Homecare Charlotte NC
Homecare Charlotte NC
Homecare Charlotte NC
http://affordablehomecarenc.com, (704)998-1953 , Home Care Charlotte NC, Elder Care Charlotte NC, Senior Care Charlotte NC
Home Care in Charlotte NC Understanding Your Options
Home Care service workers assist a flourishing number of older adults and those with chronic afflictions or disabilities. These workers are referred to by a variety of job titles, including home health aides, certified nursing assistants, care assistants, and home care aides. They make it possible for people with functional limitations to remain at home in a snug, usual. Home Care Aides provide a wide range of assistance with Activities of Daily Living (ADLs). ADLs include bathing, dressing, grooming, assisting with ambulation or transferring, toileting, feeding and providing assistance with self-medication. Home Care Aides also help with what professionals call Instrumental Activities of Daily Living (IADLs). IADLs include shopping, meal preparation, making medical appointments, transportation, laundry and housekeeping. The distinction between ADLs and IADLs is that the IADLs require the use of "instruments" such as cars, telephones, washing machines, stoves, and vacuum cleaners to accomplish them. These are often the first daily functions with which an older or disabled person needs assistance, as they have been less frequently performed, are usually more tough, and require greater ability or dexterity.
While it is true that most people would prefer to remain in their own homes, there are circumstances in which care in a residential or nursing facility can be more appropriate and more cost-effective. Those who will need ongoing 24-hour hands-on care may well find that a nursing facility, assisted living facility or Adult Family Home is more affordable. This is specifically true if there are ongoing nursing treatments or medication dispensing required. The biggest proportion of people who utilize Home Care Aide services need several hours of assistance daily, as opposed to those who need full-time care. Many physicians overlook the Home Care and Assisted Living facility options, and are more comfortable with recommending a Nursing Facility. Unless there are compelling reasons otherwise, the standard for determining the level of care is based on providing for the care wants in the least restrictive safe environment.
Generally because of the rapidly increasing number of older Americans living at home, there is an increasing shortage of available Home Care Aides. Additionally, institutional care settings are becoming less profitable overall, and the number of beds has not kept pace with the increased population of potential patients. A number of families seeking to hire in-home staff turn to private individuals rather than working through an agency. While at first glance this seems sensible, it can also cause numerous problems and create unexpected liabilities for the family, who becomes the employer. These risks can be eliminated or minimized by utilizing a licensed Home Care Agency.
As a private employer, the individual or family is required to pay Social Security, unemployment and payroll taxes. Many self-employed caregivers will represent themselves as independent contractors, ostensibly relieving the hiring individual of these tax obligations. However, the hiring party has the responsibility to be sure that the caregiver they hire truly meets the criteria of an independent contractor and is paying their own taxes. In many instances, the paid caregiver will not meet the legal criteria as an independent contractor. If the paid caregiver has not met his or her tax obligations, this responsibility falls to the employer. This can be a serious obligation because it may involve interest on back taxes, civil fines and the possibility of criminal penalties. These costs are often finally recovered in full during probate proceedings from the estate of the older person who hired the caregiver. Potential private employers should seek the advice of an attorney familiar with labor laws to assure appropriate hiring practices with respect to federal tax laws.
As the employer, the individual or family paying for the independent Home Care Aide would be held liable for any work-related injury that occurs on the job. This can include the cost of all medical expenses and any disability payments that might become applicable. The home-care industry is noted for work-related injuries. This can be a huge risk to the employer, especially if the caregiving tasks include lifting, transferring or bathing. There are also risks related to communicable diseases if the aide does not abide by universal precautions that are required by all licensed agency personnel. Liability insurance and Labor and Industries payments are a major cost for a licensed Home Care Agency. Along with ongoing costs for licensing, employee recruitment, training and supervision, they account for much of the difference between agency rates and those of an uninsured independent Home Care Aide. Furthermore, the employer retains any liability that arises out of an injury to the person being cared for or any other person on the premises. If the Home Care Aide causes an accident in which other family members suffered any harm or losses, the employer would bear the full responsibility for all costs and compensation.
A licensed home care agency has a job to provide ongoing supervision for their employees. This includes helping the aides to understand the changing needs of clients, assuring the proper limits of care according to the practice acts of the various levels of staff, and mediating difficult relationship issues. Providing supervision is often as important for the aide as it is for the family. Home Care Aides often work with very challenging situations in the isolation of the client's private home. There are often issues of different cultural and faith traditions, different expectations about personal schedules, eating preferences and expectations. An agency supervisor will help to clarify the roles of the home care aide, and the expectations of both worker and care recipient. For example, an older adult might expect an aide to help with dressing changes, insulin injections, or other skilled care that is legally the responsibility of a licensed nurse. The agency can encourage the aide in setting appropriate limits on the types of care that can be provided, and find solutions to those care issues that are beyond the scope of the Home Care Aide's practice. In situations in which there are personality issues because of cognitive changes or a history of challenging relationships, the agency supervisor is available to provide guidance and support to both staff and care recipient. This can be very delicate, especially if there is a lack of trust or behaviors that are strange to the home health aide. The supervisor can reinforce and expand the aide's awareness that this is part of the disease process. and offer applications and strategies for coping with problematic behaviors so that the aide and the client can have a successful relationship. Supportive supervision is the key to making a challenging situation work. If supervisory help doesn't remedy the relationship problem, the agency can find a more suitable replacement without an interruption in care. The fact is that, the independent caregiver often does not utilize or have access to continuing education, training, and supervision, and has an incentive to cover up their deficits.
In conclusion, the employer, whether it is a private individual or an agency, has a great deal of responsibility in hiring and managing a Home Care Aide. This includes responsibilities that are financial, legal and involve governmental regulations. When a family is ready to hire Home Care services, they need to make a basic decision about the source of such assistance. This decisiontake into consideration the type of help needed, the financial and tax implications, the need for supervision and the relative vulnerability of the person receiving the care. If the family is unwilling or unable to assume the full range of responsibilities, they would be better off working through an agency. If the family picks to hire privately, they need to consult a lawyer and an accountant to assure that they make proper arrangements for all of their obligations. In addition, they need to stay involved in a supportive supervisory role to assure proper care and a healthy personal relationship.
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