[Home] [Feedback] [Contents] [Search]  

     SeniorWebLinks.org Relative Information
Home Helpers
Google
 

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.

Seniors | Caregivers | Professionals | Calendar of Events | Senior Wisdom Project

Home
How This Works
Care Registration
Seniors
AGED
Provider Login
Health News
News
Hmmmm
About Us
Info & Articles
SWL Calendar
Providers

Funny

 

Requires a Java Enabled Browser.

 

              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:

  • Is this agency licensed and bonded?
  • Are all of your homemakers licensed and bonded?
  • What kind of training, if any, do the home health aides and homemakers have? (some home health aides may be a Certified Nursing Assistant, for example)
  • Do you have any caregivers that have experience with dementia?
  • How many years experience do your homemakers and home health aides have?
  • How long have you been in business?
  • Is there a minimum of hours?
  • How much does it cost?
  • What if the person gets sick at the last minute and can't make it?
  • Do you have an R.N. on staff?
  • Is live-in care available?
  • Do you have homemakers and home health aides who can drive?
  • If so, do you check their driver's license and insurance?

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:

  • What relevant schooling, classes, or education do you have?
  • How long have you been doing this?
  • What types of clients (range of disabilities) have you worked with?
  • Do you have experience working with clients with dementia?
  • Are you insured?
  • Are you bonded?
  • Can I have a list of 3-5 references?
  • What do you enjoy the most about being a home health aide or homemaker?
  • What do you enjoy least about being a home health aide or homemaker?
  • Do you drive, and if so do you have a current insurance and a current driver's license?

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:

  • Can be expensive.
  • May not always be able to find the right person.

Agency Pros:

  • They do their own payroll.
  • Have backup people if primary person becomes ill.
  • Most likely has R.N. on staff.

Independent Provider Cons:

  • Must do own payroll.
  • No back up support if independent provider is sick.

Independent Provider Pros:

  • May be slightly less expensive.

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:

  • the sudden onset of incontinence
  • the patient is less communicative
  • a loss or gain over 10 lbs.
  • the patient reports that the caregiver is not treating them well
  • any new bruises, scrapes or cuts
  • an increase or decrease in sleep
  • the patient appears fearful of the caregiver

Click on the Button to Search the Greater Central Florida Area for a Homemaker Agency

Search

 

In The News
Feeling tired all the time?  You’re not alone.  In fact, fatigue is one of the most common complaints that bring adults to doctors’ offices. Numerous studies indicate that people who see their doctor about fatigue have generally experienced it for a considerable length of time — anywhere from six months to several years!

Fatigue can be due to numerous causes, such as medical conditions like congestive heart failure, hypothyroidism or diabetes. It can also be a result of sleep disturbances brought on by menopause, or by physical changes that accompany aging. But while fatigue may be an inescapable part of life, there’s no need to take it lying down. Your body is geared toward generating energy as well as expending it. And there are numerous strategies to help regain the physical and mental energy needed to enjoy life to its fullest.

Eat for energy

The tried-and-true advice for healthful eating also applies to keeping your energy level high:

• Eat a balanced diet that includes a variety of carbohydrates, proteins, and fats with an emphasis on vegetables, whole grains, and healthy oils. Taking a daily multivitamin will ensure that you get the vitamins and minerals you need, but taking extra amounts of individual nutrients won’t give you more energy.

• Eating certain types of foods in particular amounts can help prevent fatigue. Because different kinds of foods are converted to energy at different rates, some — such as candy and other simple sugars — can give you a quick lift, while others — such as whole grains and healthy unsaturated fats — supply the reserves you’ll need to draw on throughout the day.

• Eat small, frequent meals. Where energy is the issue, it’s better to eat small meals and snacks every few hours than three large meals a day. This approach can reduce your perception of fatigue because your brain, which has very few energy reserves of its own, needs a steady supply.

Reduce stress

The most common cause of persistent fatigue is stress and the emotional response to it. People who feel fatigued most of the time don’t necessarily have more stress in their lives than other people, but they may be more sensitive to its effects. Stress-induced emotions consume huge amounts of energy. Relaxation therapy can be an effective tool for reducing stress and naturally boosting your energy, particularly when used in combination with cognitive behavioral therapy. Meditation, self-hypnosis, yoga, and tai chi are all relaxation techniques. One of the easiest techniques to use is progressive muscle relaxation, which involves systematically tightening and releasing sets of muscles, beginning with your toes and progressing up your legs, torso, hands, and arms. You might also consider other relaxation therapies, including aromatherapy and massage.

No matter what age you are, there are things that you can do to feel more energetic. Harvard Health Publications’ Boosting Your Energy report will help you take the first steps toward discovering the causes of your fatigue. This Special Health Report provides you with the latest information about fatigue and offers strategies to help you regain your physical and mental energy. The report discusses medical conditions that may be the cause of your fatigue as well as ways to naturally boost your energy.

Reprinted from Boosting Your Energy — A Special Health Report from Harvard Medical School, Copyright © 2007 by the President and Fellows of Harvard College. All rights reserved.

 
Awards
Place your content
here
 


Place

your

content

here

 

 

  Sponsored by

Home

Copyright 2007 Brio Consulting Enterprises, LLC.

Hit Counter

Last Modified : 12/11/07 02:59 PM