什么是家庭护理? As an increasing number of seniors choose to remain in their home rather than move into an assisted living community, 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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也称为“伴随着”家庭护理是不需要对日常生活活动的援助的非医疗服务,并希望居住在家,而不是进入辅助生活社区。雷竞技平台可靠吗家庭可以定制家庭护理服务的频率,以满足他们所爱的人的需求。

随着越来越多的老年人选择留在他们的家中而不是进入一个雷竞技平台可靠吗辅助生活社区,对家庭护理的需求继续上升。也称为“伴随着”家庭护理由非医疗服务组成,使个人能够获得援助日常生活活动(ADL)和日常生活活动(IADLS)。相比之下,家庭医疗保健由熟练的护理服务组成,由许可的专业人员提供,如护士,医师和治疗师。

通过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与ADL或IADL的帮助保持独立。

ADL通常包括以下内容:

  • 沐浴
  • 敷料
  • 卫生(刷牙,刷牙,义齿护理等)
  • 厕所(包括卫生,使用失禁产品)
  • 转移(从床上移动到椅子,步行者到厕所等)

IADL通常包括以下内容:

  • 轻松的优秀和维护
  • 膳食准备
  • 药物管理
  • 购物杂货或衣服
  • 使用电话计划约会等。
  • 管理资金(平衡支票簿,支付账单)

提供家庭护理服务的频率如何?

提供的家庭护理服务的频率根据几个因素而变化。主要因素是,在确保其基本照顾需要的同时,高级能够维护的独立程度。雷竞技平台可靠吗例如,不需要与ADL的援助的高雷竞技平台可靠吗级人员只需要与IADLS的援助,例如每周购物,如房间清洁,洗衣和运输一次。在其他情况下,老年人可能需要每日监督特定活雷竞技平台可靠吗动,以确保其身体安全和福祉。对于一个配偶作为主要看护人的夫妻,家庭护理服务通常作为间歇性,但在日常责任中仍然需要休息。

家庭护理还提供灵活性,因为服务可以在短期或长期基础上安排。例如,在医疗危机发生后,服务通常为老年人安排,例如行程或伤害跌倒。雷竞技平台可靠吗在这种情况下,可能需要临时援助,同时恢复力量和/或流动性。也可以长期提供服务,以便在当天的成年儿童工作时,允许高级接受护理。雷竞技平台可靠吗

家庭护理费用是多少?

预期家庭护理客户的需求由许可医疗专业人通过初步评估确定。该过程通常在客户的家中进行,但评估的位置也各不相同。评估确定所需的护理频率,从而基于每小时率的估计费用。大多数家庭护理机构每天至少有4小时。

雷竞技平台可靠吗高级家庭护理根据这一点Metlife成熟市场研究所®全国提供的家庭护理服务的平均每小时率为2008年的18美元。如果客户需要昼夜或过夜护理,则会评估每日或夜间率,可能会花费约150美元至375美元,具体取决于地理区域。

尽管Medicare.不涵盖家庭护理,有资格的人医疗补助可能会收到家庭提供的服务的财政援助。但是,最重要的是家庭护理代理商不接受医疗补助,因此需要私人工资。对于退伍军人或退伍军人配偶,也可以提供退伍军人的援助和出勤福利。访问http://www.veteranaid.org.有关这些福利和资格要求的一般信息。

关于家庭护理的警告

高度建议通过许可,债券和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宣传的护理人员可能没有家庭护理机构所需的资格。通过经过一个机构,您确保护理人员经历了一个国家和/或全国背景检查并完成了正式的培训要求。

由Gerontologist Sara Shelton和Andrea Watts撰写。

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