Ask a Nurse!
We encourage you to submit any questions that you have about home care, long-term care, or your particular situation in the form below. Within 48 hours, a Homewatch Home Care Nurse will post your question along with the answer. Questions will stay posted for others to be able to read with the most recent being posted at the top.
All questions are welcome! Example topics include:
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disease-specific care at home (Alzheimer’s, Parkinson’s, Diabetes, etc.)
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medication management at home
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cost of care at home for individual situations
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social and emotional well-being with home care versus assisted living
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home maintenance, lawn care, transportation, bill paying, etc. addressed with home care
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and any other questions you may have!
January 28, 2010
Question:
My 91 year old Aunt has trouble with walking, and balance.
Currently receiving rehab after fall and fracturing disc's. It seems she will no longer be able to bathe, and use toilet on her own...Not sure if we could arrange am/pm help with toileting esp. maybe wear protection during the night/daytime, and and have help before and after bed? She was living with het elderly sister...who can not assist physically. Both in good mental shape. Need your description of what can be done, and costs involved....Thank you for your help.
Concerned neice, Caroline
Answer:
There are incontinence products (briefs) that one can wear to avoid having to get up to the bathroom at night. Often they are not sufficient to avoid leakage, so the product is supplemented with a liner, or even 2 briefs and a washable bed pad. There is a risk of infection and skin breakdown with the use of these products. Ideally, your aunt should have someone with her to help her to the bathroom and the change the brief once it is soiled.
Baywood Home Care provides overnight services, where the staff would sleep at the home and be awakened when the client needs care. This sleeping overnight care costs $190/night. The staff could arrive in the evening and help get your aunt ready for bed. This staff could then stay and provide bathing, grooming, meals...in the AM at our hourly rate. Our hourly services are $27/hour and we come out on a schedule that is tailored to the client's needs. We are currently offering an incentive to try our services at a 20% discount, if you use our services for at least a month. The discount would continue for up to 3 months. The discounted rate is $152.00/day for overnight care, and $21.60/hour for hourly care.
We could provide AM & PM cares at our 3 hour minimum. With the discount, that service package would cost $129.60/day. I hope this helps. If you would like to schedule a no-charge, in-home consultation with one of our nurses to further discuss what our services would look like for your family, we would be happy to do so.
Sincerely,
Judy Ophus, R.N.
Care Manager
Baywood Home Care (formerly Homewatch Home Care)
September 28, 2009
Question:
Are you hiring for RN?
Answer:
No, we are not hiring at this time, but you are welcome to mail us your resume if you would like us to keep it on file. As we grow, it is possible that we would hire another R.N. Care Manager.
September 21, 2009
Question:
Do you have, or know of, a similar service in the Duluth area?
Answer:
We do not currently provide home care in the Duluth area. To get a good referral for services similar to what we provide, you may want to contact the local hospital and ask to speak to a social worker. The social workers should be able to refer you to a home care agency that does "private-pay or private-duty home care". In Minnesota, agencies who are able to provide the level of care that we do hold a Class-A license by the State of Minnesota. Another place to get a referral for a home care agency, would be to talk to a social worker at a local nursing home. You want to be sure and tell them you are looking for a referral for a home care agency that does private-pay home care rather then the Medicare-covered home care. I did a search online and found these two agencies that you may try calling - we have never worked with them, just found them online - Nurses that Care: 218-724-2800 Home Instead Senior Care: 218-727-8810
I hope this helps!
August 30, 2009
Question:
Hi im Esther and i was wondering which would be the best place
for a 16 year old CNA to work?
Answer:
Assuming that you are looking to work with the elderly population, we would recommend that you look for work in a senior care center, traditionally called the "nursing home". This will allow you to start gaining well-rounded experience and there is an R.N. on-site for supervision and mentoring.
August 8, 2009
Question:
Are you licensed and/or governed by Minnesota Department of Human Services?
Answer:
Simply stated, yes we are licensed and regulated by the State of Minnesota. To explain further, Homewatch Home Care is Class-A licensed to provide home care in Minnesota. The Class-A license enables us to provide care that is similar to the care provided in nursing homes and assisted living, but we do so in people's own homes.
