A live-in caregiver arrangement can often be a viable cost-effective way to deliver round the clock care where a patient cannot be left alone for any variety of reasons.
Round the clock care on a long term basis is normally prohibitively expensive for most family budgets but a live-in arrangement can be a viable alternative to assisted living, memory care, or even a nursing home.
At The Home Care Company, we operate a live-in caregiver rotating either two or three caregivers for two to four day periods with the client.
The caregiver works for 12 hours in any twenty-four hour period and has four hours downtime for R&R and 8 hours of sleeping time.
Unless the caregiver is accompanying the patient on grocery shopping, visits to the hairdresser, doctor, or other errands, the caregiver cannot leave the home during her scheduled days, even during her down-time.
The caregiver is expected to be on-call and offer some flexibility with his or her down-time and sleep-time to accommodate the needs of the patient.
Having said that, if the caregiver is frequently disturbed during her sleep-time due to the patient needs (for example, if the patient is continually up and wandering the house during the night) then this is not a true live-in situation and the case would need to be staffed on an hourly basis, normally with two twelve-hour shifts per day.
As a live-in, the caregiver should be provided with a private room and with meals.
So far as possible, the caregiver will sleep when the patient is sleeping and rest when the patient is either with family, watching TV, or otherwise relaxing.
At The Home Care Company, all of our caregivers are experienced CNAs (Certified Nursing Assistants) able to offer personal care in addition to companionship and one on one attention.
Our caregivers are under the supervision of our Director of Nursing who is a registered professional nurse (“RN”) and will prepare, monitor, and update the plan of care.
Patient medication needs may require some attention when simple reminders are insufficient.
The Home Care Company can work with Medicare agencies or hospices where appropriate or provide nurse visits if there is no family member to assist with medications and in many cases, we can establish proxy caregiver arrangements to avoid the need for nurse visits.
The major benefit of the live-in service is the dramatic reduction of cost for one on one care.
Hourly care by most professional home care agencies will run to over $400 per day.
This is unsustainable on a long-term basis for most budgets but the The Home Care Comapny live-in service is offered at $264 per day, some 35% less expensive.
This cost will compare favorably to the cost of a nursing home and the patient can stay in their own home or with the family and, at the same time have the individual attention of a personal attendant who will establish a personal bond, where in many cases the caregivers will become among the most important personal relationships the patient will have in their closing years.
Key attributes of the The Home Care Comapny live-in service:
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