Age in Place just benefits the home care agencies who pofit IMO
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Anonymous
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If your parent is on Medicaid and requires a nursing home level of care, you can check out a program called PACE (Program for All Inclusive Care for the Elderly). If eligible, it provides services but allows the parent to live at home. www.npaonline.org/pace-you
The program is not yet available in DC (expected in 2022 per DC gov website) and northern VA, but it is in progress. The program is available in other parts of VA, Baltimore, and a number of other states. |
Anonymous
Why did you revive an old thread? Do you work for PACE? |
Anonymous
| Fatigue has really slowed me down, but I don't think I'm the type who will be happy in a care facility. I'd be climbing the walls. |
Anonymous
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Howdy. Hospital-based nurse here, in Montgomery County.
Anyone who categorically states that skilled nursing facility (sniff) care is better than in-home care **of an identical level** has never had a close loved one living in a SNIF. Given what I know from my job, I have a pact with close friends that they will help me take my own life if/when I'm in the position of having no other choice but to go live in a SNIF. I would rather be dead, humanely, than endure the kinds of suffering that my patients suffer. |
Anonymous
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agree. i think the home health agencies are kind of a racket. we had it last year for health and PT and they were horrible about scheduling and being on time. i am sure it cost a lot and they didn't do much at all.
nursing homes are also trying to drain you of all possible funds. too bad we can't all fall asleep on day and not wakeup the next. |
Anonymous
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My mom had some wonderful, caring home health aides 24/7 for the last 7 months when she was in hospice. Sure, there were a few duds who were phoning it in, and one who could never arrive on time for her shift, but you can talk to the agency and get different aides. But the two who split weekdays were just wonderful-one used to sing to my mom as she bathed her and my mom, who barely said more than a sentence for the last months, would always look up at her and smile.
IMO the people making money are the agency managers. Two aides came to us and offered to work for us directly so they’d get more $ and we’d pay less. The problem is that if someone got sick, we’d have no help, and Mom absolutely needed that 24/7 coverage and the agency’s ability to send someone to else. Medicare only sends someone twice a week, even for slime one who was bed-bound like my mom. Having seen a facility with lots of Medicaid patients |
Anonymous
Pp with the 23/7 aides again. Yep. My mom went to a nursing home 2 years before she died, for a period of a month. When they realized she wasn’t on Medicaid, they called me into a meeting and recommended a 6-month stay. Her doctor was incredulous. |
Anonymous
We couldn't get any support through medicare. Our only option for my MIL was a medicaid bed nursing home. Medicaid would not pay for any nursing care or support and I couldn't do it alone 24/7 after about a year so we had no other option. Its a bunch of bad choices. |
Anonymous
Medicaid told us they don't pay for home care support in MD. |
Anonymous
| I think it is difficult to generalize. But for sure, people who say aging in place is always better than a facility are completely wrong. |
Anonymous
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Aging in place is great if you have the house set up for it, enough money to pay for 24/7 care, and someone else not related to the care workers (not the manager, business owner, whatever) who oversees it all.
Very few people have any of the above. Basically, as stated above, most are frequently faced with a lot of difficult choices. |
Anonymous
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I am going through this right now with my parents... some reflections...
Aging in place is great until it's not... then you have to figure out a plan. There are a lot of options all over the spectrum and its hard to imagine how it will all work out. We had a great home care service and a wonderful aid. The director was a resource for us and I always felt gave us honest advice and never pushed us into anything that we didn't need. In fact, her advice now is to move my parents into a facility for better care. Assisted living facilities vary on their qualifications and what they can do for care. It is all over the place... we had one place tell us that assisted living wasn't right and our father needed to be in a nursing home, and another say he was welcome and they could take him right away. It is just how they are set up, what resources they can provide and what they think they can handle. On all of this we are private pay which is an eye popping cost no matter what you choose. It's all $$$$$ bye, bye. |
Anonymous
Same boat. Cost is staggering. More than most people make in a year. All post tax dollars, and not tax deductible if child is paying for the parents, rather than spouse paying for spouse. |
Anonymous
| Assisted living is expensive too. Anyone that is going to help you when you are sick or old is really just helping themselves to your money...including hospitals. |
Anonymous
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Aging in place at the family home is not always a good idea. My mother has dementia but is still very mobile Prior to living in a memory care unit, she did things that were very dangerous, such as wandering out in the middle of the night, turning on the gas stove and walking away, putting random objects (including metal!) in the microwave and turning it on.
For her, aging at home would mean needing to hire 24/7 help--alert, eyes focused on her, not even taking 30 seconds to use the toilet--help. Where my parents lived that would be at least $30,000/month, minimum. A locked down memory care unit is far better--it's specificlaly designed to not have dangerous things (like microwaves) accessible. |