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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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A question has been floating around in my head since my husband came home from Memory Care. I am thinking ahead so that I know what my options are. Has anyone hired an RN to care for your loved one at home? Did you go thru an agency? How much?
I am a retired RN and after retiring from hospital working I sat ‘caregave’ for a few people’s LOs. It was a ‘casual’ arrangement since I knew the people and they knew me.
Unless an RN is retired and dabbling in home care to fill the time or earn a little extra they are going to demand a much higher level of pay than a CNA.
My niece worked as a caregiver during Nursing School. Her rate was $20/hour [suggested rate by Wife of patient] and she posted an ad on Care.com. She had a lot of experience [CNA for Cardiologist, part time caregiver for grandfather, and former teacher]. Her patient had a stroke, feeding tube, was in bed for several hours per day but with help and a hoist, could transfer to a wheel chair. She was also allowed to study/do research on laptop while he slept. It worked out great for all involved until her graduation.
I think an RN is unwarranted. A CNA is good for feeding bathing, etc but I don't think they can give meds or shots unless a Medtech. Now u come to an LPN. In some states they are allowed to give shots and are experienced in catheters, feeding tubes, etc. They r also trained in the same responsibility an CNA is. Here in NJ anyway. RNs are not trained in the responsibility a CNA is. They are usually in Administration or head nurses. Now remember I said here in NJ. My daughter has gone thru both LPN and RN training. It may be different in other states.
So it will come down to what kind of care will he need. An CNA at $20, an LPN at $30 or an RN at $40 an hr. Just curious, if in Memory Care why did u choose to bring him home? He will only need more and more care as time goes on.
Worriedspouse, I used a caregiving agency who had interviewed me and toured my Dad's home prior to me signing up with the agency. They would send out caregivers, usually not RN's as that would be quite expensive, but experienced caregivers. Dad was paying $30/hour for the caregivers. Cost depends on what is the going rate in your area.
Dad and I were quite pleased with the caregivers. Eventually Dad choose one that he really liked and she was helping Dad for over a year. For the weekend, Dad choose another one that he really liked, also over a year. Kinda like handing out a "rose" :)
Matching personalities was a big help. Both caregivers had similar family background and the same sense of humor :) Gave Dad and the caregivers a lot to talk about.
Eventually my Dad needed around the clock care which I couldn't do since I was a senior myself. Having caregivers around the clock was costing Dad $20k per month, yes per month. Dad decided to move to senior care where it was around $6k per month, even Memory Care. Dad went into Memory Care at the right time where he was still able to learn the floorplan of the complex, know the Staff, etc.
Be prepared to pay significantly more for an LPN and even more for an RN. I was shocked at the rates charged by an agency I planned to hire. It's getting close to my bedtime now, but tomorrow after returning from the SNF I'll look up some of the rates and post again.
I was quoted anywhere from $19 to $26/hour, but learned when I was ready to hire that that was only for nonskilled people. Medically skilled staff are billed at a higher rate. The agencies don't always tell you that!
The agency that I considered hiring had alternate rates - $x per hour, for a minimum of 3 or 4 hours (I don't remember right now), or a much higher rate for just one hour.
Perhaps the biggest surprise was that I specifically wanted someone, either an aide, CNA, LPN or RN, for pureeing food for a dysphagia diet. Although I spoke with 3 different people at different levels in the agency I was considering, and over a period of 3 -4 months, and was advised that dysphagia management wasn't a problem, when the actual interview and assessment was held, I was advised by the nurse interviewer that SHE felt dysphagia diet management was too much liability and they wouldn't participate in anything related to it. And before I was told that, I was ready to hire them.
Then the agency I did hire (a well known international franchise agency) sent someone who claimed until it came right down to the wire that she knew how to puree for a dysphagia diet. When I got out the food and food processor, she said she knew that the kitchen staff did the pureeing. She didn't know herself. Yet she represented to me when she first arrived that she know how to. I don't like liars.
So make a list of your husband's conditions and ask about each potential candidate's experience with that condition. I learned now to ask not if they knew how, but rather what kind of experience and how much of it had they had.
I also prepared a work scope with a list of activities to be performed. At the assessment with the liability conscious nurse, almost all of the proposed activities were eliminated, or kicked into a category that ran significantly higher than the mid 20's rate.
You (usually) don't need an RN or an LPN/LVN for caring for someone with dementia. Caregivers have enough training to handle almost all the problems of a person with Alzheimer's (feeding, bathing, dressing, walking, etc.).
You're going to spend a lot of money if you hire a nurse (RN/LPN/LVN).
Why would you need such an advanced level of care for your husband? Does he have dressing changes, insulin shots, feeding tube, colostomy, or some other advanced medical problem?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
So it will come down to what kind of care will he need. An CNA at $20, an LPN at $30 or an RN at $40 an hr.
Just curious, if in Memory Care why did u choose to bring him home? He will only need more and more care as time goes on.
Dad and I were quite pleased with the caregivers. Eventually Dad choose one that he really liked and she was helping Dad for over a year. For the weekend, Dad choose another one that he really liked, also over a year. Kinda like handing out a "rose" :)
Matching personalities was a big help. Both caregivers had similar family background and the same sense of humor :) Gave Dad and the caregivers a lot to talk about.
Eventually my Dad needed around the clock care which I couldn't do since I was a senior myself. Having caregivers around the clock was costing Dad $20k per month, yes per month. Dad decided to move to senior care where it was around $6k per month, even Memory Care. Dad went into Memory Care at the right time where he was still able to learn the floorplan of the complex, know the Staff, etc.
I was quoted anywhere from $19 to $26/hour, but learned when I was ready to hire that that was only for nonskilled people. Medically skilled staff are billed at a higher rate. The agencies don't always tell you that!
The agency that I considered hiring had alternate rates - $x per hour, for a minimum of 3 or 4 hours (I don't remember right now), or a much higher rate for just one hour.
Perhaps the biggest surprise was that I specifically wanted someone, either an aide, CNA, LPN or RN, for pureeing food for a dysphagia diet. Although I spoke with 3 different people at different levels in the agency I was considering, and over a period of 3 -4 months, and was advised that dysphagia management wasn't a problem, when the actual interview and assessment was held, I was advised by the nurse interviewer that SHE felt dysphagia diet management was too much liability and they wouldn't participate in anything related to it. And before I was told that, I was ready to hire them.
Then the agency I did hire (a well known international franchise agency) sent someone who claimed until it came right down to the wire that she knew how to puree for a dysphagia diet. When I got out the food and food processor, she said she knew that the kitchen staff did the pureeing. She didn't know herself. Yet she represented to me when she first arrived that she know how to. I don't like liars.
So make a list of your husband's conditions and ask about each potential candidate's experience with that condition. I learned now to ask not if they knew how, but rather what kind of experience and how much of it had they had.
I also prepared a work scope with a list of activities to be performed. At the assessment with the liability conscious nurse, almost all of the proposed activities were eliminated, or kicked into a category that ran significantly higher than the mid 20's rate.
You're going to spend a lot of money if you hire a nurse (RN/LPN/LVN).
Why would you need such an advanced level of care for your husband? Does he have dressing changes, insulin shots, feeding tube, colostomy, or some other advanced medical problem?