To answer Bea’s questions in comments to my last entry:
A building can be named anything. ‘Inside’ it is all about level of care. A skilled nursing facility (SNF) cares for people who have BOTH significant challenges with activities of daily living (ADL) AND require 24/7 nursing care for a disability or illness (e.g. Multiple Sclerosis). Other care facilities may be licensed for custodial ADL care only.
According to the AAHSA:
· The average annual cost for a nursing home is $70,095.
SHOCKING number? Less then 10% of adult Americans can estimate the cost of a nursing home.
DO NOT believe for a minute that long term caregiving at home is an inexpensive alternative. Annual home health care cost for a part time ‘custodial care’ aide is approximately $25,000 (25 hrs/wk) and projected to more than double as demand increases with aging population.
Or you can do it like I did, try to do it all yourself … except, studies show “home care giving costs an (individual) an average of $656,000 in lost wages, pensions, and Social Security, not to mention negative health impacts.”
And … in spite of the sacrifices to maintain home care the person in need will not get the same access to medical care as in SNF care.
This old war horse has fought MS progression through both. For 15 years I was Patti’s home caregiver, and have now been her caregiver in the 24/7 care facility era for 3 years.
Like 50% of people, we started out paying for SNF care out of pocket until our family financial assets were exhausted and then applied for MEDICAID. In ‘our’ story, the preceding decade and a half of home caregiving did not leave much to exhaust. Patti is getting the best medical care possible for her Multiple Sclerosis symptoms while we the family … well, let’s just say …
… through the years you lobotomize yourself of the customary dreams or future plans associated with money. Caregiving is an altered universe.
Caregivingly Yours, Patrick Leer
Tags: caregiving, Multiple Sclerosis, MS, nursing home, SNF, skilled nursing facility, ADL, activities of daily living, custodial care, home care, Medicaid