For many families, choosing a care option can be a tricky thing. This is especially the case since it’s a change for someone close to you, resulting from a serious event like a stroke, diagnosis of a medical condition such as dementia or a fall. This is a decision that should not be taken lightly. You will very likely already have a social worker or a health professional who’ll be able to advise you regarding home care, being able to support you in this moment of need. They may, however, limit the options they will guide you towards, frequently recommending hourly home care or home care. There are a lot of families who accept that advice without going deeper into your available options. There are many options and a variety you can choose from. In some cases, you may take care of your loved one yourself, but that’s hardly practical in the long run, especially if you’re also trying to juggle a career alongside taking care of them.

What Different Types of Care are Available?

Though care homes have always been one of the most commonly used options, there are many other ways you can approach the situation, considering your loved ones and their needs. Different options may work for different situations, so keep in mind there are no wrong decisions here.

Nursing Homes

Advantages:

• Nurses on hand to support more difficult care needs
• Accommodation, meals and activities are all arranged, so little planning is necessary
• Often a real sense of community helped by staff and residents
• Funding is more readily available if nursing care is necessary

Disadvantages:

• Life can be disciplined, which may impact mental health
• Less control over personal possessions, daily meals and activities
• Away from family and community, limited independence
• One of the most expensive options without funding

Care Homes

Advantages:

• Care homes provide a great sense of security and safety
• Group activities, meals and accommodations are all planned ahead
• Depending on the home, there may be a real community
• Help with administering medication is often readily available

Disadvantages:

• Less choice whenever you’re choosing a care home if you’re receiving financial help
• The unfamiliar setting, lacking the comforts of home or its community
• Lack of independence which may negatively impact mental health
• Less control over personal possessions, daily meals and activities

Assisted Living

Advantages:

• It offers a sense of community, with some of the benefits of your own home
• Sometimes offer organised social activities to foster a sense of community
• Support available around the clock
• It still allows some sense of independence with self-contained housing

Disadvantages:

• It May not be suitable for people with complex conditions
• Not always available from your local council in all areas
• Moving to a new home may be difficult
• Often expensive, a dedicated supporting carer is necessary

Home Care

Advantages:

• The care receiver gets to remain in their own home
• Help with medication may be available
• Easier assistance with personal care
• Frees up time for family members

Disadvantages:

• It may not always be the same carer
• The carer’s time is limited as they have to visit others
• Care is not available around the clock
• Support may not be available when it’s most needed

Live-in Care

Advantages:

• Allows people to remain in their own homes and retain independence
• Personalisation of activities, socialisation, routines and meals
• Around-the-clock support – allowing for complex care needs
• Various funding options

Disadvantages:

• It is often thought that live-in care is expensive
• Carer needs should be considered, as it is not suitable for nursing care
• Involves a stranger living at home
• Home adaptations may be necessary, depending on mobility

©Home Care Preferred Barnet

The best thing caregivers can do is learn as much as possible about their care recipient’s visual issues and how limiting they are. This information will help you find ways to modify the environment and your behaviour to allow for better care. Though individual conditions will vary and affect eyesight differently, the tips ahead are a good starting point to help visually impaired seniors. They will help them maintain a level of independence:

Good Lighting is Important

You should ensure you keep your surroundings well-lit, but you must also be careful about any glare. Using specialised bulbs and lamps to increase contrast and reduce glare is a good step, but you should also cover any reflective surfaces. Direct task lighting is suitable for reading, crafting and other activities requiring attention and sitting in place. You can use a small clip-on lamp or a gooseneck one. Under-the-counter lighting is another kind that works well with kitchen spaces and larger work areas. It would help if you avoided strong lights shining into a dark room. Task lighting being increased means the surrounding room lighting must also be improved. Keeping lights on during daylight hours may help equalise light from outdoor and indoor sources.

Eliminating Fall Risks

You should use nightlights in bedrooms, bathrooms and hallways to reduce any risk of tripping or falling during night hours. Eliminate all clutter and remove tripping hazards such as electrical cords or throw rugs. Think about replacing or at least relocating furniture that is difficult to see - side tables, glass coffee tables, etc. Create a wider and clear walking path that leads to all areas for easy navigation. You may have to change the positions of some furnishings to make your home easier to navigate. This may feel disorienting initially, so make sure you help your loved one get around until they memorise the new interior. Larger rearrangements may be a problem, especially for seniors with memory issues.

