In-home care is an easy decision for most people but they aren’t aware that it requires more changes than just setting up a hospital bed in the living room. The visiting nurses, caregivers, physical therapists, and social workers will need keys to the front door, they’ll need a functional nurses’ station in the house with a white board, a designated parking space, and the refrigerator will take on the characteristics of those at nursing homes with their labeled shelves and a dated label on every piece of food.
The staff also get into heated arguments in the patient’s home. Some people do in-home care because they lack the people skills to be a team player at a facility. They have so many limitations that they have to work alone. They’re friendly to their patient because it’s a helpless, vulnerable person who will always let them have their way.
The exception to that are combative Alzheimer’s patients. They usually refuse to take their medications and they refuse to take showers or even change their soiled Depends. They’re extremely difficult to take care of at home, and their caregivers usually reach out to their kids for guidance and support. However, some adult children cause more problems and add to the caregivers’ stress, and so reaching out to them would be a terrible mistake. By sharp contrast, skilled nursing facilities have access to all of the right staff when the caregivers need them.
In-home patients sometimes have a false sense that they’re healthy enough to drive their car. As a quick and fast rule, patients are not allowed to drive if they take medication that causes drowsiness or if they have a medical condition that could cause them to lose consciousness, such as severe diabetes or if their heart is pumping blood at a very low capacity. When their kids take their car or driver’s license away they throw a huge fit and then they lie to their caregivers to try to manipulate them into helping them to get it back. They’ll pretend to be in perfect health with perfect hearing and eyesight, and act like they’ve never fallen unconscious in their entire life. They’ll lie to anyone to be able to drive again, and when a caregiver says no then they’ll go ballistic and fire her. Seniors fire caregivers who refuse to go along with secret agendas like that, and they hurry to get the next caregiver because they’re hoping that she’ll fall for it. They’re hoping for a sympathizer who will agree with them that they should be able to drive, and will hand them the car keys.
One of the best things about staying home is having the ability to do things one’s own way, but when that interferes with their treatment then in-home care won’t work for them.