If you have a genuine medical need and your fisabiliyy is severe enough to make eligible for placement in a nursing home , most states have Medicaid waivers and centers for independent lining (CIL'S), getting in contact with them is the place to start, you will have several Medical and functional evaluations to determine how many hours of assistance you qualify for and will then if you are deemed in need, awarded a certain amount of hours to budget when and with what you need assistance, light house keeping , trips to doctors , grocery shopping, laundry, grooming and personal hygiene like bathing and diaper changing , to explore this contact your states Office of Long Term Living or your Medicaid case worker, for guidance, if you are not disabled to the point of meeting criteria for admission to SNF ( Skilled Nursing Facilty) you will probably be denied, if you are accepted based on your condition you will be awarded between one hour and about 40 hours per week ( the most I have ever seen was 63 hours a week, for a person who had no independent mobility what so ever) using those hours efficiently and effectively is pretty much up to you .
There are two models of care Agency model and Consumer model, with agency model the carer works for an agency, and is trained by an agency as to what they can and can jot do, and is also required to account for the time with you , as in they cleaned and dusted , you voided or had a BMW and was changed at what times, your meal was prepared and you ate a x time , they took you grocery shopping at such and such a store for x amount of time.
On consumer model you hire and train your own people to what you need done and they answer to you as there employer, if you have no experience leading people or supervising people, agency model will probably work better for you , because unfortunately alot of people who take these positions do so , because they envision sitting around and getting paid to play on there phones or talk to there friends , basic qualifications are CPR card , passing a background check a drug check and employment references, if the person can not pass a child or elder abuse check they can not be hired because previous abuse of a child or adult disqualifies them, a previous record of misdemeanor or felony chargers is at your discretion .I if you need more care hours than can be authorized they will admit you to a long term care facilities to have your needs met.
It costs about $28,000 a year to maintain you living independently in your own home with aides ( or attendant care , as it's official known) , a nursing facility $68,000, if I have missed anything or you still have questions feel free to contact me on the board or through PM and I will answer any questions.
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