This always makes me sad to hear the family elder said: "Mama I promise to never put her in a nursing home." This is simply a promise that most families today can not keep. If the care of a son or daughter finds that the break that promise, May they feel guilty for the rest of your life. Mom was probably asked for that promise, because the country remembers the dark, institutional places that would be considered substandard in America today. Today's family structure and financial challenges in elder care facility who do live a very common option. When the elder is showing signs of not being able to perform basic activities of daily living, family and concerned professionals to step in. It is actually against most state laws for a professional to be aware of elderly in need, without taking some reasonable steps to ensure their safety. There are many indications that the elder is no longer safe at home alone. The basic litmus test is to ask yourself is:? "Can this person to save himself, if their houses were in flames Would you be able to call 911 and to communicate their exact position if they are left alone at any time are at risk for physical abuse or financial exploitation? You have the skills and resources to meet their daily hygiene and nutritional needs? answer is "no" for many American elders who live alone house.
Independence vs. Isolation
Independence vs. Isolation
American Family dynamics and pressures of today's world
I hear people say "Americans do not care about their elders, as well as other countries do." Well it's not my iskustvo.Odrasle children to consult with geriatric care manager or other eldercare specialists are very concerned about their parents. They love them and wish them the best care money can buy. This is the clincher: what their money can buy. In America, caregivers, maids, etc., are expensive. Maybe in another country where slave labor was commonplace, people can not afford a lot of care. However, in this country it costs $ 12.00 per hour (or more) for home health assistants. In eight hours per day or $ 96.00 per day. That's $ 2,880 per month or $ 34,560 a year - more than the average working American earning godišnje.Prosječna woman gets a social security check of less than $ 500.00 per month. Do the math and you'll soon see that if you're rich, many people can not afford to keep their elders in their home with a caregiver part time or even a children's home with a caregiver.
Now, couple this financial problem with some other very real problem. Most middle-income women in their fifties, who care for their elderly parents, are also trying to hold down a job, help their young-adult children and maintain a marriage. If middle-income women stop working to care for her parents, she and her husband, or can not pay their bills or they must significantly reduce their standard of living. I know several men who were fifty-something and feel they have worked too hard and too long to have their dreams for retirement evaporate because someone else needs are suddenly more important than their own. Now that the Americans have come to grips with the concept that it takes two incomes to live well in this country, they are more determined than ever to have a pension. Paying $ 35,000 a year for the caregiver can take a huge chunk of retirement savings. Frankly, most people could not afford to do so, even if they wanted. Since most Americans net worth in the equity of their home, sold the family house is the most common way to finance senior care. If a family home sold for $ 100,000.00, and the average price Assisted Living Residence is $ 36,000.00 a year old can afford to live in that assisted living for 2.7 years. Coincidentally, the average amount of time people live in assisted living before moving to a nursing home is 2.5 years.
Many adult children, who have the desire and financial means to make their elders to live with them, still can not. They can not, for medical or psychological needs of older beyond their ability to manage. For example, if Grandma is sweet and docile during the day, but "Sundowns" or grows agitated as the evening falls, it is a difficult problem for family care. When some people with dementia or other medical problems, they can stay awake all night. They sometimes wander out of doors, or rummage through drawers and closets. This behavior will keep the whole family awake at night. If working families can not sleep at night, this situation will become unbearable very quickly. Some adult children are raised by violent, aggressive parents who are now violently aggressive elders. Children who are raised under these conditions does not feel obligated to bring their parents to live with them, regardless of the pressure can be obtained from outside who do not know the real story.
the elders and their families who are trying to make difficult decisions about the care of the elderly, benefit from a professional assessment of geriatric specialists. Professional care managers can offer an objective opinion based on clinical assessments of physical and cognitive status of an old man. Doctors, hospitals, case managers, object recognition coordinators and social workers can also offer advice on appropriate placement of the elder or even suggest how to set up services in the home to best suit the needs of elderly.
Home Health - stay at home without being alone
At the very least, any older living alone should have a medical alert system. This is a necklace or wristband with a panic button that can be pushed in case of emergency. If the button is pressed dispatch center receives a signal and makes the attempt to communicate with the elderly through the speaker located in the house. If the senior needs help or does not respond to attempts to communicate, emergency services will be sent home. Many services will also contact the family and friends to inform them as to require his pomoć.Dobar candidate for this device is one that does not have memory loss as well as memory loss makes it difficult to learn to do new devices.
There are two basic types of home health care services: Medicare and Private Duty:
Medicare home health is free, but can only be accessed if the doctor ordered. Medicare will approve a free home health services if certain events, as happened in recent hospitalization of three or more days, or recent changes in health status, etc. Medicare will send a nurse to assess the elder and the nurse decides If other professionals such as physiotherapists, social workers, dieticians, etc. need to perform the assessment. Each professional will determine what will provide the services and for how long. Medicare services temporary in nature and do not offer full-time nurse visits osnovi.Prosječna, assistant and therapist is less than one hour each. Even Medicare home health aides only stay long enough to bathe and dress patients.
