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

$11,000 a month in Maryland is the average cost of a nursing home. $132,000 a year.

Anonymous wrote:

Anonymous wrote:If you don't go through an agency, but just use people who are referred to you, say,from a listserv ("Our parent died and our wonderful caregiver is looking for work"), they will be less expensive.
If you don't need trained care, then consider this route.

the challenge is that if they are not able to come in, then there is no back up plan.

This. You can pay even more for a case manager and an agency that contracts with all providers to ensure there are no gaps, but even paying all that extra money, we found there were gaps. I will tell you the relatives we had who went to AL seemed to age much better. Having to use social skills, making new friends, going on outings with groups and getting feedback from peers if you are being rude really helps exercise the brain which is essential. Still cheaper to be AL with a personal aide than 24-7 at home with friends and neighbors moving away or distancing themselves.

Anonymous wrote:If you don't go through an agency, but just use people who are referred to you, say,from a listserv ("Our parent died and our wonderful caregiver is looking for work"), they will be less expensive.
If you don't need trained care, then consider this route.

the challenge is that if they are not able to come in, then there is no back up plan.

Start 4 hours a day M-F
Then 6 or 8 hours a day M-F
Then add in some time on weekends

Ease into it before you go 24/7

This is OP.
But full time I mean 24/7. She wants to remain independent and in her own home.

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.

Everyone thinks they will do that, but the reality is that most of the time by the time people get a diagnosis they are in a different headspace. It’s not like your today self will be in there. The urge to live is powerful and people believe themselves to be competent way past the point where they actually are.