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97yroldmom is talking about Medicare Intermittent help. Check that policy. If no coverage, call your County Office of Aging.
I would say few things cover issues such as arthritis in hands and difficulties with normal housework, but I could easily be wrong. Most LTC is measured by qualifying in much the same way as you would a need for in facility care. That would mean severe mental and/or physical deficits and a need more for 24/7 care, rather than household help.
As I said, I could easily be wrong.
You have a contract that came with your policy. Read that. And do call them to ask questions.
Good luck.
Remember that, hard as it can be, most arthritic conditions progress more slowly with some exercises. Check with the doctor about physical therapy. Some hand strengthening truly helps, but you DO NOT want to do it wrong, thereby injuring the condition further. So this is expert advice you want from your medical team.
Best of luck.
Best of luck finding the care you and your wife need to remain living as you choose.
I hope you get the help you two need.
They would certainly know better than anyone here.
Here's the recipe: https://www.peoplespharmacy.com/articles/how-to-make-gin-soaked-raisins-for-joint-pain
However, at $20+ per hour, you can hire someone to come in as you need. You may pay an additional fee for bookkeeping. I am in the process of interviewing someone for 2 hours per day x 5 days per week to do light housekeeping, etc. This is a registry for people needing/available to do housekeeping and personal care. I am able to take care of my personal needs, but need someone for light housekeeping chores. You can find local agencies through an on line search or through social services at your hospital. (Care.com)
Hopes this gives you some leads.
Is she getting medical care for her hands? I'm asking because my LO has hand problems, including arthritis, and gets injections that help for some of the issues.