Private Duty home health can be assigned on a full-time, part-time or live in basis. Many Long Term Care insurance policies will pay for home health care zaštite.Iznos can be obtained and length of service varies depending on who bought the policy. If someone does not have insurance, they must pay out of pocket (or private pay) for all services. Typically, private home care agency will provide services at least four hours a day. A typical eight-hour shifts 7 a.m. to 15:00, 15:00 to 23:00 and 11:00 to 07:00. Many complain that the elders of the agency sends them to different carer every day. To avoid the same aide, to as much as possible to him every day for at least eight hours. This will enable the Agency a schedule of the same person for all shifts. Because labor laws apply and the agency will have to pay overtime for any time over 40 hours a week, you will probably have a least two to three caregivers on a full time slučaj.Prosječna rate is $ 14.00 per satu.Live-in costs about $ 150.00 per danu.Živi to live in her home and drive your car (or for their mileage reimbursement), and you are expected to feed them and even if you go out to dinner. By law, the right to live there for two hours a day of free time. They can do whatever they like, including leaving the house during the break. If this arrangement will work for your situation, consider hiring an assistant for about an hour. Around the clock care is usually delivered in two shifts, twelve hours that they worked two different caregivers.
An assistant comes home from 8:00 to 20:00 and dismiss the second custodian at 20:00 to 08:00. Around the clock care can be delivered in many forms rasporedu.Live are expected to have their own private room and bathroom, although many agencies are flexible on this pitanju.Živjeti expected to be awake all day and have at least 7 hours of sleep at night. If older people did not sleep at night, live in concert will not work. One option is to live in ($ 150/day) plus hire a caregiver to come into the house and stay all night with an older ($ 14.00. Hour for eight hours of the night). It costs $ 112 + $ 150 = $ 262.00 per danu.Jedina other alternative is to get around-the-clock care, which will cost $ 14.00/hr X 24 hours = $ 336/day. Adding a shift of eight hours a night live, saving about $ 3,000 mjesečno.Branitelja aid and attendance Pension is available to qualified veterans who need a caregiver in their home on a regular basis.
types of adult housing and equipment:
independent living facilities typically offer a small apartment with some meals included in cijenu.Osoba who lives in an independent living facility is expected to manage their daily care on their own, but the staff will readily admit, if the increased need and help residents in obtaining needed help. Some objects have more concern for the additional charge to the population "age in place." Another May ask a resident to leave if their needs exceed the scope of this facility. Limited transportation is usually provided, although many people still drive when they enter independent living facility. These objects can cost anywhere from less than $ 1000 per month to more than $ 5000 per month depending on location and luxurious amenities.
assisted living facilities typically offer hotel room size with the ability to share a room or pay extra for private rooms. Three meals and snacks are usually offered as part of the price. Residents are expected to need some help with their daily care. Medication Administration strictly nadzire.Državni laws dictate who may live in Uzdržavanje.Država does not want to assisted living facilities to accommodate candidates nursing home or nursing homes to admit people who could work equally well in the assisted living facility. Assisted living residents must be able to walk and transfer (from bed to chair or chair stands) with the help of only one other resident osobe.Uzdržavanje can be left alone in his room for two hours or more. Nurses aides are on duty throughout the day. Registered nurses or licensed practical nurses on duty at least during the day. Many medical services can make rounds and visit the residents at least once a month. It is not uncommon for assisted living resident never have to leave the building for medical or beauty appointments. Prices range from less than $ 1200/month to over $ 8,000 / month, again depending on amenities. Medicaid is a program called Medicaid Waiver who can pay the cost of maintenance. However, funds have historically limited and waiting lists can be dugo.Veteran Aide and Attendance Pension is designed to financially assist qualified veterans who need the services of assisted living facility
Dementia Specific facilities are designed specifically for the memory impaired stanovnik.Zgrada, layout, furniture, decor, program, activity, and even lighting are scientifically engineered to enhance the lifestyle of people with dementia. Many assisted living facilities and nursing homes provide a program of dementia or dementia unit, but there are all facilities that specialize in this unique population. Dementia Specific facilities can be assisted living facilities or nursing homes. They are safe to prevent residents from wandering from the property and getting hurt or izgubio.Cijena for this extra level of protection is usually around $ 1,000 to $ 2,000 more per month than non-specialty buildings.
nursing homes are regulated and the state are inspected at least once godišnje.Osoba to be a nursing home typically can not live safely in the assisted living resident okoliša.Tipično or wheelchair-bound or bed bound. Those who can walk freely around the environment need home care, because they need constant medical nadzorom.Medicinska component of this environment is similar to a hospital or hospice postavljanje.Naglasak on rehabilitation and custodial care rather than socialization and activities. Medicaid Program ICP (institutional care program) will pay for room, board and medical expenses of those residents who meet financial and medical criteria. It is possible to plan ahead in order to be older in accordance with strict criteria.
The financial reality
Having elder at home with a caregiver may be the most expensive option of all. Many families feel keeping their loved ones in the comfort of your own home is priceless. If a paid caregiver expense of $ 14.00/hour, eight hours per day is $ 2,880.00 per month. Around the clock care exceeds $ 10,000 per month. Independent living facilities cost on average $ 2,300.00 / month and can not provide personal support. Assisted Living Facilities in the range from about $ 2,500 / month $ 5,000 / month and provide a limited concern. In the nursing home (without ICP Medicaid assistance) can cost from 5000.00 to 7000.00 $ a month and will provide a total care.
Anyone considering the health renting a house or moving into senior care facility of any kind should have your old current need to evaluate the expert who can determine over the current medical / psychological and material needs and anticipate future needs / solutions. With a careful, realistic planning, caring for the elderly may not be financial or emotional nightmare. Making the right choice for you and the older you care about is easier when you enlist the help of people who know the eldercare community and all it has to offer.