什么是家庭护理? As an increasing number of seniors choose to remain in their home rather than move into an 打开雷竞技 , the demand for home care continues to rise. Also called “companion care,” home care consists of non-medical services that allow an individual to receive assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs). In contrast, home health care consists of skilled nursing services that are provided in the home by licensed professionals such as nurses, physicians and therapists.

What services are provided through home care?

Seniors who require home care services often require assistance with ADLs or IADLs to remain independent.

ADLs generally include the following:

  • bathing
  • dressing
  • hygiene (brushing hair, brushing teeth, denture care, etc.)
  • toileting (including hygiene, use of incontinence products)
  • transferring (moving from bed to chair, walker to toilet, etc.)

IADLs generally include the following:

  • light housecleaning and upkeep
  • meal preparation
  • medication management
  • shopping for groceries or clothes
  • using the telephone to schedule appointments, etc.
  • managing money (balancing a checkbook, paying bills)

How often can the home care services be requested?

The frequency of home care services provided varies depending on several factors. The primary factor is the level of independence that a senior is able to maintain while ensuring their basic care needs are met. For example, a senior who doesn’t require assistance with ADLs may only need assistance with IADLs, such as house-cleaning, laundry and transportation to shopping once a week. In other situations, seniors may need daily supervision of particular activities in order to ensure their physical safety and well-being. For couples in which one spouse acts as the primary caregiver, home care services often serve as an intermittent, yet much needed break in day-to-day responsibilities.

Home care also offers flexibility as services can be arranged on a short-term or long-term basis. For example, services are often arranged for seniors after a medical crisis has occurred, such as a stroke or injurious fall. In such cases, temporary assistance may be needed while regaining strength and/or mobility. Services may also be provided on a long-term basis in order to allow a senior to receive care while their adult child is working during the day.

How much does home care cost?

A prospective home care client’s needs are determined by a licensed medical professional through an initial assessment. This process typically takes place at the home of the client but the location of the assessment varies as well. An assessment determines the frequency of care needed and thus the estimated expense based on an hourly rate. Most home care agencies have a four-hour minimum per day.

Senior Home CareAccording to the MetLife Mature Market Institute® the average hourly rate for home care services provided nationwide was $18 in 2008. If a client requires around-the-clock or overnight care, a daily or nightly rate is assessed and may cost approximately $150 to $375 depending on the geographic area.

While Medicare does not cover home care, those eligible for Medicaid may receive financial assistance for services provided in the home. However, most home care agencies do not accept Medicaid and thus private pay is required. For veterans or spouses of veterans, Veteran’s Aid and Attendance benefits may also be available. Visit http://www.veteranaid.org for general information about these benefits and the eligibility requirements.

A Caveat Regarding Home Care

It is highly advised to arrange for home care services through a reputable agency that is licensed, bonded and insured. Caregivers that advertise independently through newspapers or other means may not have the qualifications required of employees at home care agencies. By going through an agency, you’re ensured that the caregiver has gone through a state and/or nationwide background check and has completed formal training requirements.

Written by gerontologist Sara Shelton and Andrea Watts.

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家庭护理也被称为“伴侣护理”,是为那些需要日常生活活动和日常生活工具活动的帮助,但希望住在家里而不是搬到辅助生活社区的老年人提供的非医疗服务。雷竞技平台可靠吗家庭可以根据他们所爱的人的需要,定制家庭护理服务的频率。

随着越来越多的老年人选择留在家里而不搬到养老院雷竞技平台可靠吗打开雷竞技 在美国,对家庭护理的需求继续上升。家庭护理也被称为"伴侣护理",由允许个人获得帮助的非医疗服务组成日常生活活动(ADLs)和日常生活工具活动(IADLs)。相比之下,家庭健康护理由持证专业人员(如护士、医生和治疗师)在家中提供的熟练护理服务组成。

家庭护理提供哪些服务?

雷竞技平台可靠吗需要家庭护理服务的老年人通常需要adl或iadl的帮助来保持独立。

adl一般包括以下内容:

  • 洗澡
  • 沙拉酱
  • 卫生(刷牙、刷牙、假牙护理等)
  • 如厕(包括卫生、使用失禁用品)
  • 移动(从床上移动到椅子上,步行器移动到厕所等)

iad104h一般包括:

  • 灯箱的清洁和保养
  • 膳食准备
  • 药物管理
  • 买杂货或衣服
  • 用电话安排约会等等。
  • 理财(平衡支票簿,支付账单)

多久可以要求提供一次家庭护理服务?

提供家庭护理服务的频率因几个因素而异。主要因素是老年人在确保基本护理需求得到满足的同时能够保持独立的程度。雷竞技平台可靠吗例如,不需要adl帮助的老年人雷竞技平台可靠吗可能只需要iadl的帮助,比如每周一次的房屋清洁、洗衣和接送购物。在其他情况下,老年人可能需要对特定活动进行雷竞技平台可靠吗日常监督,以确保他们的身体安全和健康。对于夫妻一方担任主要照顾者的夫妻来说,家庭护理服务通常是一种间歇性的、但在日常责任中非常需要的休息。

家庭护理也提供了灵活性,服务可以安排在短期或长期的基础上。例如,服务通常是在老年人发生医疗危机(如中风或摔伤)后安排的。雷竞技平台可靠吗在这种情况下,在恢复力量和/或行动能力时可能需要临时帮助。也可以提供长期服务,以便老年人在其成年子女白天工作时得到照顾。雷竞技平台可靠吗

家庭护理的费用是多少?

一个潜在的家庭护理客户的需求是由一个有执照的医疗专业人员通过初步评估确定的。这一过程通常在客户家中进行,但评估的地点也各不相同。评估确定需要护理的频率,从而确定基于每小时费率的估计费用。大多数家庭护理机构每天至少有4个小时的工作时间。

雷竞技平台可靠吗高级家庭护理根据大都会人寿成熟市场研究所®2008年,全国范围内提供的家庭护理服务平均每小时收费为18美元。如果客户需要24小时或夜间护理,则需要评估每日或每晚的费用,根据地理区域的不同,可能需要大约150美元至375美元。

医疗保险不包括家庭护理,那些有资格医疗补助计划在家中提供的服务可能会得到经济援助。然而,大多数家庭护理机构不接受医疗补助,因此需要私人支付。对于退伍军人或退伍军人的配偶,退伍军人援助和出席福利也可以提供。访问http://www.veteranaid.org查阅有关这些福利和资格要求的一般资料。

关于家庭护理的警告

最好是通过有执照、有担保和有保险的信誉良好的机构安排家庭护理服务。通过报纸或其他方式独立做广告的护理人员可能不具备家庭护理机构员工所要求的资格。通过中介,你可以确保护理人员已经通过了州和/或全国范围的背景调查,并完成了正式的培训要求。

由老年病专家萨拉·谢尔顿和安德里亚·沃茨撰写。

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