Question re: Home Health Care with home health aides versus assisted living
I'm hoping to get some advice from this forum. I'll start off by saying that I'm an ICU nurse.
My grandmother (76 yrs old) recently had a debilitating stroke that left her with hemiparesis (one-sided paralysis) and global aphasia (inability to comprehend/express language).
While she may have suffered some cognitive decline, she is very alert and attempts to be interactive. She was living independently in a rural area away from all family members. After the stroke, we moved her to Miami to be closer to my dad.
She is currently in a nursing home in Miami. This is essentially her "nightmare scenario" as she never wanted to be in a nursing home. She built up significant financial resources to avoid this.
While I don't think it's realistic for her to live in rural Pennsylvania again, I wonder if she would be happier in a condo/apartment with round-the-clock nursing aides?
How do I even go about this? Her nursing home is highly rated by Medicare but I'm not sure that their criteria means anything to a patient.
Thanks for your help!
I am assuming that you are asking what is the best living arrangement for your grandmother. You may consider assisted living instead of independent living with 24 hour care. It can be cost more effective and less worrisome,to a point.
Assisted living is a more home like environment promotes socialization and allows an individual to be as independent for as long as possible.
Because I am a nurse, I will make you aware that I believe that assisted living gives families a false sense of security.
Many times things are missed because the staff may not have regular contact with a resident.
Because the resident is independent, there are different levels of care. If you need to have someone give you medications, then you will pay for that service.
At the present time, many AL's have staff that are not certifed nursing assistents, just aides with little to no training.
The individual giving medications can be an individual that is just a med tech or aide.
I am making you aware of this, as it is very important that she be close to family and family stay involved in her care and progress.
She will have the ability to come and go as she pleases and have overnight company,as if she was in an independent living situation.
There are some AL facilities that will allow hospice to come in when a person begins to deteriorate and allow them to pass in their own home.
You can find some AL listings at www.ourparents.com.
Ask to see their state survey and stop in several times before making a decision.
Having her close to family is the key to successful placement and peace of mind. Please feel free to contact me if you have any further questions.
Your Life Care Advocate