Full time at home care

[Anonymous]

How do you afford that? Do you have millions saved away to live at home? How much is assisted living?

[Anonymous]

Anonymous wrote:Around $30/hour, but you might be able to find someone for $25. It's very expensive. Much, Much cheaper to go into assisted living.

AL has no fall prevention component?

[Anonymous]

$33 for the good ones, not through an agency. This is a higher level of care but you’re on your way there.

You will also probably end up paying a lot of overtime. It’s pretty close to impossible to have 24/7 care with no gaps or overlaps and everyone under 40 hours. You have to give people a schedule that works for them.

So ultimately it costs north of $250k a year.

[Anonymous]

Anonymous wrote:Do you have the space for a live-in caregiver? Would be good for a college student. Would need to supplement during some off hours, but having asleep overnight care would cut costs.

This is a fantasy that isn’t possible even if it were allowed, which it isn’t.

[Anonymous]

Anonymous wrote:How do you afford that? Do you have millions saved away to live at home? How much is assisted living?

Yes, the family I know that is doing this has millions saved away and is spending a lot of it on this. I think they will end up spending $3m-ish out of pocket just on caregivers even with good (expensive) LTC insurance, depending on how long the person survives.

Honestly it’s not the worst thing to spend money on! The caregivers are amazing, they’re paid well, and it’s a steady gig for a reasonable period. They’re also in the will as a sort of severance.

It’s very inefficient. They’ve basically made their home a nursing home, with one patient. There’s a ton of admin. Just hiring/scheduling/other HR-type functions is a lot. Stocking supplies, etc.

I’m not sure I want this for myself, and not at all sure I want it for my spouse if they are healthy and I am sick. But it’s hard to say and hard to plan in advance.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Around $30/hour, but you might be able to find someone for $25. It's very expensive. Much, Much cheaper to go into assisted living.

AL has no fall prevention component? [/quote

There are bed monitors you can get in assisted living or for your home that alert you when the person gets out of bed.

[Anonymous]

To compare, if home care is $225–250-300k a year, what is nursing home a year?

[Anonymous]

Anonymous wrote:Do you have the space for a live-in caregiver? Would be good for a college student. Would need to supplement during some off hours, but having asleep overnight care would cut costs.

This would be terrible for a college student!

Why do people always suggest college students for this type of work?

[Anonymous]

They suggest hiring college students to get cheaper help. Nobody but low-status women who can't get other work want to work as essentially skivvies and servants. Rationalize all you want but your selfish loved ones get tended to on the backs of the servant class.

I'm choosing medical aid in dying in the early stages of Alzheimer's and leave as a full human being without dumping on "caregivers". Legal where I live.

[Anonymous]

Anonymous wrote:They suggest hiring college students to get cheaper help. Nobody but low-status women who can't get other work want to work as essentially skivvies and servants. Rationalize all you want but your selfish loved ones get tended to on the backs of the servant class.

I'm choosing medical aid in dying in the early stages of Alzheimer's and leave as a full human being without dumping on "caregivers". Legal where I live.

It’s all fine and good that it’s legal where you live, but what’s fascinating is that you find people who DONT live where you live “selfish” rather than “non-residents” of your location. Bless your heart

[Anonymous]

The expense of eldercare is exactly what some of us are talking about in other threads when people seem to think the elderly just suddenly die, or that they can stay home without much if any help. Those instances are rare.

Elderly can become like babies, completely dependent on having everything done for them, everything from bathing to eating. And if a son or daughter isn't doing it, someone has to be paid to do it. And that is expensive.

[Anonymous]

Just want to prepare you that even with 24-7 in home care you can't prevent all falls, but at least you have someone there if it happens. My FIL had a bad fall during in home PT for fall-prevention therapy.

[Anonymous]

Anonymous wrote:They suggest hiring college students to get cheaper help. Nobody but low-status women who can't get other work want to work as essentially skivvies and servants. Rationalize all you want but your selfish loved ones get tended to on the backs of the servant class.

I'm choosing medical aid in dying in the early stages of Alzheimer's and leave as a full human being without dumping on "caregivers". Legal where I live.

I actually had 4 college students caring for Mom. I would have preferred older women but women die young from bad health on the lower eastern shore of Md. Two were RN nursing students. One was studying for her BS in Social Work. One graduated in Mortuary Science. Most worked two jobs plus attended college.

[Anonymous]

Anonymous wrote:Just want to prepare you that even with 24-7 in home care you can't prevent all falls, but at least you have someone there if it happens. My FIL had a bad fall during in home PT for fall-prevention therapy.

For sure. “Fall prevention” is a complicated concept anyway. Because really for quality of life, you want to keep moving as much as possible, which risks falls. Like I could take to bed now and never get up and that would “prevent falls” but no one wants that. So it’s a balancing act where you’re trying to take good risks and mitigate them as much as you can.

[Anonymous]

Anonymous wrote:How do you afford that? Do you have millions saved away to live at home? How much is assisted living?

Yes, many people around here do. Assisted living not memory care is about $9-$15k a month for a decent place. Much cheaper.