From Hospital to Home Care in 3 Simple Steps


If you hire outside help to care for your loved one, the information you relay from the doctor will make the difference in how the home care service provider understands their needs.

The time has come when your elderly loved one is going to be discharged.  Sometimes the announcement comes with enough advanced notice so that you can prepare for your loved one’s return to his residence or yours.  If you are one of those lucky ones whose parent is discharged early during the week, you might be able to call a long list of numbers given to you by the hospital staff if you have any questions about your parent’s post-acute care.  However, if your loved one is discharged on a Friday, your chances of talking to a live operator for post-acute care advice over the weekend are slim to none.

As the family caregiver or point-of-contact, you will be the one receiving any kind of information about your parent or spouse’s prognosis.  Unfortunately, at the present time there is no universal system set in place when it comes to hospital discharge, and the information you relay to your caregiver (if you hire outside help) from the doctor will make the difference in how the home care service provider will understand your loved one’s needs.

Hospital discharges don’t have to be complicated.  To make life easier for yourself and the caregiver you hire, follow these simple steps:

Ask your loved one’s physician for a written, detailed report that an average person can understand. 

Your certified nurse assistant may understand medical jargon, but you as the family caregiver might not.  To be as engaged as possible, ask for clear language so you know the medications, prognosis, type of daily living assistance and any specialized care your loved one needs upon returning home.

If your loved one requires specialized care, ask your doctor to be specific if the report contains inadequate details.

Specialized care means going beyond the normal scope of assistance with daily living (e.g., light housekeeping, meal preparation, laundry, etc.).  If a patient’s condition calls for usage of a nebulizer, colostomy bag, G-tube, or other equipment, a regular family caregiver without the knowledge, training and experience of such care may do more harm than good.  You can avoid hospital readmission if you get the right type of care for your loved one.  Understand your limitations – what you can or cannot do for your elderly loved one.

Make sure you hire a caregiver from a 24-hour home care agency.

Knowing that you have support 24 hours a day, 7 days a week, gives you an incredible peace of mind.  Not every home care agency offers 24 hour support, and you might find yourself in a bind if you can’t reach anyone for immediate answers.  Whether you hire a caregiver for a few hours a day or for 24 hours round-the clock, it’s always good to know in the back of your mind that you could call a hotline at any hour, day or night.

Contact us at Endeavor Home Care!  Our hotline (480) 535-6800 is open 24 hours a day, seven days a week.  Our exceptional team of medical professionals is ready to answer any questions you may have about in-home respite care in Gilbert and the surrounding areas.

Should I Pay My Home Senior Care Provider “Under the Table?”

The last thing you need when a loved one is in need of at home senior care is to be audited by the IRS. OK, it’s not exactly something anyone wants, but the short-term savings of hiring a helper under-the-table will be quickly overwhelmed by the costs of penalties and possibly legal fees if you are caught not paying required taxes.

And that’s not all! Hiring a caregiver under the table, without working through a reputable home care agency is extremely risky. A privately hired caregiver has no supervision or oversight, and has not been background checked and screened – leaving an older adult vulnerable to fraud or elder abuse. Also consider what will happen if the caregiver should become sick or takes time off for a vacation. There’s no backup care available when working with one individual. Finally, think through what might occur if the caregiver was injured in your home, or if items of value went missing. Without being bonded and insured, you would be liable for any applicable expenses: medical bills, worker’s compensation, the replacement cost for valuables, etc.

at home senior care

How Can I Avoid a Catastrophe When Hiring a Caregiver?

Thankfully, we have a solution that allows you to simply enjoy the benefits of in-home care without any fear of legal or other serious repercussions.

A home care agency like Endeavor In-Home Care will work with your budget and identify the best personnel to care for your family member in a home setting. And you will know that you and the caregivers who are working in your home are in compliance with federal and local laws. Our caregivers are fully bonded and insured, extensively trained, and background checked, for your peace of mind, while we take care of all of the necessary taxes, worker’s compensation, and oversight.

It’s not just celebrities and politicians who get caught up in “nanny-gate” situations through inappropriate hiring processes. Essentially the government likes to keep “off the books” employment to a minimum, so unless you are running a lemonade stand, someone needs to be paying taxes. Your legal options are to hire a care giver directly and take responsibility for filing tax reports (which you either have to do yourself or pay your own tax provider to handle) or you can contract with an at home senior care agency and be confident that payroll and taxes are handled in a professional manner.

If you would like to consider the option of professionally managed at home senior care from the leading caregivers in Phoenix and the surrounding areas at Endeavor In-Home Care, please contact us.