What Is 24 Hour Care / Live-In Care?

Live-In-Care and 24 Hour Care are perfect for someone who needs a Caregiver on-hand around the clock. They are wonderful alternatives to a Nursing Home but are very different to one another.

A High Care needs person wanting to stay living at home, can choose:

Option 1. Live-In-Care - 1 Caregiver covers 8 hours of active Care per day, but is on hand 24 hours. Each Caregiver stays in the house for 2-3 days at a time so only 3 changes of shifts per week are needed.

Option 2. 24 Hour Care - 3 Caregivers doing 8 hour shifts, cover 24 hours of active Care per day. Between 3 - 21 people are required per week and 21 shift changes are needed.

Sometimes people interchange the terms, 24 Hour Care with Live-In-Care. They are very different. Live-In-Care and 24 Hour Care are both for people who have high Care needs.

Clients may need help dressing and reminders to take their medication.  They may also need help going to the toilet, meals cooked for them or at least need supervision with cooking. They may get agitated easily and can't be left on their own. Additionally, they may be prone to falls and accidents so need supervision.

So many see their loved one with some or many of these challenges and believe the only solution is a Nursing Home. THINK AGAIN.

Nobody wants to go to a Nursing Home.

Statistically, there are some major benefits of In Home Care for the elderly, over a Nursing Home.

  • Your loved one will enjoy better nutrition because they can have meals they enjoy and can have help with eating if necessary.

  • Additionally, elders fall far more frequently in a Nursing Home than in there own homes; 30% more in fact.

  • Familiarity of surroundings is one factor that reduces falls. A change of environment is unsettling to say the least and adds to uneasiness.
Most importantly your loved one's quality of life will be much greater with personalised Care at home than living in a Nursing Home.
In Home Care Live In Care Caregiver sleeps with client sleeps

Option 1

The Caregiver works 8 hours a day while living in the client's home for a period of 2-4 days at a time. They sleep when the client sleeps so are refreshed for the next day of Caring. However they are also on-hand if the client needs assistance 1-2 times a night.

This type of employment has great benefits.

  1. Instead of having a possible 3 - 21 Caregivers over a 7 day period (needed for option 2) there only needs be 2 or 3 Caregivers over a 7 day period for option 1.

    Because the Caregiver gets a good night's sleep they are refreshed enough to provide 2 - 4 days of Care in a row. If the Care recipient needs assistance with toileting for example, the Caregiver can help a couple of times per night. They can't be up and down all night and be expected to be full of life the next day. If the Care recipient mostly sleeps through the night this is the best option.

  2. The pay rate for this type of Care is often a flat fee starting from around $400 per day.

  3. Caregivers really get to know their client with this type of Care. The client is more at ease with less people going in and out of the house all the time. The Caregiver gets to know when to be close to their client and when to provide more space. The nuances in health changes and personality shifts are easier for the Caregiver to pick up on due to such regular contact.

  4. This is a less intrusive type of In Home Care so the client usually prefers it plus it's much easier to manager.

  5. Live In Care is usually a lot more personable and sustainable. It can be in place for years if needed.
24 hour care in home care services direct, reading to client night shift Caregiver

Option 2

This is an expensive way to arrange Live In Care as it requires 24 hours of active Care. There are few circumstances in which a person would require this level of supervision. Palliative Care would often be appropriate for this type of Care.

Things to keep in mind when deciding on what type of Care...

1.  Three different Caregivers would be needed (day shift, afternoon shift and night shift) to cover the full 24 hours of supervision. The pay rate would need to be on an hourly basis and could easily range from $1,200 - $2,500 or more per day.

2.  If 24 hours of monitoring is not required, the first option of Live In Care is much more affordable and sustainable. It's much more cost effective without compromising on Care quality. In fact, the constant change of Caregivers in option two could put quite a strain on the Care recipient and be very unsettling. This would certainly be the case of the recipient was living with Dementia.

3.  Eventually, Caregivers, are going to get sick or go on holidays. In this option it would be harder to find a known Caregiver for the client compared to option 1 where 2 could share the workload of 3 for a short time. Continuity of Care is very important when providing quality Care.

4.  If your loved one needs 24 hour medical supervision, this would be the type of Care that would be most suitable.

Each client is different with different needs so there is never a one size fits all solution. It is reasonable to expect however, the person needing Care should be at least given the option to try some form of In Home Care if possible, before they have to accept life in a Nursing Home.

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