Under this license, we hire caregivers who are Certified Home Health Aides and Nursing Assistants. They are professionals who have experience and training to perform delegated nursing tasks. Caregivers who do delegated nursing tasks are required by the State of Minnesota to be supervised by a Registered Nurse every 14 days. Delegated nursing tasks include things like administering medications, providing catheter care, doing tube feedings, using mechanical lifts for transfers, checking blood pressure or sugar.
Homewatch clients receive a supervisory home visit from an R.N. Care Manager at least every 14 days and we do not charge extra for the R.N. supervisory visits. Some Class-A home care agencies will charge extra for the required R.N. supervisory visits.
Minnesota class-A licensed home care agencies, which includes Homewatch Home Care, are regulated and surveyed by the Minnesota Department of Health.
Homewatch Home Care's last survey (audit) was deficiency free. You can actually view each home care agencies survey results and read more about home care licensures in Minnesota at the Minnesota Department of Health website:
http://www.health.state.mn.us/divs/fpc/profinfo/cms/hcacla/hcaclasurveyr
esults.html
I hope this helps and please let us know if you have further questions!
August 4, 2009
Question:
Would you provide service in the following situation?
My mother and father live in a senior independent care facility. My
father has a number of health issues and has mobility challenges. Most
of the time he can get around with the use of a walker. However every
other month or so (seems to be more often lately), he will have an
episode where he will not be able to stand up as his legs will not
support him. These episodes last for a day or two and come with no
warning. During these times he needs help to move around their
apartment, use the bathroom, etc. The service we are looking for would
be for these "unplanned times" and would need to be available with a
phone call. Please let me know your thoughts.
Thanks! Ron B.
Answer:
Homewatch Home Care can provide respite care, which is what you would need. How respite care works is that we have one of our R.N.'s do an assessment beforehand and then you call on an "as needed" basis.
Typically, we require at least 24-hour notice to start service. If your need ends up being for service the same day, we would try our best, but could not guarantee it. We typically do not charge for our assessments, but the exception is with respite care. The R.N. assessment for respite care clients is $150 and it is a one-time fee. Our caregivers are available to come out for a minimum of a 3-hour visit and the visits can be anywhere from 3-hours up to 24-hours based on the client's needs.
The hourly charge for respite care is $30 per hour (our fee for clients on a regular schedule is $27 per hour) or $275 per day for 24-hour care.
Our caregivers are all experienced Home Health Aides who can provide help with mobility, bathing, use of the bathroom, cleaning, cooking, etc. I hope that you find this information helpful and if you would like to take advantage of a no-charge informational meeting with one of our R.N.'s, please call our office at (763)546-8899 or (651)699-5070 or
(507)388-5589.
July 29, 2009
Question:
My father has congestive heart failure and has just been
diagnosed with microscopic colitis. He is very weak from weeks of
diarrhea and now has a bad
cough and is on an antibiotic. Is there any
benefit to having an RN come out for a visit with possible follow-ups on
a regular basis to give him helpful tips and support? Whom would we
call? He lives in Oakdale, MN.
Answer:
From Judy O. R.N. Care Manager
It sounds like your father may qualify for Medicare Home Care services,
which could provide skilled nursing, therapy and personal care for
bathing. Skilled nursing could provide education about nutrition and
health, therapy can help him regain his strength following his illness.
Contact his doctor or clinic social worker for a referral to a provider
in his area. Otherwise, both Intrepid, USA (651) 638-7800 and Heartland
Home Care and Hospice (651) 633-6522 provide Medicare-covered services
in Oakdale.
If your father needs more care or assistance than is covered by
Medicare, or if you find out that he does not qualify for
Medicare-covered services, Homewatch can provide home health aide
services and nursing oversight until he gets back on his feet. We offer
no-charge consultations by our R.N.'s either in-person or over the
phone. Call us if you are interested in setting up such a meeting at
(651) 699-5070. And, please feel free to call us any time with other
questions.
I hope you find this information to be helpful!
July 16, 2009
Question:
A single friend needs help changing a surgical dressing every day. Since I am not able to help, I would like to arrange for a nurse or other medically qualified person to do this for her in her home for about a week. What kind of agency would I call to make inquiries about this service?
