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The Type of Home and Day Care Services
Job Descriptions and approximate Costs
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The Types of Home Care Services

Job Descriptions and approximate Costs

There are a number of options, which someone requiring in-house care and companionship can choose. Different care providers usually offer a variety of choices. The ones we describe here, are the most common services offered.


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Day Care Companion


Assistance, in house monitoring and supervision to an individual in helping to maintaining a safe living environment when the person does not want to or is no longer able to do this alone.

Frequency: Daily Hours: 8 hours per Day Monday to Friday Weekends an Option
Goal

To provide a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, well spoken, experience with elderly patient care, ability to plan a clients daily activity in conjunction with the client, well organized and able to supervise medication, able to provide light meals and complete light household duties in an orderly and organized manner.
Costs*)

Costs per Day range from
$ 95.00 to $150.00
If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

If the contract is directly between the caregiver and the employer, the employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.


*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.
Duties of the Day Care Companion

- Assist with correspondence, bill paying, phone calls, errands
- Provide recreational activities, conversation, reading, social intercourse;
- Supervise activities as directed, e.g. taking medication, dressing,
- Provide transportation of client to physician, recreation, social activities in clients car.
-
Other duties (may not exceed 20% of total working time) Light housekeeping, light laundry, shopping, light meal preparation


Homemaker Companion


A Homemaker Companion Service is required when total home management is desired. The person cared for is able to look physically after themselves, but may no longer be willing or able to manage his/her household on his/her own. The formal and informal qualification for this type of carer are higher and so are the costs. But peace of mind obviously cannot be bought with money! The selection of a homemaker companion is quite difficult, since the homemaker will, for an extended period of time, live within close proximity of the elderly person

Frequency: Daily Hours: 8 hours per Day Monday to Friday Weekends an Option
Goal

To complete all household tasks and activities and create a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, well spoken, experience with elderly patient care; ability to plan and manage housework, provide meals and a clients daily activity in conjunction with the client. Has to be well organized and able to supervise medication.
Costs*)

Costs per Day range from
$ 125.00 to $200.00
If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

If the contract is directly between the caregiver and the employer, the employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.


*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.
Duties of the Homemaker Companion

- Complete all housework such as meal preparation,cleaning, dusting, changing linens, all laundry, vacuuming, washing dishes, washing windows, cleaning and polishing floors;
- Manage small household expenses for cleaning materials, food etc.;
- Assist with correspondence, bill paying, phone calls, errands

- Provide some recreational activities, conversation, reading;
- Supervise activities as directed, e.g. taking medication, dressing,
- Provide transportation of client to physician, recreation, social activities in clients car.


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Personal Care and Homemaker Companion


A Personal Care and Homemaker Companion Service is required when total home management is needed and when the client is no longer able to look physically after him- or herself. Overnight supervision might be provided by relatives or in-laws.

Frequency: Daily Hours: 8-10 hours per Day Monday to Friday Weekends an Option
Goal

To complete all household tasks and activities and create a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, and formal training in the care of the elderly; well spoken; ability to plan and manage a clients daily activity unsupervised; well organized and able to supervise medication; able to plan and provide all meals and complete household duties in an orderly and organized manner

Many care providers require for this type of care a doctors certificate attesting that the Person is chronically ill, but stable, and physically not able to look after him/herself.

Costs*)

Costs per Day range from
$ 150.00 to $275.00
If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

If the contract is directly between the caregiver and the employer, the employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.


*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.
Duties of the Personal Care and Homemaker Companion

Personal Care:
- Assist in taking a bath and personal hygiene, dressing, feeding, toilet activities;
- Supervise medicinal schedules
Homemaker Services
- Complete all housework such as meal preparation,cleaning,
dusting, changing linens, all laundry, vacuuming, washing dishes, washing windows, cleaning and polishing floors;
- Manage household expenses for cleaning materials, food, medicine supply, etc.;
- Assist with correspondence, bill paying, phone calls, errands

- Provide some recreational activities, conversation, reading;
- Supervise activities as directed, e.g. taking medication, dressing,
- Provide transportation of client to physician, recreation, social activities in clients car.



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Live-in Companion

A live-in companion provides an almost permanent 24 hour a day presence. It is an ideal solutions when close around the clock supervision and monitoring is required or wanted. There are two options for this type of service. Both options require the companion to live on the premises. In both cases, a cleaning service for heavy cleaning will be required.

