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This will not apply in the case of dementia/alz but if mobility problems are the main issue please consider assistive products that may make the difference. If a person can safely get in/out of bed (and have a bedside commode) there may be no reason for overnight hired help- saving 1/3 of the cost of 24/7 care.
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The night magnifies elders problems out of proportion so an overnight nurse is required.
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I hired a sevice, on shifts, to monitor mom at night. The caregiver slept on the sofa cuz mom got outside and rang the doorbell!! Dementia has made my mom crafty. I would not want someone sleeping on the job at the rate I was paying for an AWAKE caregiver. ❤️
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Oh MarciC, hope that caregiver got the scare of her life! I cant even imagine going to sleep on my shift day or night. When someone is hired to watch over someone they should be awake day or night that is why i tell people the rate is the same an hour is an hour. I am responsible for your loved one what happens on my watch is on my shoulders.
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Contact Cape Cod & the Island Elder Services
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Regarding the Afforable Care Act [Obamacare], I for one am glad we have it.

Medicare has been improved for Seniors by measures that eliminate the donut hole, keep rates down, cut wasteful spending and fraud, and expand free preventive services such as the annual Wellness Exam. Seniors will no longer need to put off preventive care and check-ups due to costs.

In the past, if you had a pre-existing condition, insurance companies could deny you coverage. That can’t happen any more with the ACA. I remember when I was turned down because I had a wheat allergy... guess they thought I would OD on a loaf of bread... [rolling eyes]. Then before the ACA I was terrified I would lose my health insurance after I was diagnosed with cancer, I was scared silly that would happen. Whew, it didn't, but it could have happened.

Additionally, you can’t be charged more or be denied coverage for being a woman…. that’s right, women have been charged more and denied coverage in the past because we are [gasp] too complicated.

With the ACA health insurance companies can’t make unjustified rate hikes, and that these companies must spend the majority of premium dollars on care.

Also no more lifetime limits on health care. In the past an insurance company could say you or one of your children were too expensive because of the illness, thus wouldn’t renew your policy. That can’t happen any more.

Yes, there were people who lost their health insurance because it was “junk insurance” that didn‘t follow the ACA guidelines…. junk insurance meaning if you had surgery you were surprised that your health insurance only paid $1,000 for coverage and you owed the rest.

The list goes on. For me, I wouldn't want to turn back the clock and eliminate the above good points.
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To GrammyM - Is it possible that there is a college with a nursing program nearby. Perhaps you could get signed up as a 'project' home, where the students would get 'real life' experience. The students are closely supervised and always have someone to call if they are unsure of something. If the school would not consider that, then perhaps a few names of their top students, who are nearest to graduation, would yield someone suitable for your needs. Those ready to graduate should have done some field work and have at least minimal experience. And, often times students have big loans to repay, and would welcome a short-term side job. You would probably only get this to work if you agree to sign something saying you would not sue for negligence if something went wrong. Good Luck to you ~
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@needtoknow1
great answer. however I would add a background check on the person you select. Also lock up or take away all valuable items, jewelry, antiques, computers. Lock-up opiod pain meds, anxitey meds and other expensive medications. There is always a market for these type of drugs. Also do not leave cash or credit cards or checks in the house. If she has guns, take them off the property,
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On the woman who would like a mini-vacation try respite care at a nursing facility for her husband. She definitely needs a mental getaway. Find a facility you feel comfortable enough with (do your research) Let them know you need a few days whatever month and go from there. Good luck!
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