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How does live in care work?

My family is trying to determine if a live in is an option for our parents. My mother has dementia, and at the moment we have 3 caregivers doing shifts, but the cost is too great. What kind of additional coverage would be needed? Right now, the family is covering 8 am to 8 pm Saturday and Sunday, and this is a strain. How many hours per week would a live-in have off? How many hours in a 24 hour period? Do live-ins typically get vacation?
Status: Open    May 12, 2015 - 10:49 AM

Caregiving, Finance

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May 22, 2015 - 10:53 AM

A LIVE-IN CAREGIVER can be a very cost effective option to implement 24-hour care, potentially saving 50% or more compared to hourly care. However it is important to understand that live-in caregivers are not appropriate for everyone and for every care situation. If your parents are for the most part sleeping through the night, they have minimal need for support during night hours, and they can safely ambulate to the bathroom and back to bed during the night as the need arises, then you should consider utilizing live-in caregivers.

However, there are situations where, unfortunately, live-in caregivers are not an adequate or safe plan of care. Many dementia patients lose orientation to time, and as a result become quite active at night around the house. Even more concerning, they may think it's daytime or morning and wander outside, thus making the need for an "awake" caregiver very important. Keep in mind that many seniors experience a fall during the middle of the night when they wake up and ambulate to the bathroom. This danger is exacerbated if they are taking strong sleep aides and pain medications. With our senior population living longer, the number of dangerous and even fatal falls is on the rise. A fall is the number one sudden life-changer for seniors, and fall avoidance is critical to a proper care plan.

Note that some states have specific legislation regarding live-in caregivers, such as provisions for overtime pay and time off. If you are hiring a live-in caregiver on your own, then you should become familiar with your state's guidelines and follow them. If you are working through a licensed agency, they will ensure compliance and make sure that you have a backup replacement when your regular caregiver is ill or goes on vacation. Regardless, caregiver burnout can happen very quickly with live-in caregivers. Although you may find a live-in caregiver willing to work 7 days per week, it's always best - for both caregiver and patient - for the caregiver to have some rest and respite time. This can be accomplished by having one live-in caregiver during the week, and another for the weekend, or similar arrangement that provides some time off.


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By jeaninemcgraw3 on Nov 03, 2016 - 04:08 PM | Like (0)  |  Report

Please can someone help me out. Im knew to this live in caregiver this is my second job aa a live in. Am I suppose to give up my children and grandchildren I wasn't even asked about thanksgiving so I'm stuck not seeing my family I can't have them even come by for an hour to see them. I only get $1200.00 a month it's suppose to be room and bored included but I do not eat or drink like a 90 yr old woman. Her grown kids and grandkids great grandkids come over and told to fix lunch clean up after then and on top of it all the grown daughter when she comes fown to relieve me for the last week of the month still expects me to help she just orders me around expects to tell me when to go to bed when to get up. I'm confused on all this please help.

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May 18, 2015 - 11:11 AM

I think it depends on what you set up and with whom. Do you use an agency? Do you hire someone privately?

I think it is much like hiring a live-in nanny. I believe they are required 8 hours of uninterrupted time per day (i.e. sleeping hours) but have heard of families who utilize the time and payment structure differently if they hire a private aide. Most families who hire a live-in caregiver privately do in fact offer some compensation for time off after so much time of employment be it vacation or sick pay. It is a good idea if you intend to hire someone privately you ensure you are covered with insurance (if the caregiver becomes injured, etc) so as not to run into any problems legally. When you hire someone from an agency such items are most often covered by them. If you are hiring a live-in through an agency you will want to speak to them regarding specific requirements they have outlined for their live-in caregivers.


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