Do you have any tips for moving my parente out of a nursing home back to a home?

Bmanbrown asked...

Do you have any tips for moving my parente out of a nursing home back to a home?

Expert Answer

Merrily Orsini, MSSW, was a pioneer in the business of providing geriatric care managed in-home care. She currently serves on the board of the National Association for Home Care and Hospice and is Chair of the Private Duty Homecare Association. She holds a master's degree in social work and is a nationally known writer and speaker on aging, elder issues, and in-home care.

You haven't said how ill your parent is or what kind of care he/she will need coming home. Nursing homes usually have a social worker who will work with you to make a discharge plan before your parent leaves. Ask for help as this service is a great way to line up resources in advance and get a professional opinion on what's needed once your parent returns home.

When you talk with the discharge planner, make sure you ask what care your parent will need and whether it is sporadic or predictable. For instance, if a parent had congestive heart failure and needed medication when problems presented based on fluid build-up, and a nurse needed to make that determination, then care at home will be difficult, because one cannot schedule care for unpredictable needs.However, regular needs such as personal care (bathing, brushing teeth, etc) can be met by hiring someone to come in and help at a regular time each day. Or, a family member can take over those duties. Some parents are not comfortable with receiving personal care from a stranger, while others may not be comfortable receiving intimate care from a family member.Then the household maintenance tasks need to be covered: bill paying, grocery shopping, house and yard maintenance. Many home care services now offer a live-in person who stays 24 hours in a family’s home. One tip is never to give a paid caregiver access to the check book or credit cards. That function is better off performed by someone separate so there is a checks and balance system between care, running the household, and paying the bills.Care can be provided by a home care agency, a friend, or a combination of your support system and paid attendants. If your parent is eligible for Medicaid, there may be a state program, usually referred to as a  “Medicaid waiver," that might assist in the care, based on an assessment of need.

Bringing a parent home from a nursing home requires planning and effort, but if the situation is appropriate for care at home it will all feel worthwhile.