Options for Elder Care When You Don’t Live Close

Of the estimated twenty-five million Americans who serve as caregivers to an elder, more than a quarter are doing it long distance – some of whom are doing it as far as a time-zone away.  This number is only expected to grow as more baby boomers take on the task of caring for their parents.  Caregivers and seniors are turning to all different options to secure the seniors safety while their caregivers are so distant.

Some seniors are choosing assisted-living facilities or continuing-care retirement communities (CCRCs) as opposed to nursing homes.  They offer residents meals, housekeeping and assistance with basic tasks, such as dressing and bathing.  CCRCs offer a wider range of living choices, allowing tenants to move from apartment to nursing facilities within the same complex.  The downside is that these facilities can cost up to several thousand dollars per month. For instance, a one-bedroom apartment, for entry fees alone can run as high as $8,000, with monthly rents of $1,000 and up. 

Another alternative is for the elders to stay in the comfort of their own home, which is an option being chosen more and more. The increase in seniors remaining in their homes has caused home-health-care services to boom. Nevertheless, one must be careful when picking such a service because they are not only expensive themselves, but it is more difficult to monitor the level of care. Although the number of certified home-care agencies has nearly doubled, there still remain many others with a lack of certification.  A recent federal audit concluded that 40% of home visits paid for by Medicare were unjustified. 

“”There’s a wide margin for fraud and abuse,” says Donna Wagner, author of the National Council on the Aging’s recent study “”Caring Across the Miles.”

The last option is turning to a Geriatric-Care-Manager (GCM), an on-site family proxy.  They arrange and oversee services ranging from shoveling the driveway, painting the house, caring for the senior. “[W]hatever needs to be done, we’ll do it.” says Mary Barringer, a GCM in Springfield, Ill.  Another worthwhile option, yet very pricey as well – with services ranging from around $50 – 100 an hour.

With all of these options, you must choose the one the best fits your needs. You must also pay close attention to these services’ certifications and reputations.  You need to trust the people who care for your loved ones, especially if you are not close by to monitor it yourself.   

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