Respite Elderly Care: Short-Term Relief for Caregivers

Respite care is senior care provided either in the home or in a senior living community that allows you, the primary caregiver, to take a break or get extra support. This temporary relief from caregiving duties frees up time for things like traveling, running errands, visiting friends, going to the doctor, or simply relaxing.

Respite care can be provided in your home by a home care worker, such as a certified nursing assistant, or through a short-term stay at an assisted living community or nursing home. Medicare may cover respite care in some cases. When provided in senior communities, respite care may also be called short-term care or short-term assisted living.

No matter where it’s provided, respite care services typically include assistance with activities of daily living (ADLs) and personal care, such as bathing, dressing, meal preparation, and transportation. Some people also use respite care to recover after a medical procedure or hospital stay.

Brenda Gurung, a Certified Dementia Practitioner and the founder of Be Growth Dementia Education, says respite care benefits both parties in a caregiving situation.

“You can’t pour from an empty cup, and respite care can be a gift to everyone involved,” Gurung explains. “It’s an opportunity for the family caregiver to rejuvenate and for a senior to spread their wings in a new setting of care, support, and empowerment.”

The type of respite care you set up for your loved one depends on several factors, including their needs and a location that both of you are comfortable with. Examples of typical options are senior living communities, in-home providers, and adult day care.

Senior living communities and respite care

Many people don’t realize that their nearby senior living communities may offer short-term respite care. This helpful option means you can get the temporary help you need without your loved one having to fully move into a senior living community.

Senior living communities with successful respite care programs provide their short-term residents the same level of care and attention as their full-time seniors. During a short-term stay at an assisted living facility, your loved one will experience the following benefits:

• Participating in daily activities, socializing opportunities, and dining among other seniors
• Personalized care, companionship, and transportation
• Skilled supervision on secure grounds
• Potential access to medical services, like on-site nurses

In-home respite care

In-home respite care typically covers a variety of nonmedical services for your loved one while giving you the break you need. Most in-home respite care professionals are trained to help your aging loved one with basic activities of daily living (ADLs) such as eating, bathing, and toileting. These caregivers can sometimes also assist with running errands and transporting your loved one to appointments.

If your loved one needs a higher level of care, you may need to search for a home health care aide who can provide actual medical support. These professionals have more advanced medical training and are typically certified to provide more complex care. This level of care may be necessary if your loved one needs injections administered or a catheter changed.

In some states, a home health care aide can help administer medications directly. In others, they can set up the medication or offer reminders to your loved one. If you’re unable to find the right aide, or if your state doesn’t allow necessary medication administration, nursing home respite care may be a better fit.

Read more:Moving Senior Parents Into Your Home? 8 Helpful Questions to Ask

Other respite care options

Depending on where you live, respite care may also be offered through the following:

• Volunteer organizations. People who love working with seniors volunteer through local and national organizations, such as AmeriCorps Seniors. Programs like these typically provide companionship and light care assistance for your loved one.
• State agencies. The National Respite Network offers a search tool that can help find respite care providers in your area. Further down on that page, there are links to state resources and more.
• Adult day care providers. Adult day care services can provide supervision, activities, personal care, and companionship. Although their hours are typically more limited than what’s available at a senior living community, adult day care can still be a way to provide caregivers the time off they need. The Administration for Community Living maintains a page on adult day care centers.
• Supportive care providers. Also called comfort care or palliative care, supportive care is usually meant for patients recovering from a procedure or other medical intervention. It also often coincides with ongoing medical care addressing a specific concern. Seek medical advice if you think this kind of care may be what your loved one needs.

Let our care assessment guide you

Scheduling respite care is only a click or call away, but it’s important to research and plan well ahead before booking the care you need. Be sure to give yourself time to fill out the necessary paperwork, reserve the services your loved one requires, pack their items, and understand the community’s medication policies.

Here are some tips for booking a short-term respite stay:

• Set up the stay far in advance. People sometimes book respite stays several months out to accommodate their preplanned vacation time and other events. This makes respite care harder to arrange during the holidays and summer vacation months, so don’t wait until the last minute.
• See if there’s a minimum-stay requirement. Some assisted living communities and nursing home respite care providers may require short-term residents to stay for a certain amount of time, which could limit your options.
• Know the admissions process. Be prepared to fill out a fair amount of paperwork with your loved one’s information. Communities must comply with state intake requirements, even for a short-term stay. You’ll also take in a lot of information about the community before confirming a reservation.
• Understand the cost and what’s included. Senior communities set their own respite care rates, and these rates vary. Ask if meals, amenities, activities, and outings are included in the overall cost.
• Ask about the medication policy. You may consider waiting before filling your loved one’s pill planner for the stay, because arriving with a large supply of medication might not be allowed under a community’s medication policy. Some communities require that each medication be dispensed individually from the original prescription containers.
• Decide what items to bring. What exactly does your loved one need to pack? What does the respite care provider offer? Ask for a copy of the community’s move-in checklist to ensure you bring what your loved one needs.
• Talk to your loved one about the upcoming change. Your relative may not like the idea of a respite care stay at first. Discuss how everyone can benefit from the temporary situation, and how you can be a better and more attentive caregiver after their short-term respite care stay.

The cost of respite care depends on the level of care your elderly relative needs, as well as the location. Below are the approximate median costs for each type of respite care:

• $170 per day in an assisted living community^[01]
• $285 per day in a skilled nursing facility^[02]
• $240 per day for eight hours of in-home respite care^[01]
• $95 per day in an adult day health care facility^[02]

Talk with a Senior Living Advisor

Depending on your situation, you may be eligible for financial assistance. Some people get paid to be a caregiver or use public payment options to help cover the costs of respite care. Here are some financial assistance options:

• Long-term care insurance. Depending on your loved one’s existing plan, coverage may be available for home health care or adult day care.
• Medicare. If the senior receives hospice care, the U.S. government’s health insurance program will pay for short-term inpatient respite care in a Medicare-approved facility, such as a hospital or skilled nursing residence. However, the approval process may be complicated and an enrollee may incur costs.
• Medicaid. This state-run program qualifies lower-income individuals for care services, depending on state regulations. Inpatient respite care is covered, but there are complex requirements.
• Veterans benefits. Seniors who are eligible for the VA Aid and Attendance benefit and who receive help with activities of daily living, such as bathing or dressing, may receive a supplemental income to pay for these services.

You’re not alone, and support is closer than you think. Our Senior Living Advisors can offer guidance on in-home care respite options, and they can point you to senior living communities that provide respite care — all at no cost to your family.

Original article by Haines Eason