10 Things your Home Health Care Provider Won't
service could bankrupt you. Choosing to stay home is the easy part. Paying for it is
another question. Full time home health care can cost more than twice as much as standard
hourly rates. This means you are on the hook for the hours when your parents have no aide.
The fees, however, are just the beginning. Don't forget that if your parents live in their
own home, you still have to pay to take care of it. Also, tipping is also considered part
of the compensation. For example, some family members tip aides when an incontinent parent
has an accident.
2) The home modifications
alone could bleed you dry. Unfortunately,
the typical house isn't built for the elderly. The hallways and bathrooms are often too
small to accommodate their special needs. How much can this cost? Get ready. If someone is
relatively mobile, you may get by with spending $500-$1000 for a few properly installed
grab bars in the bathroom and at the top of the main stairwells. But the wheelchair bound
can require structural changes that could total $50,000.
3) Don't expect Medicare to
Pay for This. If you
thought the government might help out, think again. The government has started paying
agencies a flat fee for treatment. Consequently, it's in an agency's best interest to keep
costs down and provide your loved one with as few home health care visits a week. Since a
nursing home is cheaper, the government payout will stretch a lot further there.
4) You may be better off in
a nursing home. If a
love one needs 24-hour supervision, sometimes home health care is not best option. An
agency may even tell you your parents that their needs are too great for their service. If
it's necessary that every shift be covered, problems can arise. After all, like any
employee, a home health-care aide can catch a cold and call in sick. Another thing to
think about is how long your parents' money will last. If you plan to move them into
nursing home eventually, it's crucial that you do so before their income is depleted. The
reason: If you want to get a bed at one of the nicer residences, you'll need to be able to
convince management that you'll be able to pay its fees for at least a year or two. That's
because once your Mom or Dad is in, the facility has to keep them until they die.
Consequently, those facilities are very choosy about whom they admit.
5) Nobody wants to work for
us. Given all of the
horror stories about nursing homes, most people figure that while home health care is
expensive, you're definitely getting better quality service. Well, it doesn't always work
out that way. Most agencies are operating with temps from the Manpower pools. Part of the
problem is that in most cases, at least half of the fee you're paying goes back to the
agency. That means that the person tending to your parents is likely to be making less
than $20,000 per year. Nothing like relying on someone who is both overworked and
6) Our turnover rate is
surprisingly given the low pay and long hours-home care agencies have a terrible time
hanging onto their employees. The turnover rate in the industry is tremendous, meaning
that once your parent develops a good relationship with his or her daily caregiver,
there's a good chance that person may soon quit.
7) "Our staff steals." Theft is another big problem for the
home health-care industry. And because less than one in ten cases gets reported, it's very
hard to track. There has been an increase in the number of cases, but since the elderly
are often skittish about making accusations, the problems are probably bigger than the
numbers indicate. Older people with failing senses, sometimes worry that they might have
simple misplaced something. And if they like their caregiver, they might be afraid to
alienate him or her. Sometimes, the victims are simply unaware that anything has been
stolen. Indeed, that's what many of these aides are hoping for.
8) "We will neglect your
parents." Most experts
agree that your loved one is less likely to suffer neglect from a home aide than in a
nursing facility. Still, it's tough to find aides who'll give your loved ones the same
level of care you would provide.
9) "Good luck trying to
monitor us." One of
the toughest aspects of hiring a home health aide is trying to monitor the care. This is
especially difficult if the patient isn't cognizant. In these cases, it's important that
someone else be involved. You should treat home health care as your would childcare. No
one would just drop their kid off at the front door and never walk in. Also, while
interviewing agencies, ask how they monitor their employees. Some agencies have no
supervision and act like a temp agency for an office. The aides need to know that they're
not the only one taking care of this elderly person. Aides are mostly good, kind people,
but it can get discouraging for them if they think they are the only ones who care.
10) "You'd better have a
Depending on your home health-care aide to show up everyday on time is a gamble. So you'd
better be prepared for the times when he or she is late, can't get a ride or has the flu.
If you have an agency, the agency should be able to send a replacement. But you can't be
sure that there won't be some sort of interruption in care. The responsibility, of course,
is ultimately up to you.
|These are the real problems that you would
have to deal with. |
Not being in the know could make this a nightmare to deal with.
This is where you should let us help you. It all seems so easy,
or is it, let the experts guide you. This could all be a nightmare
or it could be easy and have peace of mind. Don't hesitate to
contact us, we take very good care of our seniors.