Why and How Caregivers Should Create a Personal Care Agreement

January 24, 2017

As my friends and I enter our late 40s and 50s,  I find we talk more about caring for our parents than any other topic. For some, the care involves an occasional check-in and phone call. For others, it involves full-time care. A few were even thinking of quitting their jobs so they can take care of their parents full-time.

If you find yourself facing the same decision, consider creating a formal agreement, known as a personal care agreement, that can help manage the expectations of the person receiving care and their family members and clarify the compensation the caregiver will receive. (You can see a sample here.) Before creating it, consider discussing your desires with family members to avoid conflicts and resolve concerns. Generally, there are three basic components of a personal care agreement:

  • It should be in writing.
  • Money received is for future not past care.
  • Compensation must be reasonable, similar to what a caregiver in your area would charge for the same service. Consider looking at online job agencies like Monster to find out the average pay for the services you will be providing.

The other parts of the agreement to consider are to:

  • Note when the care will begin as well as the expected length of the agreement.
  • Include where the services are expected to be given, such as the care recipient’s home.
  • Detail the services the caregiver will provide such as food preparation, transportation, etc. In addition to talking to the care recipient about the services he or she wants, consider consulting with the care recipient’s medical providers to determine the level of service needed. Assess the level of care the caregiver is capable of giving.
  • Estimate the expected number of hours or days of the week for the services to be rendered. Consider writing a plan to account for the caregiver’s time off such as illness or vacations.
  • Cite the amount of compensation and dates of payments. If the caregiver plans to live with the person they are caring for, consider including whether there is an expectation of payment for room and board.
  • Consider adding in an “escape clause” so each party can terminate the contract. This will go a long way in preserving the relationship.
  • Have the completed document signed by all parties (if the care recipient cannot sign, then the durable power of attorney agent should sign) and notarized.

As you can see, drawing up a personal care agreement can quickly get complicated. Consider consulting with an attorney. See if you have a workplace benefit for free or reduced cost legal services to help you write the agreement. Doing your due diligence can help alleviate stress and prevent a lot of conflict.

 

 

 

 

Helping Aging Parents Decide Where to Live

September 13, 2016

As a Generation Xer, it’s amazing how the conversations I have with my friends have changed over the years. At first, the conversations were about who was dating who and the latest episode of The X-Files (the original one). Then it was all about the baby pictures, which quickly turned into prayer vigils as to how we are going to survive the teen years.

Over the last few years, the conversations have been about our aging parents and how we can help them make life decisions, such as where they will live once they retire. If your parents are healthy and can perform activities of daily living, then an independent living facility like a senior apartment/condo may work. These types of homes can be subsidized for those with low income or private pay only.

If your parents have health issues that requires monitoring and struggle with some of the activities of daily living but do not need 24 hour nursing care, then an assisted living facility may be an option. Since there is no uniform standard for assisted living facilities, call and ask about what services are offered and the living arrangements. Another option is for your parents to stay at their home and hire a caregiver for basic non-medical care. If your parents have a condition that is progressive such as Alzheimer’s or that requires extensive nursing care, then a nursing home may be a consideration. Consider using checklists like the one from the Alzheimer’s Association to go over questions to ask.

As you start to evaluate which one is the best option for your parents consider the following:

1. How much can they afford? Assess all their income resources. Some senior facilities are private pay only, and some are income based. If your parent’s finances are limited, consider contacting your local Department of Aging Ombudsman Program for guidance. Review your parent’s benefits and insurance documents to see if they have long term care insurance, and contact the insurance company regarding the requirements to activate the policy.

2. What level of care will your parents need now and possibly in the future? Some active adult community facilities only provide limited heath care while others are connected to an assisted living facility that offers more comprehensive care so if needed, your parents can seamlessly transition. Organizations like A Place for Mom,  Adult Living Solutions, Seniors Resource Guide and possibly your local senior center can provide information on helping you make the most informed decision.

3. What level of independence do your parents want? This may require a reality check. Talk to your parents to make sure that the facility they want and the expected level of care matches. Once you have agreed, use the resources above to find the best option that matches your parents needs and wants.

Elder care can be stressful. There’s a lot you can do though. Taking the time to help your parents make the best decision will go a long way into making the transition as smooth as possible.

 

Eldercare’s Impact on the Workforce: The Hidden Cost of Caregiving

September 06, 2011

Last month, my in-laws came along for a weekend trip to Florida, and it gave me a very small taste of what many caregivers experience on a daily basis.  My father-in-law (Gene), who is in his early 70s, has diabetes, heart problems, and is severely overweight and because of these ailments, he has dietary limitations and needs help getting dressed and putting his shoes on.  To give my mother-in-law a break that weekend, we took her “off-duty” and my husband and I soon came to realize why she has been under so much stress lately. Continue reading “Eldercare’s Impact on the Workforce: The Hidden Cost of Caregiving”