Home health care through Medicare is not provided 24 hours a day. Instead a family member,friend, or other caregiver must be available. As a result of these restrictions. Medicare only pays for a small part of the home care that exists ( Balinsky, 1994:3). Only the very affluent in America who can afford to pay out of pocket for these services receive round- the - clock home health care. I have worked as a home health care provider, I took care of my cousin when she was living. The pay is not good at all and I was not able to stay 24 hours. Thus, a dual level system is created, in which the services rendered are determined by individual economic ability rather than need for service ( Olson, 1994:30). Ideally however the objective of home care is to maximize the independent functioning of the client and the caregiver and to maintain the person in the community.
Reference: a care Perspective 2nd edition Lois A. Cowles
I agree that Medicare only covers a small portion of home health care. It is expensive and only the affluent in America can afford home health care 24 hours a day. I agree that the objective of home care is to maximize the independent functioning of the client and the caregiver and to maintain the person in the community.
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