The Pros And Cons Of Home Care

Medicare, the federal governments health insurance program, finances acute medical care for nearly all elderly Americans over the age of sixty-five. However, very few long-term care services are covered. Medicare finances long-term care only partially through it’s limited skilled nursing facility (SNF) and home health benefits. “Despite recent growth in spending on these benefits, much of the SNF and home-care paid for by Medicare remains short-term rehabilitative care, often related to a hospital stay or outpatient procedure. Medicare covers SNF care for up to 100 days following a hospital stay of at least three days. For homebound persons needing part-time skilled nursing care or therapy services, Medicare pays for home health care, including personal care services provided by home health aides.” (Feder, Komisar, and Niefeld) All that is not covered, the elderly are expected to cover with savings, private insurance policies, and financial support

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.

A nursing home isn’t the only option when a family member has trouble cooking, cleaning or caring for himself or herself. In home assisted living allows seniors to continue living in their homes with a little help. Since 2002, BrightStar of Northern Michigan has provided home caregivers who offer a variety of home care services, including skilled nursing and dementia care. The Traverse City, MI, home care provider explains how these services can benefit the entire family.

Many nursing homes assume in error that if a patient has stopped making progress towards recovery then Medicare coverage should end. In fact, if the patient needs continued skilled care simply to maintain his or her status then the care should be provided and is covered by Medicare.In fact, patients often receive an array of treatments that don 't need to be carried out by a skilled nurse but that may, in combination, require skilled supervision.Even in cases where the SNF initially treats the patient as a Medicare recipient, after two or more weeks, often, the SNF will determine that the patient no longer needs a skilled level of care and will

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

The decision of whether or not to place an aging parent into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count but we will address a few of them in the following paper, like the financial aspects, psychosocial, and meeting the overall needs of our ever aging parents.

Benefit provisions vary from one state program to another, but federal guidelines require all states to provide a minimum benefit package, including hospital inpatient and outpatient care, physician care, and many other services. In the area of long-term care, all states are required to pay for nursing home care, and they must also pay for home healthcare for those who are “nursing home eligible” which are those who would need nursing home care if they did not receive home care. And although federal guidelines do not require it, an increasing number of states also pay benefits for home and community-based services. These services may include personal care, home health aide services, rehabilitation, therapies, intermission care, homemaker services, and other services. In addition, a few states pay for long-term care services received in an assisted living residence. Unlike Medicare, with its highly restrictive conditions for payment of nursing home or home care benefits, Medicaid generally meets the need for long-term care (for those who eligible). Medicaid pays benefits for personal and supervisory care even if skilled care is not needed, and the program covers ongoing care needed to cope with a chronic impairment, not just care required for a short time to facilitate recovery from an acute illness or injury. However, there are some important limitations to Medicaid long-term care benefits: (1)

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

Accountable Home Care is a home health care service institution. Their home care agencies are located in Columbus, Ohio and Chagrin Falls, Ohio. Accountable Home Care provides home health care services to the areas of Columbus, Ohio, Cleveland, Ohio, Worthington, Ohio, Bexley, Ohio, Upper Arlington, Ohio, Mayfield Heights, Ohio, Beachwood, Ohio, Parma, Ohio, Solon, Ohio, and the surrounding areas. Their services include live-in care, personal care, homemaking care, Alzheimer’s care, respite care, hospice care, and transportation. Accountable Home Care offers free in-home assessments.

Don and Mary are not financially stable to pay for all the at home care they need, for long term health care is very expensive. They are often receiving financial assistance from family members. Just like Don and Mary, many people end up coming out of pocket to afford these services. “In 2008 the median annual rate for a private nursing home room was $67,525, compared with the 2013 median annual rate of $83,950” (Centers for Medicare and Medicaid Services, 2012). Don and Mary do carry Medicare insurance but they do not have long term health care insurance. Medicare will cover a portion of the long term care depending on the facility and the costs of care there.

In addition, Medicare is allowing the trend of home health agencies and technology to take over the need of nursing homes. Medicare only covers short-term stays in nursing homes, and they are pushing for older adults to age in place and stay within their homes (Leonard, 2015). This alternative allows for seniors to receive medical care, as well as social services in the comfort of their own home.

Overall the best option for the patient is a nursing home . Family members can hire full time nurses to take care of their ill loved one in their own home. Even though it sounds like a better option than a nursing home it can be more expensive than a nursing home . According to Planning for Care Cost “$20 per hour for a home health aide ,$68 per day for adult day services’ (Care Cost 1 ). These are some of the cost for having a nurse take care of an alzheimer patient , it doesn’t cover the medicine and other expenses they might need

To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.

During the last 20 years I have worked as a Support carer with home-care agency, care and residential homes providing care for the elderly and people with disabilities including Parkinson and dementia, brain juries as well as dealing with palliative care, peg feed, tracheostomy, Micky –button. I have experiencing with

Some cannot afford this because it is very expensive and some might not even have that kind of money to pay for a home care. Elderly people that cannot afford home care have to rely on the help from family members. Most need help from a caregiver because they cannot take care of themselves. Vision is also a problem for many elderly people. Frequently, they need help getting to places so giving directions is a good way to lead them. Elderly people tend to forget how to do basic things. Walking and going to the bathroom is one of the biggest problems because they are unable to accomplish it independently. Elderly people have assist rails to go to bathrooms and also to get in and out of their bed. Dressing is also a problem because some forget how to dress themselves or are physically unable to dress themselves. They require aid from another person. Those who have difficulty breathing have concentrators in either their house or room if they are in a assisted living home. Oxygen tanks are more useful when an elderly person goes on an outing. Besides experiencing physical needs elderly people also become very emotional.