Assisted Living Vs. Home Care

Learn the pros and cons of in-home senior care vs. assisted living to determine which would be the correct fit for you or your family.

THERE COMES A TIME IN most seniors’ lives when medical conditions, loneliness or an inability to care for oneself force families to decide about where a loved one should be living. Often a decision needs to be made between staying at home with the assistance of a caregiver or moving to an Independent or Assisted Living community. Each decision is an intensely personal one, and families must consider many factors when trying to make the right decision.

What Is Senior Home Care?

Senior home care is provided to a senior in his or her own home. Typically, services include assistance with activities of daily living, such as bathing, dressing, toileting, and household tasks such as cooking, cleaning, and running errands. Many families hire an agency that sends a caregiver to the home for several hours each day or a few times a week, depending on the senior’s needs. A live-in caregiver is another option that some families choose. Most insurance plans do not cover these services and can be quite expensive.

What is Independent Living?

Independent Living Communities are designed for older adults who are still active and independent but want to take advantage of community living and the amenities that come with it. Communities usually include many opportunities, including social, educational and recreational activities. Independent living offers residents convenient amenities that allow them to fully enjoy retirement. Some of the more common amenities include exercise facilities, a library, housekeeping and dining services, to name a few.

Living in a communities give you the chance to do the things you want during your retirement years without the worry of taking care of a home. Residents of Independent living communities have more time and opportunities to meet new people and try new things.

What Is Assisted Living?

Assisted living is a great option for people who can get around independently but need assistance in some aspects of their activities of daily living (ADLs). These communities offer services such as medication management and light personal care within a supervised setting. Assisted Living Communities focus on group and individual activities and efforts by staff to prevent residents from feeling isolated. Services provided by these facilities may include:
• Medication management
• Housekeeping
• Laundry
• Transportation arrangement
• Meals
• Social activities
• Assistance with activities of daily living (bathing, toileting, etc.)
• Health services
• 24-hour security
• Wellness program
• Community involvement

Every community is different, and all offer varying levels of assistance. It is important to thoroughly assess you or your loved one’s needs before deciding on which facility is the most appropriate fit for you or your family member.

Assisted Living vs. Home Care-Which Option Is Right?

It’s not that one option is always better than another. It all depends on the situation, and each family will have to consider its own needs.

Both senior home care and assisted living have their pros and cons. In deciding which is the best option, you’ll need to consider carefully your loved one’s needs and preferences and weigh those against your financial resources, and safety concerns. There is no one-size-fits-all answer to this question.

Staying at home, which many think would always be preferable, must be evaluated on a person-by-person basis, based on both physical as well as social elements. These factors include, but are not limited to:
• Safety and supervision.
• Access to care.
• Ability to manage bathing, dressing, medications and food access and preparation.
• Connections to other people and basic socialization.

A key component of whether or not home care is a better option than assisted living is safety. If a senior is planning to remain in the home, I would recommend having a professional Home Safety Evaluation to identify potential hazardous throughout the residence to decrease the risk of falls.

The Importance of Socialization

There’s a potential for isolation and loneliness when staying at home. A person, or their family, will still have responsibilities, such as cooking, shopping and maintaining the home, which can entail paying bills, doing yard work and so on. Also, care is not always available at the exact time of need. The family must make plans for “call outs” of caregivers at the last minute.

In an assisted living community care is available 24/7. That hands-on, 24-hour access to care and support is one major advantage an assisted living community typically has over home care. In home care, you don’t have access to that 360-degree view of care and socializing. There are not many programs viable outside of one-on-one activities in the home setting.

The Health Effect of Socialization

Socialization is a major factor in deciding where to live and shouldn’t necessarily be overshadowed by other factors. If you’re around like-minded people and you’re socializing with others in a book club or a golf club or whatever your interest is, that plays a role in living a healthier, longer life with fewer ailments. There’s substantial research from the National Institute of Health that shows that socialization is important for health. It can be very hard to create adequate socialization opportunities at home.

Contact with others can also provide improved medical care. The care team in an assisted living community can take a coordinated approach and collaborate to come up with the best comprehensive plan. Coordination of care in an assisted living community includes dietary concerns and working with your physician, a psychologist, social workers, music therapists and others. All of those services are rarely available in a home care setting.