Live-in Care Basics
What services do live-ins offer?
Difference between 24 hr care & Live-in
Who does live-in care?
Live-ins do almost anything that a family member would do help out if they could.  That includes keeping the house maintained, cooking and cleaning, assisting mom or dad with any thing that they need physical help with (dressing, bathing, grooming, toileting, walking, and transferring)

They will feed the cat , walk the dog,  water the garden, and bring in the mail. They will assist with food-shopping, drive mom to see some of her  friends, or dad to the VFW fundraiser dinner. 

A live-in can assist with medications, take dad to the foot doctor, or mom to dialysis 3x a week.  They can be like a personal assistant to the care recipient, or in memory care cases like dementia, take charge and safely guide the care recipient through the day.  

A live-in will help your parents stay living safe at their own home years longer then would otherwise be possible, to the great joy of mom or dad. 
Generally speaking, the majority of professional live-in caregivers are foreign born, American women from 30-60 yrs old. There are plenty of exceptions of course, and about 5% are men.

In our experience, most of the American born caregivers prefer hourly shifts instead of live-in.

If you do the math, a live in is at work daily during three 8 hr shifts. That puts them at work the equivalent of 3 months for every one month that every one else works normal 8 hr workdays. They are at work an entire years worth of hours in just 4 months. Of course they are allowed to sleep on one of those shifts, but at work, not at home. Wow! 

It's a huge sacrifice to their own life, family, and friends that they make to move into and live with "strangers" who need help.  Most people born in the US have too many other oppertunities available to make such a great sacrifice.

On the other side we have immigrants who have become Americans but are from countries where elders are still held in very high regards and caring for them is a good position with purpose and meaning. The pay is low per hour, but overall the monthly amount is substantial for them to bank or use to support their family in their absence.  They are fluent in English, and most have been here for years taking care of American seniors at home.

That being said, there are people who were born in the US that find that they love the position too, but they are less common in most parts of the country, and generally prefer 8-12 hour shifts instead of live-in positions. 
There are some very big differences between 24/7 hourly home care and 24/7 live-in care. Both serve to keep mom or dad safe at home when they cant do so by themselves anymore. 

Lets start with 24/7 live-in care. Live-in care is best for those care recipients that usually need help during the morning,  afternoon or evening, but mainly sleep through the night undisturbed.

A live-in works up to 16 hrs each day, but then gets an unpaid sleep shift of 8 hrs each night. They will always get up in case of an emergency or a call for help but otherwise they need to be left alone to sleep and recharge most nights.

If you hire your live-in for 5 or 6 days per week, then you will always have the same person which is great for continuity of care. If you need the full 7 days covered, then a second live-in will be needed to split the month with them. No-one does 7 day by them selves for very long with out burning out.

Most 7 day cases are split evenly with one working 4 days and the other 3 days, and then reversing the order the following week, so each month both are covering 15 days. So at most, you will have 1 live-in if you choose 5 or 6 days, and 2 different lives on a monthly basis if you need 7 day. 

24 hr home care on the other hand is for care recipients that need physical help or monitoring regularly during both days and during overnights. 

Usually 2-3 different caregivers come to the home each day and work 8-12 hour shifts in the home. To avoid overtime, agencies typically schedule 4-6 different people each week to fill all the shifts.  It's a nightmare to manage, as people call in sick or are running late and people are always coming and going.  This type of care used to be only used in very high needs cases because of the huge challenge of making it work, and the crushing cost to the family. Most agencies charge a min of $500 per day, $15,000 month for the service.

Live-ins Offer The Below Services

  1. Help with shopping and errands.
    Help with shopping and errands.
  2. Assistance with house chores and cleaning.
    Assistance with house chores and cleaning.
  3. Assistance with dressing.
    Assistance with dressing.
  4. Assistance with grooming.
    Assistance with grooming.
  5. Assistance with walking.
    Assistance with walking.
  6. Assistance with medications.
    Assistance with medications.
  7. Conversations and Companionship.
    Conversations and Companionship.
  8. Cooking healthy meals.
    Cooking healthy meals.
  9. Assistance with bathing.
    Assistance with bathing.
  10. Hands-off help for a spouse.
    Hands-off help for a spouse.
  11. Dementia / Memory care
    Dementia / Memory care
  12. Assistance with toileting.
    Assistance with toileting.
  13. 1 person transfers and patient lifts.
    1 person transfers and patient lifts.
  14. Hands-on assistance for two.
    Hands-on assistance for two.
  15. Bedridden, hospice or hands-on care with all ADLs
    Bedridden, hospice or hands-on care with all ADLs