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How to find a live-in caregiver?

My Dad (76) has dementia, heart disease, and diabetes. He currently has two part-time caregivers and a home health nurse but is getting to the point he needs 24 hour care. He has always expressed his desire to stay at home and can cover the expenses financially. How do we find someone we can trust as a full time, live-in caregiver?
Status: Open    Jun 08, 2015 - 07:27 AM

Caregiving

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Jun 09, 2015 - 10:43 AM

Trying to keep Mom or Dad at home but finding that they just can’t afford 24 hour care? A live in caregiver just may be your answer. A live in caregiver typically works on a set daily rate rather than an hourly rate. The daily rate for a live in caregiver is much more affordable than the rate for hourly care, but you are expected to provide not only compensation, but also room and board (meals).

However, there are some caveats to be aware of. First, there are certain care situations where a live in caregiver will not work well, so it's not a "one size fits all." If a client is up several times at night with trips to the bathroom, and they are a fall risk, the caregiver should be providing standby support to keep them steady and avoid a mishap.

Some seniors lose some or all orientation to time, and they actively move around the home, or worse yet, wander outside the home at night. This would not be a safe situation for a live in caregiver. The care schedule must allow for a live in caregiver to be able to have sufficient rest at night, or they simply will not be an effective caregiver for your loved one.

Most home health agencies or nurse registries have at least some home health aides or certified nursing assistants that are willing to work on a live in basis. But before you call them, i t’s important for you to be aware that specific caregivers that work live in are NOT typically the same caregivers that work hourly. They usually will work one…or the other. A live in caregiver will be living in your home, away from their family, while hourly caregivers go home to their family each day. So it’s important for you to ask about their specific experience as live in caregivers to determine if they are a suitable candidate for live in work.

Different states have different regulations for live in caregivers. Some states make an exception for live in caregivers while others require that you strictly follow minimum wage laws. If you are hiring on your own, you should confirm the guidelines in your state. If you are hiring through an agency, they should be able to provide you with background checks and administer the compliance with laws and regulations.

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