Answer:
We would recommend that you call CareMinders who will do a wound care visit for approximately $49 per visit (please call them for complete pricing information and Nurse availability at 612-435-7140). If your friend wanted someone to spend a few hours at the house to provide not only the dressing change, but additional assistance such as transportation for appointments or errands, housekeeping, bathing, companionship, etc. then Homewatch Home Care could send a caregiver to come out each day for $27/hour. We do require that each visit (at this price) be for at least 3-hours. We will occasionally do a 2-hour visit for $65 per visit. Thank you for your question and please let us know if we can provide you with any other information!
July 13, 2009
Question:
My father has MS and has been living in a town home with my mother, she has been his care giver. He has been losing the strength in his legs and may soon need a hoyer.
He is in a wheelchair; he has an aid once a week and assistance with showers.
We are now exploring assisted/nursing care options and I wonder if Home care is a viable option.
He was an attorney for many years and still serves as a director for a couple of corporations (attends meetings by phone).
His mind is still active.
Can you let me know what Home care might look like for him and if this option makes sense? Thank you
Answer:
From Judy O. R.N. Care Manager
Home care is definitely a viable option for your father.
At Homewatch Home Care, we specialize in providing personalized care and assistance that enables people to stay living where they want to live and living their life how they want to live it.
For your father, it sounds like this may be living at home and continuing to be an active director for corporations.
Homewatch currently provides care to several clients who use mechanical lifts for their transfers. These clients have a variety of conditions, including, MS, Parkinson's Disease, and Quadriplegia.
There are a variety of mechanical lifts and transfer devices available for home use: transfer belts, transfer boards, pivot boards, hoyers, EZ stands, sit to stands, etc. A Homewatch R.N. Care Manager can provide an assessment and/or refer you to a therapist who will help determine which lift is most appropriate for your father. Family caregivers can also be trained in the use of the lift.
I envision a care plan for your father that would include AM & PM cares, but the R.N. Case Manager for your area would meet with your family to help identify your needs and then develop a care plan with you to address those needs. We do this at no-charge to your family and you can call to arrange such a meeting at a time that is convenient for you.
Based upon the care plan determined by your family and the Homewatch R.N. Care Manager, we are able to provide home care on a schedule that is personalized to your father’s needs.
This can be anywhere from 3-hours per week up to 24-hour care (live-in caregivers are an option).
Our caregivers are certified home health aides who have training similar to that of the caregivers in assisted living and nursing homes.
They are compassionate professionals who have prior experience and come to us with good references.
Our applicants are required to pass extensive skills testing, interviews, background checks, and reference checks before hire.
Our employees are competent in the use of all types of lifts and transfers, as well as personal cares and other delegated nursing tasks.
Thank you for posting your question.
Please let us know if we can provide you with any additional information.
July 10, 2009
Question:
My daughter is planning on attending South Central Community College this fall in the hopes of getting a nursing degree. She is a C.N.A right now and going on her third year of working at the Good Samaritan Center. Is there any way for her to be involved in your program and still attend college? I guess we're wondering about the hours that someone would work. Thanks for any information you can give us.
Answer:
The simple answer to your question is that YES, your daughter can be employed by Homewatch and still attend college. Throughout the years we have had
many employees of ours who have completed advanced schooling while working with us and gone on to become R.N.'s. Ambition and advanced education are valued at our agency. The home care that we provide is based on each client's needs. Therefore, we have some clients who may need our assistance in the mornings, afternoons, or evenings only anywhere from 3-hours per week up to 24-hours per day. If your daughter had certain hours during the week that she could work, then we could have her work with our clients who need assistance during those similar hours. Though, we may ask how soon she plans to finish her schooling because we do pride ourselves on the fact that our clients have the same caregivers whom they can get to know and trust. We treat and pay our employees well because we know that our good employee retention rate means consistency for our clients! It sounds though like your daughter is just begining her schooling and could commit to a decent time with our company. We require that our caregivers have at least 2 years of experience (and that they can provide references), that they own a dependable vehicle and have a valid drivers licence, and that they are a Certified Home Health Aide or C.N.A. If she is interested in employment, she can come to the office between 9am and 2pm on Mondays, Tuesdays, Thursdays, and Fridays. She should allow 2-3 hours. All applicants must re-take the Home Health Aide test with us and pass with 80% (We have added questions to the state test and although the state requests 70% to pass, we have increased our standards). Applicants also do a skills test with one of our R.N.'s and an interview. We will also do background, reference, and driving record checks. I hope this information helps!
