Friday, July 29, 2011

How to Find Professional Caregiving Help

When caregiving, there may come a time when you will both need and appreciate some extra help to provide care for an aging parent/friend or spouse. With increased responsibilities along with any straggling emotional baggage, it can be immensely difficult for a caregiver to go it alone. Outside help can be of tremendous value to a caregiver … these are professionals who have previous related experience with any number of health conditions. They will know what to do, when to do it and how to do it. Equally important, involving a healthcare professional in your loved one’s care will free up your own time to enjoy some much-needed respite.

The questions are not so much when to reach out for additional help (this will vary dramatically based on a situation and one’s readiness to make that decision), but instead how do you find, hire and involve these workers with your loved one? This is a serious matter … you must find someone who is experienced, qualified, responsible, trustworthy and conscientious.

To find professional healthcare staff, you will have numerous options. First, check your city’s telephone directory under “Senior Care” to locate local businesses which can be of service to you. Considering our country’s rapidly aging population, such companies are sprouting up – this is a very good business to be in. With the increasing number of senior support services opening, you should exercise caution that your choice is bonafide. Has the staff undergone criminal checks? Are they bonded? Can they provide references? Does the staff have related experience with your loved one’s health condition? What does the business charge? Do you want to hire full-time or part-time help (perhaps you or another family member can assist so as to cut the costs). If you cannot find suitable local help, can you look farther? Note that more distant care companies may charge additional mileage for their workers to visit. Don’t be shy with asking questions. After all, you are representing your loved one’s best interests.

When it comes to hiring from an agency, take note that such places cannot guarantee the same worker each and every time. Having a different face show up may easily confuse an aging senior.

Second, you could advertise in your local newspaper’s Classified Ads. When my family was searching for someone to help manage Dad’s care, we placed a “Help Wanted” ad. This ad was not that costly and ran over the course of a weekend to ensure the best readership. Collect resumes and schedule personal interviews. You won’t be able to best judge an applicant’s character and/or personality when communicating by telephone or e-mail. As with a healthcare agency, screen a potential hire carefully and completely.

Third, ask around. Your own family, friends and/or business colleagues may be a wealth of information. You can also step outside your immediate social circle … does your loved one’s doctor know of someone who might be able to help you? Perhaps someone will know of someone that he/she could recommend? Maybe you could post an ad on a bulletin board at your neighbourhood grocery store or in your church newsletter? If Mom/Dad is in a care facility, mention your job opening to the facility staff. It is quite possible that these employees may well work a combination of part-time jobs and may wish to substantiate their income. If nothing else, perhaps one of the facility staff may be able to recommend someone else?

Sunday, July 17, 2011

Communicating Without Words

With walking though a local shopping mall yesterday, I spotted an elderly couple happily strolling along hand-in-hand - a touching sight! I was reminded that I did this myself with my father in his later years ... Alzheimer's disease had robbed him of his abilities to speak.

Hand-holding provides a means of unspoken communication ... it provides a means to connect with someone when you either have nothing to say or someone has the inability to respond. A warm touch or a gentle squeeze shares a strong message.

Carrying this idea further, there are ample other opportunities for continued physical contact even when your loved one is in long-term care. If a person remains bed-bound, you could provide a soothing shoulder massage. Should someone be more mobile, try hugging him/her.

Whatever you do with offering physical contact, do so slowly and gently as not to raise undue alarm. If a senior can still understand and communicate, ask for permission.

With thinking back to the elderly couple in the mall, hand-holding showed the world they loved and cared for each other. Far more importantly, hand-holding showed each couple partner the love and commitment he/she shared with the other. On your next visit to see Mom/Dad, try this out for yourself ... it is such an easy thing to do and it means so much.

Saturday, July 2, 2011

Caregiving Costs - Are These Affordable?

I recently guested on CBC Radio's Alberta@Noon program (hosted by Donna McGelligott). The show is based out of Calgary but was broadcast to a provincial audience ... Donna introduced me, asked me some preliminary questions about my own caregiving experience and my book and then opened up the phone lines to take some live calls.

During this live Q & A session, I was asked about caregiving expenses ... how much can a family expect to pay for care for their loved one? I didn't have that information with me so I wanted to share what I found later through this blog.

Caregiving expenses, of course, can vary dramatically ... this will depend on the type of facility you place Mom or Dad in as well as the amount of outside help you hire. Continuing care facilities offer different programs and services and there will be extra charges (please watch out for hidden costs). In addition, there are both subsidized long-term care facilities as well as more and more private retirement care facilities springing up. The price differences here are astronomical! Are you sitting down? Here are the approximate costs (which can also differ dramatically, based on where you live in Canada):

Room in a subsidized long-term care facility = $1,600 - $2,100/month
Room in a private care facility = $2,400 - $9,000/month
Hiring a personal service worker = $20 - $25.00/hour
Hiring a Licensed Practical Nurse (LPN) = $50 - $60.00/hour
Hiring a Live-in Caregiver = $20,000 - $25,000/year
Retrofitting a Senior's Home to Remain Livable = $15,000 - $25,000

Ouch! Yes, the costs associated with caring for Mom or Dad can hurt. Even if your family is financially comfortable, paying these amounts can prove to be a hardship. Here's hoping I have now answered that question and I have one in return ... can you and your family afford to support Mom or Dad?
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