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Home Care or Nursing Home?

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Consider yourself as someone (elderly) who needs to make a decision about form of care services. What would be your choice if you would have to choose between home care services OR a place in nursing home?

Home Care
Wellbeing
Elder Care
Jari Henrik Helenius
20 months ago

21 answers

2

I would have to say "home care" service. The quality of life is critical at all points of our lives. I believe that home care provides a better quality of life and environment for those needing care. Nursing homes are not closely regulated as they should be. The staff is sometimes overworked or lazy and tend to lean toward negligence. Nursing care in the home provides a different environment and culture of safety for the both the patient and the medical professional.

PAMELA DOTSON, M.S., MHL
20 months ago
Agreed - Dr. David E. 7 months ago
Right home care service is better than nursing home service - J N Das 7 months ago
While staying in the comforting surroundings of our homes is what most of us would prefer, just saying so isn’t going to make it happen. Unless you have a written plan and the finances to carry out that plan, the chances are high you will not be able to afford living in your home once you need daily assistance of some type. - Dr. David E. 7 months ago
2

Home care for as long as possible. Familiar surroundings, being with family, increased likelihood of visitors all contribute to a better quality of life. I would choose home care for as long as possible from a care and financial perspective.

Carolyn C. Tinsley, MHA CLSS GB
20 months ago
Yes - many thanks - Dr. David E. 7 months ago
How ever in case of medical treatment all facilities shall not be available as per need. - J N Das 7 months ago
About 14 percent of all people over age 64 have two to three chronic conditions that negate their ability to live independently. According to the U.S. Bureau of the Census, 5 percent of people over age 65 live in nursing or assisted living homes and 25 percent of them will spend some time in one. The chance of a stay in a nursing home increases 1.4 percent a year from age 65 on. Almost 50 percent - Dr. David E. 7 months ago
2

It's hard to answer this question because there are so many variables. Home care may seem like the obvious answer but it's not always the easier option. Having people come into your home is a difficult transition and dynamic for which many are often unprepared. I think the key is autonomy and having as much control over the decision as possible. If you are able to choose the best nursing home available, instead of being rushed into the only place with an open bed, you may be just as happy with your decision as you would be if you chose to stay home and were able to line up competent care. However, some home care providers are not reliable or trustworthy, and in those cases, you may feel trapped in your own home. It's not always so black and white that home is best. Planning ahead and planning for various scenarios is the best way to go about these difficult life transitions and decisions.

Michelle Seitzer
20 months ago
Agree - Dr. David E. 7 months ago
Medical facilities are available in nursing home. - J N Das 7 months ago
If you’ve ever visited someone in a nursing home, chances are you walked out afterward vowing, “I’m never going to end up in a place like this.” That vow is one most of us would make. Keeping it, however, is another matter. - Dr. David E. 7 months ago
1

I would have pick "home care" type services. You have a greater control over the person who is caring for you and the ability to remain in your own home. Additionally the ability the to maintain your independence as long as possible has a much better appeal. Nursing Homes may have some good qualities in that they offer companionship possibility, and all around care but it difficult to find one that is reasonably priced and has a completely diligent staff.              

Christine Bastone
20 months ago
11 pm - 7 am staff is always difficult to vett - Dr. David E. 7 months ago
Nursing home Will take care of medical treatment. - J N Das 7 months ago
Dying should not be a for-profit industry. - Dr. David E. 7 months ago
1

The newer model seems to be a mix between the two- centralized housing units that are easily accessible by medical staff but still have the ability to be surrounded by familiar furnishings and freedom to move about as one chooses.

Luke Boyer, Ph.D.
19 months ago
Thanks - Dr. David E. 7 months ago
Luke, noticing more and more builders catching on to the 'multi-generational home' trend. No doubt that homecare would be preferred choice over nursing home, but many factors to consider. Level of care needed, access to homecare support, privacy issues. Ability to maintain separate space to care for loved ones is becoming increasingly relevant. - Lori 7 months ago
Good comment, thanks. - J N Das 7 months ago
To be a thought-leader ahead of the curve, the newest aging trend is away from LTCI and toward sheltering at home – living at home and dying at home. Perhaps, this is the way it should be. - Dr. David E. 7 months ago
0

At home, it is easier to stay there and I know where everything is! Luckily, my 93 year old father had me brother living with him - so it doesn't get lonely!

