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What is Home Care?

Struggling to care for a loved one? Explore how home care can provide relief, independence, and support tailored to your family’s needs.
Published on
December 18, 2024
Presented by Givers
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Many families struggle to care for aging or disabled relatives, and home care offers critical relief.

Home care (different from home health care) provides a compassionate option for family caregivers when loved ones need help with daily tasks like bathing or cooking. So, is home care right for your family?

Key Takeaways

  • Home care provides non-medical assistance with daily activities like bathing, meal preparation, and companionship.
  • Services include personal care, homemaking, companionship, and respite care tailored to older adults, people with chronic illnesses or disabilities, or those recovering from surgery.
  • Home care can be funded through private pay, long-term care insurance, Medicaid, veterans benefits, or nonprofit and community programs.

What is home care?

Home care is non-medical assistance provided to individuals in their homes to help with daily activities such as bathing, dressing, meal preparation, and companionship. It focuses on enhancing quality of life and allowing individuals, often elderly or disabled, to maintain independence in their homes.

Health aides and personal care professionals partner with family caregivers to develop a complete care plan that addresses personal needs while providing comfort and quality of life.

This personalized approach provides families with a sense of security and confidence in the care their loved ones receive.

Difference from home health care

Home health care and home care serve different purposes.

Home health care is medical care provided at home by licensed health care providers, such as nurses, occupational therapists, or speech therapists. It includes wound care, medication administration, physical therapy, and chronic disease management.

On the other hand, home care is more about non-medical support. It helps people with daily activities like personal hygiene, meal prep, and companionship.

Related article: What Is Home Health Care? >>

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Who are you caring for?

Home care services

In-home care services represent a flexible, adaptable approach to supporting care recipients with varying needs. Care agencies collaborate with healthcare providers to create customized support strategies that respect each client's unique circumstances. Families feel loved ones are receiving vital care tailored to specific needs.

Services range from a few hours of weekly assistance to comprehensive, round-the-clock supportive care.

Home care services may include:

  1. Personal care services: Assistance with activities of daily living (ADLs), such as bathing, dressing, grooming, toileting, feeding, and mobility support.
  2. Companionship: Provides social interaction, emotional support, and activities to reduce feelings of loneliness or isolation. This can include conversation, playing games, sharing meals, or accompanying clients on walks or events.
  3. Homemaking services: Help with household tasks such as light cleaning, laundry, meal preparation, grocery shopping, and home organizing.
  4. Respite Care: Temporary relief to family caregivers by taking over caregiving responsibilities for a few hours, days, or longer.
  5. Transportation: Help individuals get to and from medical appointments, grocery stores, social outings, or other essential errands.
  6. Meal help: Help planning, preparing, and serving nutritious meals, accommodating dietary restrictions or medical needs.
  7. Pet care assist: For pet owners, home care may include walking pets, feeding them, or ensuring their needs are met.

Who needs home care?

Home care services assist loved ones needing extra support with everyday activities. Unlike more intensive medical interventions, home care focuses on daily and personal care.

Those who might need home care include:

  1. Older adults who wish to age in place but need help with daily activities or household tasks.
  2. People managing chronic illnesses such as Parkinson's disease, multiple sclerosis, or diabetes.
  3. People with physical or developmental disabilities who require assistance with personal care or homemaking tasks.
  4. Patients recovering from surgery, injuries, or hospital stays who need temporary support.
  5. People with cognitive impairments like Alzheimer's, dementia, or other memory-related conditions.
  6. Family caregivers who may need respite care services to avoid burnout or attend to other responsibilities.
  7. People with mobility challenges due to injury, illness, or age.
  8. Adults living alone who may feel isolated and benefit from companionship, safety monitoring, or light assistance to maintain their lifestyle.

Types of home care professionals

Home care professionals provide non-medical services to support individuals in maintaining their independence and quality of life at home.

Let's look at the roles of different home care professionals:

Home care aides

Home care aides assist with non-medical personal care and daily living tasks to ensure clients remain safe and comfortable in their homes.

Home care aides typically require training or certification in caregiving and may need to pass background checks. Formal certification (like CNA) may not be necessary, depending on the state or employer.

Personal care aides (PCAs)

PCAs provide hands-on support for clients who require help with personal hygiene and other physical care needs. Their work is similar to that of home care aides but may focus more on direct personal care like bathing, toileting, and other hygiene-related tasks.

Minimal formal education is required of PCAs; on-the-job training or certification programs are often provided. PCAs typically do not provide medical care.

Companions

Companions focus on providing emotional support, social interaction, and supervision to clients who may feel isolated or need company. Their role focuses less on physical tasks and more on mental and emotional well-being.

No formal training is required, but they should have excellent communication and interpersonal skills. It is ideal for clients who need less physical assistance but value companionship.

Homemakers

Homemakers focus on creating a clean, organized, and functional living environment for clients who are unable to manage household tasks themselves.

No formal certification is required, but experience in household management and organizational skills is important. Homemakers may also serve as companions if the client desires social interaction.

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Can you get paid to care for your loved one?

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How to pay for home care?

Home care services are often not covered by traditional health insurance or Medicare, as they are considered non-medical.

Common payment methods include:

  • Private pay (out-of-pocket): Clients or their families pay for home care services directly, using personal savings, income, or other financial resources.
  • Long-term care insurance: Long-term care insurance can help cover the cost of home care services, but policies and coverage vary. It often requires pre-approval and meeting specific eligibility criteria.
  • Medicaid (state programs): Medicaid may cover certain home care services for eligible low-income individuals, especially through waiver programs for seniors or people with disabilities.  
  • Veterans benefits: Veterans and their spouses may qualify for assistance with home care costs through programs like Aid and Attendance or VA Homemaker and Home Health Aide Care.
  • Nonprofit and community programs: Some nonprofit organizations and local community programs offer subsidized or free home care services for individuals with limited financial means.

Dignified aging through home care services

Home care services provide a flexible way to help loved ones during difficult health changes. Family caregivers can make smart home care choices by focusing on independence, dignity, and quality of life.

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