The Home Care vs. Nursing Home Debate: What Families Should Consider

Making the right choice when it comes to a senior's living situation is not easy. Between aging at home, moving into a nursing home or moving in with family, there are many points to consider. Thanks to home care, it’s possible to stay at home for many years, and families can get precious support. However, sometimes senior homes are a better solution. Here are a few things to consider if you are hesitating between a nursing home and hiring home care for a loved one.
What Should You Consider When Evaluating a Living Situation for a Senior?
When evaluating if home care vs. a nursing home would be better for a loved one, many factors need to be considered.
First, you’ll need to assess the level of care needed. This can be done with the help of a doctor, as some conditions can change with time. Some seniors need extensive support and others are quite autonomous. There are different types of care, ranging from medical help to support during daily activities, transportation, nutrition, etc. In a nursing home, all these types of care are provided. With home care, seniors can also receive comprehensive support, though some services may have limitations depending on availability and specific needs.
Comfort is often the main reason to choose to age in place. Staying at home, in a neighborhood we know well, surrounded by our belongings and our memories is comforting. However, depending on the house itself, it might not be the most comfortable option. In certain cases, major renovations or even relocating may be necessary to support aging well at home. Some seniors can feel more comfortable living in a nursing home, knowing they won’t be alone.
Budget is a key consideration. Generally speaking, nursing homes can be quite expensive, while hiring care for seniors at home can be significantly more affordable. Of course, you’ll have to consider any costs related to maintaining the home or doing necessary renovations.
Closely tied to comfort is the question of feasibility. In some cases, staying at home isn’t possible - whether due to distance from essential services, high renovation costs, or a home that’s too large to maintain. When this happens, moving into a smaller home, close to services, can be a judicious way to age in place instead of in a nursing home. Sometimes, the nursing homes available close to family aren’t ideal for the senior or are outside of their budget.
It is possible to have a loved one move in with a family member. This can provide great comfort for seniors. Professional help for seniors at home can also be hired in this context.
Another essential aspect to consider is the daily routine and level of structure. In a nursing home, everyday life is more structured, especially in terms of meals and activities. At home, the person can do what they want, when they want. For some people, structure is reassuring and fun, and others despise any imposed structure. It’s a matter of taste.
Is Living at Home Better Than a Nursing Home?
It depends on the situation! Most people dream of staying in their homes, but sometimes, even with senior care at home, it’s not possible. In other cases, available nursing homes may be too expensive or not a comfortable option. Ultimately, what matters most is choosing a living arrangement that best meets the seniors’ needs and preferences.
When it comes to a nursing home vs. living with family, some extra points need to be considered. Moving in with family means that extra help will be available, and it can be reassuring for seniors. However, it can be stressful in certain circumstances. It is essential to have clear communication to ensure that moving in is the best decision.
Can You Have as Much Service With Home Care as in a Nursing Home?
The short answer is yes, as the level of care can be adapted. It can even be better than in a nursing home, as you can choose exactly the type and frequency of services you need, rather than following a standardized approach.
Of course, there are certain limits. While it’s possible to receive hospital-level care at home, some medical conditions require specialized care that may only be available in a nursing home or medical facility.
When Is a Nursing Home Necessary?
With home care, it’s possible to age in place for many people, even for those with specific medical needs. However, there are situations in which a nursing home is necessary. In the end, the most important priority remains the health and safety of your loved one. If their home is no longer adapted to their needs or if their health requires more extensive care or constant monitoring, then a nursing home might be necessary. However, keep in mind that with proper planning, you can extend how long a senior is able to stay home. For example, moving into a smaller, one-story home close to services can help avoid moving into a nursing home.
Nursing homes vary widely in quality, level of care, and cost, making it essential to find the right fit. While hiring home care to age in place is the preferred option for many, it’s not always the best solution for everyone. Carefully assess your loved one’s needs and preferences to determine the most suitable living arrangement that ensures their comfort, safety, and well-being.