Improving Your Household Organisation

Combine visual and tactile sensations to help seniors to navigate their environment. You need to designate spots for more commonly used items, ensuring you return things where they belong each time, so your loved one will know where they are. Sometimes you can use a basket to store objects, making it easier to find keys, remotes and the like. Rubber bands, felt, raised plastic dots, sandpaper cutouts, and more can be used to differentiate objects tactilely. Visual systems use whatever vision remains in your loved ones to help organise and identify things. Typical examples may include larger labels or coloured stickers to help identify items and places.

Use of Contrasting Colours

The contrast between light and dark colours is significant for daily activities, especially in cases where the person has some remaining vision left. These colours help people with visual impairments to detect doorways, stairs, furniture, smaller objects and more. Examples can be seen with white cutting boards for preparing darker foods and darker cutting boards for lighter foods like onions, apples and so forth. That would allow your loved ones to retain some independence and promote their safety. This is especially important for settings like bathrooms, as they tend to be of monotone colours, which may be a risk. Choose towels, bath mats and washcloths in colours that contrast with the walls, the shower or tub, etc. The same goes for counters and flooring. Painting door jambs in a contrasting colour will help your loved ones spot the location of the door. You can do the same by painting the edges of steps and doors.

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Ascertaining a senior’s ability to age safely in place is somewhat of a complex endeavour. Creating a customised solution to your needs can help a loved one, but that may require going through the residence together and assessing it on a room-by-room basis. Think about the potential hazards of the home that need to be addressed to make it safe, make a checklist and prepare ahead of time. You may need to do the following:

• Move furniture to set up paths clear of obstructions.

• Get your light switches prepared by making them accessible, no higher than about 48 inches from the floors, replacing toggle switches with rocker switches.

• Improve the overall quality of lighting in the home. There shouldn’t be any dark pathways or countertop areas that are not lit up as well. Task lights, night lights and rope lighting are all great alternatives to your regular switches.

• Adding grips to doorknobs or replacing them with levered handles and pulls.

• Marking and steps or changes in floor elevation with bright tape or paint in contrasting colours can help the visually impaired.

• Remove any loose carpeting and mats or rugs. You should use secure area rugs with double-sided rug tape, minimising the risk of slipping. Focus on the edges and corners.

• Remove all cable and electric cords that go close to the walkways to prevent tripping hazards. Place all wiring behind the furniture or secure it neatly against the walls with cable staples, cord covers or clips.

• Ensuring all seating throughout the home is sturdy, as well as supportive to the arms and making sure sitting and standing are easier is a good way to approach difficulties with mobility.

• Get rid of clutter by disposing of items or donating them.

• The washing machine and dryer must be easy to access for everyone, on the main level of your home. If that’s not the case, consider repurposing a closet or another area on the ground floor and turning it into a laundry room. Replacing any top-loading machines with front-loading ones will make them much easier to use. If you have to, you can hire a laundry service to avoid the tasks made difficult, or a home care specialist.

• Clear a path from the driveway to the entry of your home.

• Inspect the walkways for cracks, loose stones or bricks and any uneven surfaces and repair them. Fixing the flaws will help provide a better walking surface.

• Removing or trimming the landscaping can help keep walking paths wide and clear for anyone using a walker or a wheelchair.

• If you have any entry steps, install handrails on both sides, using non-slip surfaces and making them deep enough to ensure the whole foot can be placed on every step.

• If you or your loved ones experience mobility challenges, you should evaluate rooms and think about installing a ramp. Stepless entries may make things easier and safer for entry, regardless of using a mobility aid like a walker or cane or being in a wheelchair.

• Evaluate the state of your front door, the sturdiness and ease of operation of the locks and the peephole or window panel.

• Replace the kitchen knobs on drawers and cabinets with pulls or levers for ease of access.

• Move the frequently used items from the higher shelves and under-the-counter cabinets to a more accessible location that doesn’t require bending over or reaching high up.

• Consider whether older appliances are still functional for your needs. Oven controls must be in the front of the range, so you can avoid reaching over stove burners. Label the knobs clearly for ease of use. A bit of paraffin wax or petroleum jelly can be rubbed around the gaskets on the fridge door to make it easier to open.

©Home Care Preferred Barnet

Live-in carers reside inside the home of the person they are caring for, thus having the ability to provide care at all times. Live-in carers have duties similar to those of hourly carers, assisting with medical conditions, but there is no rush to get things done. Live-in carers will also provide more support at home with cooking meals, running errands, taking care of pets, managing the household and more. The immediate availability of live-in care allows you to prevent falls, accidents and to help with hospital admissions if the need arises. The quick response provided by live-in carers can be greatly beneficial to your health. But there is more you can enjoy with this type of care:

• Companionship

The most important aspect of home care is companionship. In the UK alone, more than half of the people over 75 years old live alone, with many of them reporting feelings of isolation and loneliness. The risk of serious health conditions such as heart disease and feelings of loneliness have been linked by research into the condition. The risks of high blood pressure, stroke and similar conditions are also elevated. Ensuring a person’s social needs are also covered alongside their physical well-being is important to their general health. For those who receive care, having a trusting relationship with their carer is an important cornerstone of their dignity, since live-in care provides people with a solution for loneliness.

