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Aides can help with things such as dressing, bathing, providing company, helping provide meals and most only come for a few hours only a few times per week. If 24/7 around the clock is needed (the loved one cannot toilet on their own, cannot cook or feed themselves adequately, cannot mananage their own medications, they are NOT safe to be alone at all, on and on) then high level assistive living (private pay at about $15-18K a month, no Medicaid coverage for this) or nursing home placement (about $12-$15K a month, may be private pay at first and Medicaid may take over after a spend down -- PS Medicare pays for neither).
Private nursing (an RN) if actual medical care is needed, IVs, wound care, or other "more medical services" runs about $150.00 an hour, that's over $1K a day and JUST for an 8 hour shift. Obviously unless someone has many, many millions, full time 24/7 private nursing is not realistic. A friend was able to find a top qualify private aid (not an RN) who agreed to take $1K a day cash (I know, not really legit but) to be there 24/7 for the few remaining weeks of her other half's life. So there are ways -- w/lots of $ -- to work out expensive short term arrangements if there is a crisis or end of life situation.
And sorry, forget Medicaid-covered home health aides. Even if one has spent down and qualifies for Medicaid; there are huge waiting times (wait list) for Medicaid-paid home health aides. Where we live our elder care lawyer advised the wait time is 5 YEARS!.....
With the Baby Boom generation aging, this is going to be worse and worse. Start planing for yourself now even before you have worked out what to do with mom or dad!
wont Medicaid pay a family member or friend to care for a senior?
There ought to be a law! Seriously.
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