A caregiver provides assistance in meeting the daily needs of another person. Caregivers can be paid caregivers who have had training and education in providing care. This may include services from home health agencies and other trained professionals.
Family caregivers provide care usually without being paid. Caregivers may provide care for an aging parent, spouse, other relative, or unrelated person, or for an ill, or disabled person, often in the home. Caregiving tasks may include transportation, grocery shopping, housework, preparing meals. It may also involve help with getting dressed, getting out of bed, eating, and incontinence.
According to the American Association of Retired Persons (AARP) and the National Alliance for Caregiving (NAC), estimates of more than 43.5 million Americans serve as informal caregivers either to a child with special needs or an adult who lives in the community and needs help.
Most caregivers (85%) are related to the care recipient with about a third caring for a parent. The average age of a caregiver is 49. Most caregivers are women (60%), but men also serve as caregivers. It's also a myth that most of the elderly are cared for in nursing homes in the U.S. Most long-term care is provided by family and friends in the home. Only 8% live in a nursing home or an assisted-living facility.
Experts estimate that 1.3 million to 1.4 million children, ages 8 to 18, care for an adult relative. Three-fourths of these children care for a parent or grandparent. Their responsibilities may range from bathing, dressing, assisting with mobility, preparing meals, dispensing medicines, and communicating with medical staff.
Caring for an ill, aging, or disabled person can be a rewarding experience. However, depending on the level of care needed and other demands on the caregiver's time and energy, it can also become an overwhelming responsibility. When this happens, it may be time to explore other home healthcare choices, like hiring a private caregiver. Here are some questions to ask yourself when considering a private caregiver:
How much time is needed to help care for the individual at home? Is this likely to increase or decrease over time?
What skill level is necessary to provide the best care for the individual at home?
Are family members and friends capable of providing the necessary care without any one individual becoming overburdened?
How does the ill, aging, or disabled individual feel about having a private caregiver assist with his or her care? Is he or she comfortable with the idea of a private caregiver? Does he or she understand the caregiver's need for care assistance?
If the decision is made to hire a private caregiver, you will want to explore many choices. Also, it will be important to acknowledge and include the desires of the person who will be receiving care. Consider the following questions in your search for appropriate care:
What services would be required of the caregiver? (Try writing a job description outlining exactly what would be expected of a caregiver.)
Is the individual employed by an agency or organization licensed by the state?
What specific services will the caregiver provide, and will these services match your job description?
Will the patient's Medicare pay for the service? If not, decide exactly how services will be paid.
What are the qualifications of the person or people giving care?
Will the same person or people always be available, or will it be necessary to adjust to many different caregivers?
Does the agency or organization offer flexibility, making care available on weekends, at nights, and on holidays, for example?
How does the agency or organization make sure that its employees treat their patients and patient families with respect?
A report from the AARP revealed an increase in the participation of informal caregivers, such as family, to provide care for older persons with disabilities and a decrease in the use of paid caregivers. As a result, there is growing concern about the well-being of the family caregiver. Caregiver health self-assessment questionnaires are available to help evaluate behavior and health risks. The National Family Caregiver Support Program can offer help and support in areas like chore services, education, and counseling.
The NAC and the HIP Health Plan of New York wrote a brochure, Care for the Family Caregiver: A Place to Start.