It can be challenging to know where to start when you are investigating the types of care available to the elderly. Hopefully, this guide will give you some direction and help you match your needs with the services that are available.
There are two key questions you need to consider when choosing the right services for you and your family.
- Skilled vs. Custodial
- Home vs. Facility
Skilled vs. Custodial
Skilled care is provided by a nurse or licensed therapist like a physical therapist. This care is overseen by a doctor and is intended to care for medical diagnoses like heart disease, wound care, and diabetes or to care for medical devices such as tracheostomies or feeding tubes. Additionally, therapy services like physical therapy may be needed when recovering from a surgery or a recent fall.
Custodial care covers the basic activities of daily living (ADLs) that people need to live safely and comfortably. This includes bathing, grooming, light housekeeping, transportation to appointments, meal preparation, and transferring from bed to wheelchair.
Home vs. Facility
Home based care involves having care providers come to your home to provide either skilled or custodial services. Facility based care provides this care while a patient is in a bed at a hospital or nursing facility.
Matrix of Elder Care Options
The key two key questions can be plotted on a chart to show you a matrix of your elder care options.
CareNetLA – Home Care
For patients who need a little extra help to live comfortably in their own homes, CareNetLA would be a great choice for you. We have clients of all different types. We can care for clients with a wide array of needs. While some clients are very active and need companionship, light housekeeping and transportation to appointments, others need complete custodial care which would include dementia care, incontinence care, bathing, and transferring. Regardless of where you fall on this spectrum, we can find you the right caregiver and do so within a budget that you can afford.
These services are usually covered by Medicare or your insurance carrier. With Home Health, you will have a nurse or physical therapist come to your home a few times a week to provide skilled care such as caring for a wound or helping you recover from surgery. Home health services are not meant to be long-term, the services typically last for several months. If you need home health services, we have many industry contacts and can help you find the right agency.
Assisted Living Facility
There are many different types of Assisted Living facilities. Some facilities are just residential homes where there may be only 6 residents in the entire facility. Others are large and can have amenities like a swimming pool and a fancy dining room for meals. Assisted Living is not covered by insurance and is almost always an out of pocket expense. We have worked with many Assisted Living facilities in the past all across Los Angeles from Pasadena to Beverly Hills to Palos Verdes. We would be happy to give you Assisted Living recommendations based on our experience.
Assisted Living provides similar services to those CareNetLA offers except the services are provided while you live at their facility as opposed to in your own home. Typically, residents in an Assisted Living are there for long periods of time, not just a month of two. If you need short-term help for a few weeks or months, CareNetLA can provide an at-home caregiver on an as needed basis.
Skilled Nursing Facility (SNF)
Skilled Nursing Facilities are often called Nursing Homes. They are facilities where the elderly can go to recover from a recent injury or illness. Other SNF residents may be there long-term if they have a skilled need like a tracheostomy, which make them not able to live in an Assisted Living facility. SNFs normally do not have as many amenities as an Assisted Living Facility, but they will provide you with constant access to skilled care. There is always a nurse on duty. Medicare will cover a short-term stay in a SNF, but in the long-term, the costs will be out of pocket if you chose to remain there. However, Medi-Cal will provide long-term coverage for a patient to live at a SNF.