(1) Hire a person, often foreign language students, who is in attendance for 6 to 8 hours per day, 3-6 days per week, living in-house. The usually contract period is between 12 and 24 months. This is the lower cost option and is sometimes also used as an alternative to the Day Care Companion Option. It is an ideal choice for clients who feel lonely or who want to share some time with an agreeable and pleasant younger person.
Frequency: Daily Hours: 24 hours per Day with a working day of between 4 and 8 hours 3 to 6 days per week
Goal

To provide a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, and well spoken; ability to plan and manage a clients daily activity unsupervised; well organized and able to supervise medication; able to plan and provide all meals and complete household duties in an orderly and organized manner

Many care providers require for this type of care a doctors certificate attesting that the Person is chronically ill, but stable, and physically not able to look after him/herself.

Costs*)

Costs per week range from
$ 200.00 to $400.00
plus

the costs of an evening language school (usually about
$ 500 per three month).
the costs of one return ticket to the persons country of origin (varies but usually around
$ 1,200-1,500).
plus free room and board
Total annual costs between $11,300 and $24,000

If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

In these cases the contract is usually made directly between the companion and the employer. The employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.

The prospective employer (within the USA) also has to obtain a student visa (usually J1) for the companion. There are services which can provide that.

*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.

Duties of the Companion

- Assist with correspondence, phone calls, errands
- Provide recreational activities, conversation, reading, social intercourse, sometimes games;
- Monitor activities as directed, e.g. taking medication, dressing,
- Provide transportation of client to physician, recreation, social activities in clients car.
-
Light housekeeping, shopping, light meal preparation


(2) Hire the services of a professional live-in companion who provides permanent twenty-four hour supervision and continuous monitoring. This can often delay or even prevent institutionalization.


Frequency: Daily Hours: 24 hours per Day Seven days per week
Goal

To complete all household tasks and activities and create a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, and some formal training in the care of the elderly; well spoken; ability to plan and manage a clients daily activity unsupervised; well organized and able to supervise medication; able to plan and provide all meals and and organized a complete household duties in an manner

Many care providers require for this type of care a doctors certificate attesting that the Person is chronically ill, but stable, and physically not able to look after him/herself.

Costs*)

Costs per Day range from
$ 150.00 to $250.00
plus free room and board.
Total annual costs may range from $45,600 to $91,250.

If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

If the contract is directly between the caregiver and the employer, the employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.


*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.
Duties of the Professional Companion

- Assist with correspondence, bill paying, phone calls, errands
- Provide recreational activities, conversation, reading, social intercourse;
- Supervise activities as directed, e.g. taking medication, dressing,
- Provide night-time monitoring
- Provide transportation of client to physician, recreation, social activities in clients car.
-
Other duties (may not exceed 20% of total working time) Light housekeeping, light laundry, shopping, light meal preparation


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Live-in Caregiver

A Live-in Caregiver provides a round the clock supervision and monitoring of the client and involves total home management when the client is no longer able to look physically after him- or herself. It includes overnight monitoring and supervision. In addition to the caregiver who will perform light to medium household duties, a cleaning service for heavy cleaning will be required

Frequency: Daily Hours: 8-10 hours per Day Monday to Friday Weekends an Option
Goal

To complete all household tasks and activities and create a safe and amenable environment for the client

Educational and Training Background of Caregiver

High School Education, and formal training in the care of the elderly; well spoken; ability to plan and manage a clients daily activity unsupervised; well organized and able to supervise medication; able to plan and provide all meals and complete household duties in an orderly and organized manner
Costs*)

Costs per Day range from
$ 225.00 to $300.00

Total annual costs may range from $82,125 to $109,500.

If contracted through an agency, payroll, social security taxes, liability insurance etc. will be part of the amounts charged by the agency.

If the contract is directly between the caregiver and the employer, the employer is liable for the payment of all payroll, social security and other taxes and government deductions. There are contract services which will complete weekly/monthly payroll work.


*) costs vary across the United States and the above data is only an indication based on recent surveys.Please check with local operators.

Duties of the Live-in Caregiver

Personal Care:
- Assist in taking a bath and personal hygiene, dressing, feeding, toilet activities;
- Supervise medicinal schedules
Homemaker Services
- Complete all housework such as meal preparation,cleaning,
dusting, changing linens, all laundry, vacuuming, washing dishes, washing windows, cleaning and polishing floors;
- Manage household expenses for cleaning materials, food, medicine supply, etc.;
- Assist with correspondence, bill paying, phone calls, errands

- Provide some recreational activities, conversation, reading;
- Supervise activities as directed, e.g. taking medication, dressing,
- Provide night-time monitoring
- Provide transportation of client to physician, recreation, social activities in clients car.


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There is a lot of information around for Home Care for the Elderly. Some of the best books we found are shown below. They are not technical, but easy to read with good ideas about caring for an elderly person. You can buy them directly from amazon books.
You can get Books on Care from Amazon.com


There is a small selection of an ever growing number of books on home care. If you choose home care (with of without a professional caregiver) over institutional care for your loved one, be sure to monitor nutrition, hygiene and daily activity on an ongoing basis. There is ample literature on these topics!


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