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My husband has advanced Parkinson’s and needs one on one care.

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no one person can handle 24/7, and in having just one, you will be risking issues of having her become a legal tenant as well as buying her special food, having to accommodate her things and possibly furnishings and so forth.

If like most u are paying under the table, there are way too many risks. You can mitigate them by keeping her on for the day, then hire a nighttime sleep aide whose only job is to be around when he’s sleeping. That person will typically be 20 to 25 percent cheaper, too.
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KEMP47, you need to check your State laws regarding how many hours per week can a caregiver work. And if over time is accepted, would the hourly rate be time and a half, and would it be double the hourly rate for holidays. I know this can become complex.


If your hubby needs around the clock care, it might be less expensive for him to move into Assisted Living [if he physically qualifies] or he may need a higher form of care. I know so many of us dread the thought of a nursing home, but there does come a time when it takes a village to care for a person.
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KEMP47 Jul 2022
Thanks for your input.
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agency policies and state regulations differ.
24/7 CGs need to have a certain amount of time off every day, and one night a week - in my area in MA.
My mom needs 24 hour care. We are using 12 hour CGs, with a room for CGs to rest/snooze/give her privacy during their shifts. A camera in her bedroom and an intercom monitor in the den where she likes to sit helps CGS 'check' on her while remaining out of sight.
Mom is very unhappy about strangers in her house, and we have worked it out with CGS that it is fine to stay further away than they otherwise would, so my mother will. not feel like she is being 'spied on'.
We do not have any concerns about the CGS, based on screening process and references.
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If you're looking to hire 24-hour care hire more than one person. I find what works the best is to hire two caregivers who split the week three days apiece and they can alternate working every other Sunday. Or hire three. Two to split the week and a week-ender. Everyone uses the same bedroom. I worked one live-in assignment over the course of 25 years in caregiving. I split the week with another caregiver only I did three days. She did four. On the third day I always did a wash and left a clean set of sheets. She did the same for me. This arrangement worked well for about a year until I could no longer stand being a live-in and quit.
This way no one is an actual resident of your home so you don't have to worry about tenancy issues because the caregivers keep their own residences.
I'm going to say your best bet would be to agree upon a dollar amount with whomever you're hiring and pay them in cash. Literally in cash. Not by check, an envelope of money every week.
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