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Home health care

I'm 70 and in reasonably good health, some issues that are well managed. DW is 67, about 3 years or so in. I would say moderate stages. A fair amount of urinary incontinence, needs assistance with bathing and dressing. We have an adult daughter who's doing all she can to help us. I cook breakfast every day, and either our daughter brings meal prep or I cook. I'm getting some increasing suggestions that I bring in a home health care aide. Other than maybe a little respite care I'm not sure that we have a great need. I'm a little tired, but I'm retired and feel like we're mostly managing ok. I guess my questions are: when did you decide to bring someone in? How frequently did they come and what did their task list look like?

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  • SDianeL
    SDianeL Member Posts: 3,417
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    respite care is important for you to recharge. Even a few hours per week helps. The VA provided respite help for my DH. She came once a week for 4 hours. Some agencies have a minimum number of hours. She was a CNA and couldn’t give him his meds. She mainly sat and listened to him and made sure he was safe. I ran errands, went to doctors appts, went to a book store or library, etc. She would have done light housekeeping, help with bathing and fix light lunch but we didn’t need that. The agency will provide a list of what they do and decide what level of care you need. Having help would benefit you and your daughter. I highly recommend it if you can afford it and if your DW will accept it. I got my husband to accept it by telling him it was for me. I needed the help.

  • Nancy13
    Nancy13 Member Posts: 5
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    Hi. I'm new to this, living with my husband newly diagnosed. Is there a chat here?
  • SDianeL
    SDianeL Member Posts: 3,417
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    welcome. Sorry about your husband’s diagnosis. You can post a new topic by clicking the plus sign and putting in a subject and typing a question or comment. There are different sections for caring for spouse or partner, general topics, caring for a parent, etc.

  • Michele P
    Michele P Member Posts: 549
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    I love that you told him that the help was for you. I am filing that! Your posts are so helpful. I am so sorry for your loss. The knowledge you bring to us is invaluable.

  • jennybeeay
    jennybeeay Member Posts: 46
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    Hello persevere,


    You have so much knowledge to share and it is so helpful to those who are coming to grips with what lies ahead. I am beginning to explore home care options as my DH gets more and more dependent on me. He is in the early stages of Alzheimer’s. He has two children who have busy lives and are not that connected to him for a variety of reasons. I feel the pressure to manage his care but I know I am just one person. I want to keep him at home so I am thinking about how to start to integrate someone in to our life so I have some time to take care of myself and to work. I looked at Care.com. Can you tell me more about how you used that? It looks like they advise people on a monthly basis and I assume they help to match you with caregivers. Would you be willing to share your experience?

    Thank you very much.

  • M5M
    M5M Member Posts: 268
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    Hi Jenny, I'm sure perservere will be back with some more good suggestions, I will add my thoughts oh finding a helper in the meantime. People "new to the game" often say "I'm doing OK, we don't need any help now…"…..but in reality, finding the right care helper often takes a while, and when the "need" is there, it is often in a crisis situation when you don't think as well and then make a poor choice. Many of us are not used to having "help" in our homes, certainly not someone to handle the often intimate details that come with caregiving. So I would start with thinking how you will approach finding the right person. Make a list of questions you want to have answered in an interview-write them down- and also make a list of what you want them to do. Then, when you identify your person, allow some time for yourself and your LO to get used to each other. Most people find it works best to tell your LO that the help is for you, not for the person with dementia. I stayed at home with the helper and DH for several weeks. We chatted, sat on the patio, occasionally the 3 of us took a short walk. The helper watched as I made breakfast, coffee, how I cleaned the kitchen, and she started handling some of those tasks regularly. Gradually it became clear that this person was a good choice, and I started leaving some, after several weeks. DH did not-still does not "like " for me to leave, but he now will chat with the helper when I am gone and he is well cared for by someone who is relatively comfortable in our space.

    Good luck!

  • M5M
    M5M Member Posts: 268
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  • persevere
    persevere Member Posts: 350
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    edited November 2025

    Hi Jenny, just seeing your comment. Looks like you got some good advice from others already. Both Howhale and M5M have very good approaches. Care.com requires you to subscribe monthly or yearly in order to actually reach out and message prospective caregivers. It’s fairly cheap. All of their caregivers undergo background checks. Also, it’s quite possible that you already know people or people who know people in your same situation. Word of mouth is just as effective. In my case the things that are important to me is that they are trustworthy, caring, dependable, flexible, and don’t mind doing a few chores if that’s what I need. My DW is at the point where it’s not easy to entertain her. Just keeping her on an even keel and making her feel safe is of the utmost importance. Once you find someone start very slowly. Like others said, let them observe how you interact and how you like things done. If your husband is in the early stages then hopefully he can participate in trying to make this work. I think one of your challenges will be that most caregivers are female. I’ve heard this can be a bit more difficult for husbands than wives with dementia. Feel free to message me if you’d like but I think all of the inputs you’re getting are very good. It’s all about what ‘you’ need to make this work.

  • jennybeeay
    jennybeeay Member Posts: 46
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    perservere…your user ID seems so appropriate here and I'm sure it's on purpose. That's what I intend to do also. Thank you so much for your input and for affirming Howhale and M5M's advice. I really like their approach as well. Lots to think about here and I'm glad that I have a little time to take a thoughtful approach..at least for now. We're both still in the acceptance phase..particularly my DH because I've know about this for longer than he has.

    All the best to you.

  • JPJardinel
    JPJardinel Member Posts: 68
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    What you are describing, a retired husband cooking breakfast every day, coordinating meals with your daughter, managing incontinence and bathing assistance, and feeling only a little tired, actually sounds like a lot more than most people would call mostly managing. The people around you who are suggesting a home health aide are likely seeing something you cannot fully see from the inside, which is how much you are already absorbing without calling it caregiving. The decision to bring someone in rarely comes from a moment of obvious crisis. It usually comes from someone finally doing the math on everything a spouse caregiver carries invisibly each day and realizing the load is heavier than it looks from the outside. Most caregivers who wait until they genuinely need help find they have already been running on fumes for longer than they realized, and starting with just a few hours a week, someone to handle bathing assistance or sit with her while you take a walk, tends to feel much less like giving something up and more like getting something back. The most common answer to your question of when people decided to bring someone in is almost always the same: earlier than they did, and they wish they had done it sooner.

    I hope these references can help:

    https://hopebridge.care/home-health-aide-for-dementia-care-giving-yourself-grace/

    https://en.wikipedia.org/wiki/Dementia_caregiving

    https://www.nia.nih.gov/health/alzheimers-caregiving/getting-help-alzheimers-caregiving

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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