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Choosing the next step for elderly relatives’ care

Whether we like to admit it or not, it’s likely that every one of us will find ourselves making difficult choices about assistance for older relatives at some point. Whether the reasons for your concern are surrounding their mental or physical health, or perhaps both, if it seems like they need more help to get through their day, there are a number of elderly care options you can consider.

elderly care options

Visiting carers (domiciliary care)

A popular choice, particularly if needs are not great, and one which tends to be the first step on the ladder, domiciliary carers are provided through an agency. They will visit your relative’s home at an agreed schedule, usually between two and four times per day. Visits can last from 15 minutes up to a few hours. Carers can prepare meals, help with domestic tasks and personal care and give medication.

Some carers will be able to help take your relative to the shops or library, but this may have to be booked in advance to ensure a carer with a suitable vehicle can be provided. Do be aware that domiciliary care workers usually work shifts, so your relative will be seeing a lot of different faces, which can be confusing if they’re losing mental capacity.

Residential care homes (nursing or care homes)

For many elderly people, residential care in a dedicated care home is the safest option, especially if they have complex medical needs. If medical conditions are involved, it’s probably best to consider a nursing home, which should have qualified nurses and medical staff on duty at all times. They offer peace of mind which you wouldn’t get from a residential care home.

Of course, if your relative doesn’t need nursing care, a residential home without nurses on duty could be a lot more appropriate. Carers in residential homes are on hand at all times to help with personal care, providing meals and helping residents in and out of bed each day. They can dispense medication, but cannot provide medical intervention in the same way a doctor or nurse could.

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Live-in carers

One of the more recent arrivals on the elderly care scene is live-in care. Live-in care means that a carer will come and live with your relative, providing care in the comfort and familiar surroundings of their own home. Home care is a great option when your relative doesn’t want to leave their own home.

By choosing care at home, you’ll be sent a carer who will get to know your relative and will be working with them on a one-to-one basis, helping with meals, organising days out and their medication. Some agencies will also be able to provide a carer who is trained and experienced in condition-led elderly care, offering additional support to clients who suffer with Dementia, Parkinson’s or have recently had a stroke. It’s a bit like having a domiciliary carer move in and provide services 24/7. Of course, you’ll be expected to provide a live-in carer with their own bedroom, they’re entitled to breaks but you can be sure that their sole focus will be on your relative all day, which is difficult to guarantee with any other form of elderly care.

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Whichever option you choose, it’s important to keep the well-being of your relative in mind. Keep them involved in decisions wherever possible, take their wishes into account wherever possible. Even if they’ve lost mental capacity, it’s important to consider their comfort, happiness and future needs at all times.

Research thoroughly and don’t be afraid to approach potential care providers, who should be happy to answer any questions you have.

4 comments on 'Choosing the next step for elderly relatives’ care'

  • I would suggest with choosing any residential home – before choosing make an unannounced visit especially early to mid morning – just to check. This when the cleaning of the rooms and residents goes on. we did it and found elderley people being washed and cleaned up by staff with Heavy colds and dirty aprons – with older people vunerable to infection and the deadly Sepsis this is crucial that the cleanliess is maintained throughout the day not just during visiting times.

    • You are absolutely right, I did the same thing with children’s nurseries and any that said I couldn’t come in I crossed off the list.

      I don’t think people know enough about how deadly sepsis can be.

  • I know a few people who have tried a live-in carer and it can have such a positive impact on peoples lives, both those receiving the care and the support and peace of mind for families. I also know that that if you search for the right company it costs less than a good care home and the care is of a very high standard too.

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