June 12, 2009
Question:
My parents are in the process of determining their long-term health care. My father has Alzheimer's Disease and my mother has very limited mobility (she walks with a cane and has trouble standing/walking due to trouble with her knee). Both said they do not want to leave their home - neither wants to be in an assisted living or nursing home. At this point, they could use someone to help with home care (cleaning and maintenance), lawn care, and driving them to do errands - so a few hours a week (even a couple of hours a day would be sufficient). Gradually, I see this changing to a 24-hour level of care situation as my father's memory and physical health decline. They do have Medicare and Health Partners. What would something look like - from a financial aspect as well as what Homewatch Home Care could offer to both of them?
Thanks for your help.
Answer:
--The first most important response to your question is that is unquestionably possible for your parents to remain in their home indefinitely, even as their needs become greater over time.
--You are doing the right thing, getting started now with a home care provider that can adapt to your parents' changing needs over time. Homewatch Home Care can provide what your parents need now, and then increase services in the future as needed, up to and including 24-hour care.
--Homewatch can provide home health aides to help your parents for a few hours a week, or for 2-3 hours a day, as you said your parents may need. The home health aides can drive your parents for errands, and do general housekeeping such as vacuuming, dusting, cleaning kitchens and bathrooms, fixing meals, and doing laundry. Homewatch can also arrange for a reliable person to do lawn care, and manage that service. We are here to do whatever it takes to make it possible for people to stay in their homes.
--Services such as these--those that provide for people's ongoing day-to-day needs, are not covered by health insurance. This is true regardless of where the services are provided. Ongoing day-to-day assistance is not ever covered by health insurance, whether the clients are living at home, in assisted living, or a nursing home. The only exception to this is if people have nearly completely depleted their funds, in which case Medical Assistance will pay for ongoing day-to-day care.
--So, ALL ongoing, day-to-day assistance or care is "private-pay", regardless of where it is provided---at home, in assisted living, or in a nursing home. "Private-pay" includes Long Term Care Insurance. Many people now have long-term care insurance, which pays for long-term care wherever it is provided, whether it is at home, in assisted living, or in a nursing home.
--Medicare provides for short-term treatment and rehabilitation -- if someone meets the criteria to receive the Medicare benefit -- but not for ongoing, long-term needs. Please visit our Medicare page on our website to learn more about Medicare-covered Home Care.
--The fees for service at Homewatch Home Care are $27/hour for hourly services (assuming a minimum of 6 hours a week and 3 hours a visit), and $275/day for 24-hour care. We are willing to do 2-hour visits, if feasible, for which we charge $65. If services are for less than 6 hours/week, the fee is $30/hour. These fees include routine R.N. visits to each client, as well as ongoing R.N. Care Management. We do not charge extra for nurse care management. The fees also include an R.N. being on-call 24 hours/day. The cost of home care is generally about the same or sometimes less than assisted living or nursing homes. Please visit Our Services page on this website to compare the costs of each option.
We hope this information is helpful. Let us know if you have more questions. And, of course, feel free to call us at 763-546-8899 or 651-699-5070 or 507-388-5589
May 13, 2009
Question:
What are your costs for your services?
Answer:
With a schedule of at least 6-hours per week (with a minimum of 3-hour visits at a time), our cost of services is $27 per hour for a single person and $30 per hour for a couple. For a caregiver to be at the home around-the-clock (24-hour care) we charge $275 per day for a single person and $320 per day for a couple. Depending on where the client lives, we can sometimes offer 2-hour visits for $65 per visit. The initial assessment, supervisory visits, and most care management by our R.N.'s is typically included at no additional charge to what you pay for home care services. If someone was in a situation where they just needed care management by an R.N., rather than a regular schedule of home care, our R.N.'s also do solely care management for a cost of $75 per hour for indirect case management and $100 per hour for for direct case management. I encourage you to call our office for complete information at 763-546-8899 or 507-388-5589. You could also submit another question if you would like to propose a situation and get a more specific cost estimate per your individual situation. I hope this information helps and thank you for submitting your question!
We hope this information is helpful. Let us know if you have more questions. And, of course, feel free to call us at 763-546-8899 or 651-699-5070
or 507-388-5589