• Having Independence

Hourly care services may be convenient for people who want to have as little disruption as possible in their daily lives. For live-in care, a bedroom in the home must be provided to accommodate the live-in carer and their belongings. That would allow them to adjust to the new living arrangements. The hourly care visits are usually arranged at times of the day suiting the household, meaning there is only a small degree of change that is necessary to ensure support at home.

• Freedom of Choice

In some cases, without the ensured assistance of a relative or a carer, people are restricted in how they can spend their lives. The help of a live-in carer ensures you will be able to carry out your daily life without worrying about the little details. Live-in care provides flexibility, as it encourages the elderly or those supported to enjoy activities outside their home, take part in their hobbies, community events, visit local attractions and more. On the other hand, hourly support outside your home must be arranged on a case-by-case basis with your care provider.

• Care Fees

To ensure you have long term care, you must consider the costs involved in your circumstances. Both live-in care and hourly care have different costs, depending on the specific needs of a person, but domiciliary care is charged at an hourly rate, while the live-in care fees are every week.

• Dealing with Complex Care

When it comes to people with high dependency issues, the belief that care homes and residential care facilities are the only options out there is common. However, full-time live-in care can be a better option, something that allows the person to receive the specialist, expert assistance they need in the comfort of their home. Specialist live-in carers are trained with the knowledge to provide care for a range of conditions, such as Parkinson’s, dementia, Alzheimer’s and more. Many of the live-in care services out there are led by nurses, meaning their clinical duties can also be carried out within the client’s home. They can help people no matter what their condition may be.

©Home Care Preferred Barnet

One of the main reasons why caregivers choose this career path is because it is a rewarding and fulfilling one. The positive impact of it doesn’t just extend towards the people receiving care, but also those that provide it. Caregivers are open to new experiences and better relationships with others. 

Whether it is access to new life skills, or just getting a better sense of purpose, the benefits of caregiving are many. Let’s have a closer look at some of them: 

• Feeling a sense of accomplishment – by taking care of someone else, a caregiver is always overcoming challenging obstacles. Whether it be just to be a companion and engage in conversation, or help a person with mobility issues around, there is a list of never-ending tasks that the caregiver needs to address. And while there is no denying the fact that all of this is stressful, it is also rewarding. There is nothing quite like the feeling of overcoming difficulties day after day and helping others in the process. It leads to a special sense of accomplishment, which compares to nothing else in life. 
  
  
• Feeling good about oneself – compared to many other day jobs, caring for others offers certain benefits that are not present elsewhere. For example, it makes a person feel needed because their focus is primarily on people in need. With that, it is certainly adding more meaning and purpose to one’s life, helping people distinguish what is important – personal connection, being good to others and feeling like you have done something about them. 
  
  
• Building a strong relationship – if there is one thing that caring for others helps build, it is strong relationships and empathy towards others. Being able to connect with them, even during their hardest and most challenging times, is a special feeling, which many caregivers report. The added effect of it is that a caregiver not only becomes closer to the person they are caring for. In addition, they also become closer to friends and other family members. 
  
  
• Experiencing personal growth – taking care of someone with special needs makes carers learn new ways of doing things and approaching tasks. These new experiences can be an invaluable asset in their own lives, whether it is something as simple as doing chores or planning for the future. 
  
  

Choosing a care provider 

There are many agencies out there that deal with care services. Whether it be care homes or live-in care, there are flexible options that exist to help elderly individuals and those with special conditions in need. It is important to know what sort of care you or your family members need before you set out to search. Sometimes it is possible to rely on care home service, and in other cases, an agency can provide a caregiver for live-in care service, which is essentially living with the person in need in their own home. When choosing a care provider, always remember to look for: 

• Experience – this is a demanding task and it requires experienced carers who know how to deal with the challenges it presents. 
  
  
• Flexibility – people’s needs change and the agency needs to remain flexible in what they can provide. If a visit from a carer 2-3 times a week used to be enough, but now an elderly individual has constant need of care, then being able to update the plan to a full live-in care solution is the way to go. 
  
  

© Home Care Preferred Barnet