Over 44 million Americans spend time caring for a family member or friend who can no longer live alone without help. Too often family caregivers find themselves in the "middle" juggling caregiving with jobs and other family responsibilities. Paid care can supplement the care provided by families to help loved ones continue to live at home as well as offer family caregivers more time to manage the other elements of their lives. The National Alliance for Caregiving has developed a series of issues to think about and steps to take when families decide to bring in home care services, either through an agency or an independent care provider.
Considerations
1. Assess Family Member's Needs
The step is to determine the kind of care needed. Does your family member need assistance bathing, dressing and other hands-on care or just some help with shopping and cleaning? Is there a cognitive problem that poses a safety risk? Will the family member accept help? Remember that it is important to involve your family member in care planning discussions and decisions if they are able to participate.
2. Seek Professional Advice
Don't be afraid to enlist the assistance of a professional. There are many resources in your com-munity including the local Office of the Aging and the federal Eldercare Locator, a free service from the US Administration on Aging at www.eldercare.gov. You can also contact The Senior Living Specialists to assist in evaluating care needs and finding services.
3. Selecting a Care Provider
Help at home can come from a variety of sources depending on care needs. A home care agency that provides care ranging from companion care to personal care may work best when your family member needs help with daily activities such as dressing and bathing and household chores. If hands-on care is not needed you might approach an agency whose staff assists with shopping, laundry and similar tasks. An independent care provider can also be hired. Cost, staff availability and skill will factor prominently in your hiring decision.
4. Checking Background and References
Whichever option you choose it is essential that you check credentials and background, including criminal and driving records. If you are obtaining services through an agency, find out if the
agency is licensed, the type of hiring practices they use, including background checks, training and supervision. If you hire an independent person, it is very important to conduct a background check, obtain references and conduct an in-person interview. Remember, when hiring an independent care provider you will have full responsibility for supervision.
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