Elder Law Associates - South Florida Elder Law Attorneys
Home | About Us | Contact Us | Help
Florida Elder Law Attorneys: Elder Law Associates
 
Elder Law by South Florida's Premier Elder Law Attorneys - Elder Law Associates Estate Planning by South Florida's Premier Elder Law Attorneys - Elder Law Associates Special Needs Planning by South Florida's Premier Elder Law Attorneys - Elder Law Associates Guardianship Law by South Florida's Premier Elder Law Attorneys - Elder Law Associates

Florida Elder Law Blog - ElderLawAssociates.com

Florida Elder Law Blog - A blog by Elder Law Associates, South Florida's premier elder law attorneys, who handle elder law, medicaid planning, guardianships and much, much more.

Thursday, December 18, 2008

 

Hiring a Home Health Aide

Plan and consider before you jump.

Bringing a stranger into an elder's home is a big step and thought and consideration will go a long way in helping this big change be a success. First and foremost the elder needs to be involved as much as possible. How would you like having someone else arrange to bring a stranger into your home?

Start by making a list of which areas the elder needs help, such as cleaning and meal preparation, personal care like bathing and toileting or medical attention for medications, therapy, skin care, etc. A different type of aide is needed for the different levels of care. Will they need to drive and if so will the aide need to have her own car?

Next, how much help is needed, 4 hours twice a week, every day all day, or day and night? If someone needs to be on hand for 24 hours, will they be able to sleep through the night or must someone be alert at all times. This will determine whether you can have a live-in or if you will need shifts. A live-in is much less costly than shifts and helps to maintain a more stable situation.

Also critically important is the need to define a compatible personality that will interact well with your elder. Will the aide need to be able to keep control and be assertive, need to be tolerant of mood swings, need to play cards, or discuss current events, etc? With the needs defined you are now ready to start your search.

There are some community resources available for home care which may meet your needs. You can call the Eldercare Locator at (800) 677-1116 to learn what public agencies are in your area and how to contact them. However, most of these agencies are stretched to the breaking point and often will be unable to provide you with the level of care required, if they can provide any care at all.

Most areas have multiple private home health agencies available which you can find online, in the phone book and by asking for referrals. It is possible to save money by hiring someone directly, but if you have not had experience doing that, the choice can be fraught with obstacles such as medical screening, criminal background checks, payroll tax issues and more which you will have to handle yourself. You definitely do not want to have someone come into the house without the medical and background checks being made. If you do not have that experience, I strongly recommend you use an agency. Contact two or more different companies so that you will get more than one input about pricing, the amount of care needed, what type of aide, Home Health Aide (HHA), Certified Nursing Assistant (CNA), License Practical Nurse (LPN), etc. is required. Have them provide you a copy of their agency license, and referrals which you should call.

Determine whether the same person or persons will be providing the care. A revolving door of different aides is a prescription for problems. If it is a live-in will they really be there every day, or do they have obligations to a family and home. You may need two live-ins so they will they both be able to maintain a consistent schedule. If they will be driving get a copy of their driver's license and if they will be using the elder's car, make sure the insurance will cover them. Interviewing aides from more than one agency will give a wider choice of candidates. The first person you hire, or even the second or third person may not be the right one. Don't get discouraged, the right match is out there. Do not settle for someone that does not meet all your expectations.

It is also critical that you provide adequate supervision during the start of the process. If you do not live near by, you should get the help of a friend or relative. If there is no one, give serious consideration to getting a Geriatric Care Manager to help, at least in the beginning. Be sure to also ask your elder's opinion about the aide, but only when the aide is not present.

If you are not using a Platinum LifeLedger you will need to collect and make a copy available for the aide and the agency of all the many things they will need to know

Bringing help into the home is big project and you will need to be prepared for these new, added responsibilities. Do the best you can - perfect is not going to happen.

Labels:


Comments:
Having Home Health Aide and experience with aides in my parent’s nursing home I find it comforting to hear of the author’s feelings of gaining satisfaction from her career.
 
Post a Comment

Subscribe to Post Comments [Atom]





<< Home

Archives

January 2008   February 2008   March 2008   April 2008   May 2008   June 2008   July 2008   August 2008   September 2008   October 2008   November 2008   December 2008   January 2009   February 2009   March 2009   April 2009   May 2009   June 2009   July 2009   August 2009   September 2009   October 2009   November 2009   December 2009   January 2010   February 2010   March 2010   April 2010   May 2010   June 2010   July 2010   August 2010   September 2010   October 2010   November 2010   December 2010   January 2011   February 2011   March 2011   April 2011   May 2011   June 2011   July 2011   August 2011   September 2011   October 2011   November 2011   December 2011   January 2012   February 2012   March 2012   April 2012   December 2012  

This page is powered by Blogger. Isn't yours?

Subscribe to Posts [Atom]