Marybeth Regan, PhD, DBA
312-497-3000

Marybeth Regan, PhD, DBA
20 months ago
Lucky for all concerned - Dr. David E. 7 months ago
Thanks. - J N Das 7 months ago
Germany introduced mandatory long-term care insurance in 1995. Japan and France also have a LTCI tax funded insurance plan. And, the poor utilization and growing risks associated with long-term care insurance, are leading a growing number of insurance agents, financial advisors and Certified Medical Planners™ to recommend alternatives to their clients. - Dr. David E. 7 months ago
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Marybeth Regan, PhD, DBA
20 months ago
LTCI = sketchy - Dr. David E. 7 months ago
0

I would prefer to stay at home and have home care. I would feel more comfortable at home and would want to stay as long as I could.

Keith Kantor
20 months ago
Agreed - Dr. David E. 7 months ago
Agree, - J N Das 7 months ago
Yet, most LTCI policies are sold by insurance agents for big commissions; not bought, and that most statistics used to sell LTCI policies are fear-based and half-truths. I know, as I was a licensed insurance agent for more than a decade. - Dr. David E. 7 months ago
The problem is that spending your last years in a nursing home is expensive, too. At rates of around $7,000 to $12,000 a month, it is very easy to spend $250,000 or more during the last years of one’s life. While this is doable if you have the money, it becomes a financial disaster if you have a spouse and spend through your estate in your last years. In this case, the first one to die wins at the - Dr. David E. 7 months ago
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In general, I would select home care services as most people would wish to remain in familiar surroundings. Care may not always be provided by a trusted family member, however and my own family has had negative experiences with home care providers.  Conversely, there are some outstanding 'nursing home' facilities that provide compassionate and high quality care.  These usually come at a very high cost that would not be possible for every family to afford. 

Anne Tanner
20 months ago
Yes - Dr. David E. 7 months ago
However, family members should give support to stay in home. - J N Das 7 months ago
The major funding for the Improving Quality of Life in Nursing Homes Through Use of Structured Resident Interviews project was also provided by a grant through The Commonwealth Fund. More information about The Commonwealth Fund can be found at their website here: http://thecommonwealthfund.net/ - Dr. David E. 7 months ago
0

I too vote for home care. Keeping the person in their home keeps them connected to their life and their community. This Connection gives a reason and a purpose to continue to live

Patrice Carter
20 months ago
Agreed - Dr. David E. 7 months ago
I also vote for home care. - J N Das 7 months ago
The Quality of Life Structured Resident Interview and Care Plan is a system for creating individualized, person-centered care plans in the nursing home. - Dr. David E. 7 months ago
Funding was provided through a seed money grant by the University of Pittsburgh Institute on Aging. For further information about the University of Pittsburgh Institute on Aging please visit http://www.aging.pitt.edu/ - Dr. David E. 7 months ago
0

Absolutely agree: Home care is preferred for as long as possible. Taking quality of care at nursing facilities out of the equation, the familiarity, comfort, and community in home care is so important in ending stages of life.

Beth McNamara, MSW
20 months ago
Yes - Dr. David E. 7 months ago
In some cases family members don't support.it is bad. - J N Das 7 months ago
For example, what would you like to do in retirement? Your retirement vision will be unique to you. You are retiring to something not from something that you envisioned. When you have more time, you would like to do more travelling, play golf or visit more often, family and friends. Would you relocate closer to your kids? Learn a new art or take a new class? Fund your grandchildren’s education? Do - Dr. David E. 7 months ago
0

I concur Home Care and it is proven that people who have dementia respond better to familiar surroundings. People also like to die in their own home rather than in hospital.

