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Long Term Care Vs Home Health Care

1827 words - 8 pages

Long Term Care Facility vs. Home Health Care Nursing
Karen Waite
Eng/102
July, 2014

Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a ...view middle of the document...

Healthcare facilities such as these assist with, wound and dressing care, physical therapy, occupational therapy, respiratory therapy, speech therapy and diagnostic testing on regular basis to insure your loved ones safety and over all wellbeing. The long term care facilities also take care of those that have an end of life diagnosis. Some individuals do not want to die at home, so they go into skilled nursing. Finally home health care by far the most affordable as mom is in her own home. Psychologically, home is a better place for mom. Mom would be around her own belongings, but is she safe there? Safety is a decision that family would have to decide on.

Home health care also referred to as domiciliary or social care is defined as medical or skilled care nursing provided in the patients home. It is important to note that home care is not skilled cared, and it functions much like an assisted care facility in the fact its goal is to provide assistance with the activities of daily living, such as laundry, shopping, and housekeeping. Un-licensed personnel (caregivers) who are not in their scope of practice to provide medicine administration, wound management, or other therapies like physical, occupational, or respiratory often administer this type of care. Home health care functions much like a skilled cared facility in the fact that licensed personnel provide many of the same services just in the patient’s home. Home health care, also has to be ordered by a doctor and has to be recertified for Medicare to pay. Plus, the family member has to be home bound and never leave the house except to go to doctors appointments. With home health care or a caregiver families have the issue of finding someone that is reliable and trustworthy. This poses another problem for many families.

This is a difficult choice faced by many families each year, and is an increasing burden on our Medicare/Medicaid system and family finances. It is estimated that the annual cost for providing care in long-term care facility is approximately $78,110.00 dollars. (Geewax, M. 2012). The fact that many people are living longer today than they ever have in history is increasing the overall cost of caring for family members in this traditional environment, and making it nearly impossible for the United States and American families to keep up with rising cost. According to the current statistics provided by AARP, the average person will spend about 2.44 years in a skilled nursing facility. With these estimates, the cost of providing skilled nursing care for just one parent is at about $190,588.00 dollars. Medicare covers about three percent of this cost in total or approximately $5700.00 dollars split over just first one hundred days. Medicare pays at one hundred percent the first 20 days. Then with Medicaid, the general rule of thumb is all personal holdings such as savings, properties and retirement funds must be expended prior to applying for the program. The one...

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