Different types of Home Care

Non-Medical Home Care (Personal & Companion Care)

This is the most common type of care and is often referred to as "custodial care". It focuses on helping a senior maintain their independence and safety at home without medical intervention.

  • Companion Care:

    • Focus: Emotional support and socialization.

    • Tasks: Meal preparation, light housekeeping, running errands, transportation to appointments, and engaging in hobbies.

    • Ideal for: Seniors who are relatively independent but at risk of social isolation or who need help with daily chores.

  • Personal Care:

    • Focus: Hands-on physical assistance.

    • Tasks: Everything in companion care plus "Activities of Daily Living" (ADLs) such as bathing, dressing, grooming, toileting, and mobility assistance

    • Ideal for: Seniors with physical limitations or those in the middle stages of conditions like Parkinson's or Alzheimer's.

Skilled Home Health Care

Unlike non-medical care, this is medical care that must be ordered by a physician. It is often short-term and focused on recovery.

  • Focus: Clinical treatment and rehabilitation.

  • Providers: Registered Nurses (RNs), Licensed Vocational Nurses (LVNs), Physical Therapists (PTs), and Occupational Therapists (OTs).

  • Tasks: Wound care, IV therapy, injections, physical/speech therapy, and monitoring vital signs.

  • Ideal for: Patients recovering from surgery (e.g., at Sequoia Hospital) or those managing a new, complex medical diagnosis like heart failure.

Specialized Specialty Care

These programs are designed for specific medical conditions that require specialized training beyond standard personal care.

  • Memory Care (Alzheimer’s & Dementia):

    • Approach: Focuses on safety (preventing wandering), cognitive stimulation, and managing "sundowning" or behavioral changes using redirection techniques.

  • Movement Disorder Care (Parkinson’s & ALS):

    • Approach: Focuses on fall prevention, safe transfers, and specialized meal preparation for those with swallowing difficulties (dysphagia).

  • Post-Operative/Stroke Recovery:

    • Approach: Intensive support during the "Golden Month" after a stroke or surgery to ensure the patient follows their PT/OT exercises and prevents hospital readmission

End-of-Life and Relief Care

These services focus on comfort and supporting the family unit during high-stress periods.

  • Palliative Care:

    • Goal: Relief from symptoms and stress of a serious illness. It can be provided at any stage of a disease alongside curative treatment.

  • Hospice Care:

    • Goal: Comfort care (not curative) for those with a life expectancy of 6 months or less. It involves a multidisciplinary team (nurses, chaplains, social workers).

  • Respite Care:

    • Goal: Temporary relief for the primary family caregiver. This can range from a few hours a week to a full weekend, allowing the family to recharge.

A smiling caregiver assists a senior woman using a gait belt for mobility support in her home.
A smiling caregiver assists a senior woman using a gait belt for mobility support in her home.