Appleton, WI
(920) 257-4667

The Value of Homecare vs. Assisted Living


Autonomy, Freedom, Independence, Having a say in your life.

When medical conditions take an individual down a path of difficulty and needing assistance, directly after getting the care they need physically, these things are usually at the top of their mind.  Research has shown that losing independence and the freedom of choice frightens more people than death.

Maslow's Hierarchy of Needs Chart

In Homecare, our goal is not just to meet the physical needs at the bottom of the triangle, but to work our way up to truly meeting the individualized Person Centered Care at the very top.

Assisted Livings can usually be considered a One Size Fits All type of scenario.  Meal times are offered at certain times only, activities are to fit the crowd, and the bus usually brings them to certain places of interest on certain days.  If someone uses the assistance of their showers and personal care help, it is made to fit the facility’s schedule, as there are many residents there.  They receive the service of the individuals at the facility, but not the continuity that is found with one on one care.  The average cost of assisted living in our area is $4088/month, depending upon level of care needed.

Before looking to move someone, first consider the following:

  • Independence: Home care allows older adults maximal freedom and control as they age. Throughout life, our home is our castle. The home setting is a “least restrictive” environment that allows older adults to remain engaged with their typical daily activities and to remain in the community. It epitomizes the movement towards “person-centered care.” It allows for more choices and the opportunity to be more active in the things they enjoy doing. 
  • Person-Centered: No one person, lifestyle, or situation is the same. Home care recognizes how essential specialized care is to maintaining health. By definition, home care is one-on-one, and our goal is to achieve true “Person-Centered” care, helping each individual thrive, not just survive.
  • Balance: In times of sickness, the family bond takes center stage. Families are an imperative source of physical, mental, and emotional support, but if family members become overburdened, the balance will not work out for either party. At times, the family members may need to insist on starting homecare, as a means to safely keep them in their home, so they can remain as a support, rather than nearing “caregiver burnout.” 
  • Promotes Well-being: Being in a familiar environment allows someone to receive the best support emotionally, as well as physically.  Right at Home care plans try to incorporate range-of-motion exercises in most care plans, when appropriate, to increase and maintain strength.  Much research shows home care expedites healing, because they are in a comfortable place, they have choices, and they have carestaff coming in to spend time with and for them. 
  • Timeliness is Important:  One of the most important things is to recognize the need and start homecare services before critical incidences or family caregiver burnout occurs. 

A great scenario for hours of care at home, to encompass everything and more that an assisted living could provide, and allowing for Person-Centered care at home would be: 3-4 hours each am and 2-3 hours each pm, taking care of personal care, meals, meds, housekeeping, laundry, shopping, errands, and much more individualized care. The cost of such a scenario would be about $1008/ week, and they would be able to stay in their home. 

Working with Home Healthcare (Skilled)

  • Home Healthcare is considered a skilled care for those that are home bound, providing PT, OT, wound care, infusion therapies, and more, and is also usually covered by Medicare or insurance.  Home Healthcare includes agencies such as PRN Homecare, Heartland Homecare and Hospice, Theda Homecare and Hospice, Ascension Homecare and Hospice, Amedysis Homecare, Rehab Arises.
  • The care we provide is non-medical, providing bathing, dressing, meals, grocery shopping, transportation, light housekeeping and complete care management of supportive living services at home, and we work side by side the skilled care agencies for a complete solution. The skilled care agencies can meet needs both in assisted livings, as well as in homes. 
  • When therapies are assigned, Right at Home staff continue the range-of-motion exercises that are prescribed from the therapists with home healthcare, with clients at home on opposite days.

Contact us today for a free consultation.

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