Lawrence Perry MIoD FRSA
20 months ago
Agreed - Dr. David E. 7 months ago
There’s an aspect to retirement that many physicians do not plan for … the transition from work and practice to retirement. Your work has been an important part of your life. That’s why the emotional adjustments of retirement may be some of the most difficult ones. - Dr. David E. 7 months ago
0

unfortunately individual condition would prevent somebody from receiving home care and would require nursing home stay with constant access to medical help .i unfortunately have personal experience in this area and nursing home with enormous cost was the only option . vs home care with lower cost .very sad sad story ,not to mention cost ,

amit patel
19 months ago
OK - Dr. David E. 7 months ago
Yes l agree. - J N Das 7 months ago
The greatest financial risk for depleting retirement resources is an unexpected and lengthy stay in a long-term health care facility, like a nursing home or an assisted living center. Not surprisingly then, “What do you think about long term care insurance (LTCI)?” is one of the questions I often hear. - Dr. David E. 7 months ago
0

I would choose to share a home care service with friends/related family living in a complex building together and a nurse or two working for all.

María F Lara
19 months ago
Interesting - Dr. David E. 7 months ago
Very best view - J N Das 7 months ago
Knowing how long you may live is an important variable to consider in putting together a successful retirement plan. Many online sites can give you a scientific estimate of your life expectancy; one that I recommend is livingto100.com. When I retook the evaluation recently, I was surprised that my life expectancy had increased from 93 to 98. - Dr. David E. 7 months ago
0

I have to onsider some options. As long as there is a very reliable care giver for me to stay at home and I do not need special care, then I would go for home care. If I need special care and no one is capable, then a nursing home would be a better option, Besides, I can socialize in the nursing home. The ultimate factor would be the expenses to be incurred against my financial capacity to sustain it

Edna Cuaresma, MD, LlB
19 months ago
Who wants to socialize with all old people - other old people? NOPE - Dr. David E. 7 months ago
Dr. David E. Marcinko MBA , my first choice would be a hone care, but if my nerds for care could not be met at home, then I have yo move to a skilled nursing facility or long term facility . Yes, old people will be socializing with their same generation but at least I can still interact with them , play board games, join activities such as exercising, dancing and maybe more - Edna 7 months ago
If u can still interact with them , play board games, join activities such as exercising, dancing and maybe more = perhaps u won't need to be there?- - Dr. David E. 7 months ago
NERDS = most all = IMHO and experience - Dr. David E. 7 months ago
You're right Dr. David E. Marcinko MBA : "If u can still interact with them , play board games, join activities such as exercising, dancing and maybe more = perhaps u won't need to be there?", - Edna 7 months ago
Many thanks - agree with you - Dr. David E. 7 months ago
Nursing Home would be the last, and when more complicated or 24/7 care is needed - Edna 7 months ago
Agree - Dr. David E. 7 months ago
Right comments,I agree. - J N Das 7 months ago
Most elders, especially married senior citizens, prefer LTC at home. However, this option is often not possible for two reasons; first, the healthy spouse is usually unable to provide the care, second, the high costs for 24-hour care and/or privately engaged specialized care. The person requiring care may have no feasible choice other than a nursing home. Finding an appropriate and affordable nurs - Dr. David E. 7 months ago
0

I would definitely choose home care over nursing home care. I have been on too many ambulance calls in the past to nursing homes where I've seen staff is either overworked understaffed, just doesn't care to be there, some neglect their patients, some just use the patients to abuse the medicare system for payment. Whereas being at home, you are in a familiar setting surrounded by a support system of family, your pets, belongings that you know and love and who love you back. You fit better into everyone's life while at home as well as the home care medical provider. It's more convenient for you to be at home instead of in a nursing home. Better for the entire family to celebrate the holidays, go to the zoo, or a walk in the park or a walk in the yard,. A family member can read a book to you or make any meal you want to eat or drink. In a nursing home you are stuck eating what food they make for you whether you like it or not. It's either eat or starve in a nursing home. At home you could eat anything you want or order take out from your favorite restaurant.

David Barckhoff-Sag-Aftra/Producer, Director
19 months ago
Age to age in place - Dr. David E. 7 months ago
When medical treatment required nursing home and in other time at home care. - J N Das 7 months ago
Unfortunately, some people will have difficulty being admitted to these nursing homes without a reservation. Many nursing homes will not accept Medicaid at the outset from a prospective resident; therefore, having funds available (which may be spent down) or LTCI may make a difference in getting into a nursing home. - Dr. David E. 7 months ago
0

I would say "Home Care". At a certain age you need emotional surroundings and "Homely" atmosphere - that's certainly not Nursing Homes ( Where you always get a feeling there is something wrong with your age or health).

