate mobility assistance for those who utilize a gait aid (walker, wheel chair, or cane). In determining the level of services you need, keep in mind that only a licensed Registered Nurse (R.N.) can assist with wound dressing, and dispensing and administering medication. Most home health agencies have an R.N. on their staff for this reason. Homemakers and independent providers without an R.N. can only prompt the client to take their medication. Who Pays for Caregivers? When utilizing a home health agency, the agency pays the homemaker directly, after withholding all applicable taxes. You are never responsible for paying the homemaker (should a homemaker ask for a wage increase or any money "under the table", notify the agency immediately). In some cases, a homemaker or home health aide may be hired away from the agency for a fee. You should check with the agency before discussing this option with a caregiver. When utilizing an independent provider, you are responsible for their payroll and for withholding all applicable taxes. With the exception of some long term care insurance policies (and these policies vary greatly), most caregiving services are only available through private pay. Home health agencies usually have a 4 hour minimum and charge anywhere from $15.00- $18.00 an hour, with R.N.s available for approximately $20.00 an hour. Some agencies offer 24-hour care and live-in arrangements at an additional charge. Fees for independent providers vary, but some can run as low as $10.00 - $12.00 per hour if their primary function is companionship. All providers may charge extra for mileage/gas fees. If you are eligible for Medicaid, contact your local In Home Supportive Services Agency through your local Area Council on Aging. They can often provide low cost homemakers. Where Can You Find Agency Listings and Independent Providers? Homemaker Agencies are usually listed in the yellow pages, or you can call your local Commission on Aging and ask for their Information and Referral services. In Central Florida you can use our directory , click here to find a service. If you or a loved one is coming from a hospital, ask the hospital's discharge planner who they recommend or utilize. Most often, patients are discharged from a hospital to some form of home care. If this is the case, look over your insurance policy to see what it covers (especially if you have long term care insurance). Independent providers are harder to find. Calling local retirement communities and senior centers is often a good way to locate independent providers. You can also contact your local Senior Information and Referral number for additional resources. Interview Questions for a Homemaker Agency If you have decided to utilize an agency to find an appropriate caregiver, ask the owner or agency manager some questions before hiring a homemaker or home health aide. Here is a sample list of questions to ask an agency:
Interview Questions for an Independent Homemaker Provider If you have decided to consider an independent provider, have them come to your residence on a day when you can observe them interacting with the patient. Additionally, you should consider asking them the following question:
If possible, take some time to observe the caregiver with your loved one. Do they seem compatible? Is the caregiver patient and even tempered? Do they seem to enjoy working with seniors? Make a list of duties and chores, including activities the caregiver can engage the client in, and go over these specific tasks with the caregiver. Answer any questions the caregiver has and give them a tour of the home. (Note: Always take precautions against fraud. Do not leave valuables out in plain view, or discuss finances with the caregiver.) What Are the Pros and Cons of Agencies Versus Independent Providers? Finally, when deciding between a Home Health Agency or Independent Provider, you must weigh the pros and cons of each, for example: Agency Cons:
Agency Pros:
Independent Provider Cons:
Independent Provider Pros:
What Do You Do After You Have Found the Right Caregiver? After choosing a caregiver, continue to monitor how well your loved one is adjusting to change in his or her routine. Some older adults may be resentful at first that anyone, other than you, is taking care of them. This will pass as you give the caregiver some time (and also encouragement) to bond with your relative. Take note of some signs that may indicate possible elder abuse (know that these changes may also indicate a medical decline, so notify the doctor should they occur) including:
Click on the Button to Search the Greater Central Florida Area for a Homemaker Agency
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