Hitesh Mathpal
7 months ago
Actually in all step of life each person prefer care of home and with support of family members to live with better condition. - Er. P.Das 7 months ago
Agreed - without doubt - thanks - Dr. David E. 7 months ago
Agreed. Nursing homes may feel you sick. - Charu 7 months ago
Home care. - Maya 7 months ago
DITTO and yes - Dr. David E. 7 months ago
Not always nursing home, but home always appreciated. - J N Das 7 months ago
Nursing home care may be the only answer for single people requiring LTC or people with Alzheimer’s disease. However, nursing home care is not always available when needed. Many of the better nursing homes have substantial financial requirements, and have long waiting lists, some lasting months or years. - Dr. David E. 7 months ago
Well said David. Thanks. - Hitesh 7 months ago
U R welcomed - Dr. David E. 7 months ago
0

Home care. Home itself is the best care.

Charu Gulati
7 months ago
If you can arrange and pay for it! YES - Dr. David E. 7 months ago
Family support is required. - J N Das 7 months ago
Most agree that nursing homes are regarded as the least desirable LTC choice. Some people enter a nursing home after a hospital stay with a need for skilled care or for short-term respite care. Many people who are admitted to a nursing home remain there for the rest of their lives. - Dr. David E. 7 months ago
0

The premise of this question "Consider yourself as someone (elderly) who needs to make a decision about form of care services", implies that most people moving into any required home care or nursing home environment are making this decision for themselves. Ideally that is the case, well in advance of the decision needing to be made. Realistically and more common, family members are delegated to make these decisions on behalf of the elderly person. Family burdened with making these types of decisions must consider need, not only for parents, but for their own required investment as well, both from a financial, lifestyle, and privacy standpoint. We are at a different place in society with dual income households and no one left to care for aging relatives at home without significant considerations. Home care and aging in place is generally preferred for most people, but if this choice lacks financial planning to execute, options can be limited depending on care needs. This could place an aging person in nursing home environment at great expense and speedy run through assets to receive Medicaid supported skilled or custodial care, not to mention the consideration of actually getting their care needs met in an increasingly poorly regulated facility environment.

Lori Williams
7 months ago
Review the patient's requirements. An assisted-living facility may suffice instead of a true nursing home, which is required by the frail and elderly needing daily medical care - Dr. David E. 7 months ago
Yes, I didn't address those as the question was specific to nursing homes. Other options are senior living homes/apts., assisted living, independent living, personal care homes. Wide campus of care levels available, but each with significantly variant financial implications. - Lori 7 months ago
Very well; many thanks - Dr. David E. 7 months ago
0

Home care and nursing home care both play important role in like. Everybody prefer home for better living and choose nursing home for medical treatment. If a family does not support and you have capacity to pay for nursing home at that time nursing home may be selected.

J N Das
7 months ago
About 5 percent of nursing home workers—or one out of every 20—had at least one conviction, according to the report, which took a random sample of 260 nursing homes certified by Medicare and ran FBI background checks on their workers. - Dr. David E. 7 months ago
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Survey Highlights

The following highlights just a few of the findings from the Commonwealth Fund 2007 National Survey of Nursing Homes report, released in May 2008: 

  • Fifty-eight percent of culture change adopters allow residents to determine their own schedules, compared with only 22 percent of traditional nursing homes.
  • Nearly two-thirds (64%) of culture change adopters implement bathing practices that are more resident-centered, while only 37 percent of traditional nursing homes do so.
  • Seven of 10 culture change adopters reported that residents are involved in decisions about their facility, but only one-quarter of traditional nursing homes (27%) involve residents in such decisions. 


Any thoughts?

Dr. David E. M
7 months ago
My knowledge is limited to Texas, and I can tell you this certainly is not the case locally. Here are stats on nursing homes in US: https://www.kff.org/state-category/providers-service-use/nursing-facilities/ - Lori 7 months ago
I am familiar; many thanks. - Dr. David E. 7 months ago

Have some input?