In-home care in the DMV Area: An overview
Who needs in-home care?
There can be many reasons a person needs in-home care. As people get older, a number of age-related conditions can make the everyday tasks of looking after themselves and their home increasingly difficult and tiring. Decreased mobility and reduced vision can make living at home unsafe and place the person at risk of falls and other injuries. Mental or physical disability and chronic conditions such as cognitive decline, heart conditions, breathing difficulties, Parkinson's disease, and arthritis also increase the need for extra help and support. In addition, many adults temporarily require some degree of in-home care after surgery or following discharge from hospital. In the US, over 12 million people currently use professional home care services.
Recognizing when an older adult needs help at home.
The signs a senior loved one needs assistance at home can be obvious or they can appear gradually over time. After a lifetime of independence, it is hard for many aging parents to admit to needing help from their children and other family members. Reduced function due to cognitive decline can go unnoticed for a long time, especially if the person lives alone.
Here are some of the signs that may indicate an older loved one needs extra help
- Falling behind or abandoning everyday activities and chores such as laundry, house cleaning, and paying bills.
- Deterioration of personal appearance points to problems with personal care and grooming.
- Weight loss and an empty refrigerator can indicate that cognitive or physical disability is limiting trips to the grocery store or the person's ability to cook adequately nutritious meals for themselves.
- Difficulty getting in and out of chairs without assistance or an unsteady gait when walking around the home. These are signs a person is at risk of falls and help is needed to ensure safe mobility and transfers.
- Loneliness, depression, and cognitive decline. These can all point to an unmet need for company, socialization, and meaningful activities.
- Most people recovering from an illness or returning home after a hospital stay or surgery will have some reduction in normal activities. However, for an older adult, this can be much more significant. Temporary help in the home can offer a bridge back to normal health and fitness.
Regularly check in with older relatives and friends and now and then tactfully ask if they are having any problems with everyday activities. This will allow time to forward plan if help is going to be needed.
Washington DC, Northern Virginia and Maryland In‑Home Care from OndeCare
Home care services are delivered by caregivers who come to the person's home on an ad-hoc, regular or temporary schedule. In-home caregivers, OndeCare Heroes, have a variety of professional titles, qualifications, and state licensures:
Personal care aides (PCAs) are usually unlicensed and have varying levels of experience and training. They are companions, can help with basic personal care, as well as do light housekeeping, shopping and errands.
Home health aides (HHAs) provide help with all activities of daily living (ADLs) including toileting and incontinence care and can take vital signs (pulse, blood pressure, and temperature) of care recipients that are being monitored at home.
In addition to services offered by HHAs, certified nursing assistants (CNAs) and state tested nurses assistants (STNAs) can also perform a range of medical-related tasks under the supervision of a registered nurse (RN). Such tasks include catheter care, assistance with physical therapy, and administration of certain treatments.
Direct support professionals (DSPs) are usually licensed by The Department of Developmental Disabilities and can perform all the tasks performed by CNAs and STNAs.
When skilled medical care is required in the home this is provided by licensed practical nurses (LPNs) and Registered Nurses (RNs).
4.9 out of 5 stars.
Maria was absolutely amazing! She instantly bonded with my father and immediately took care of his needs. She engaged him in conversation and made him feel alive and whole. She went above and beyond to care for him. She surpassed my expectations at such short notice. She's God sent and I highly recommend her to care for your loved one.
Leigh is very friendly and conscientious. Our mom enjoys Leigh's company and we appreciate that our mom is getting excellent care.
Ms. T gives great care to my boys. I am so happy that we chose each other
Patricia is very kind and professional. My husband was comfortable with her and so was I. She is experienced and took care of my husband with planning and critical thinking. We will definitely be happy to have her return to us to provide care. Thank you.
Great work! Betty is super thorough and goes above and beyond to do her best. I'll be working with Betty again!
Stefana was awesome. She listened to my instructions I left to a T. She played games with my kids. Took my daughter to and from a play date. When I came in they were watching a nature show and talking about animals.
Very patient and nice. Works well with my son. Will book again in the future if available.
Aukia did a fantastic job! You can tell she has a strong education background because she took time out of the day to do some lessons with my kids, including learning the days of the week! Would absolutely book again.
I’m so glad Zachary had a fun day with Latonya. She was great and it really made my life easier to know he was in great hands this week.
Artrez is wonderful! Punctual, friendly, and my kids loved him. He went above and beyond (cleaning and creating entertaining activities for the kids). Highly recommend!
Toni was a great help, very patient with my Mom. Positive vibe overall. Thank you for the great work.
Really appreciated her willingness to adapt to our last minute changes. Took well to the kids and assisted with care
Anwar was amazing!
Kelsey was super communicative, on time, and asked great questions to make sure she provided good care for our daughter. She definitely had a lot of experience with infants and really kept her cool when the baby was losing it.
Cori is great! She arrived on time, with short notice. She was very kind and patient with my child as well as my nervous pup. Super friendly, professional and helpful. Highly recommended!!
Patricia is kind , caring , fun and responsible with our special needs son . He looks forward to seeing her. So happy to have met :)
OndeCare served its exact purpose for me yesterday. I woke up sick at 5.30 AM, booked Adailia at 7 AM, and she was here at 9 AM to save me (and take care of my twin infants).
Shertarra was great! She is very conscientious and made herself available at very short notice, even on Christmas Day!
Patricia is great! Very knowledgeable, kind/caring, capable, and easy to get along with - it would be hard to find anyone better.
Christina has been an absolute Godsend for us. She is doing a phenomenal job and we're actually going to see if she can help us out even more. We are more than pleased with her help!
Jessica is always the best ,reliable great care and excellent company.
Andrea was booked last minute & we really lucked out! She was warm, attentive and really made my parents feel comfortable immediately.
Jennifer has cared for my Mom and daughter. She is fantastic all around! She has a wonderful attitude and goes above and beyond with everything. I trust her completely to care for our family and I can't recommend her enough.
Overall I had a great experience and I am very pleased with Jaynine and I look forward to a nice working relationship. I have seen a lot of caregivers when I was in a rehab facility for three months and I am now able to judge their character, Jaynine made a great impression on me.
Cherita did a wonderful job taking care of my Mom. She was prompt, professional and quickly learned the morning routine. She related well to my Mom and we look forward to having her come back.
Nicole was wonderful! She was on time and understood the need for PPE. She was willing to enthusiastically do anything I asked her to do, and her medical knowledge was invaluable. Great job Nicole!!
Chereve was fantastic with our son! She showed up early, was fantastic with my four year old when he wasn’t feeling well. My son said he loved her!
Heaven did a phenomenal job keeping my multiple kids well taken care of the entire evening. She played with them, made dinner, and cleaned up leaving everyone and everything better than when I left!
Amber was great. She arrived early and immediately engaged with our girls (19 months & 5 years) and managed bath and bedtime routine. She even took the time to clean our counters and then some. I’d definitely rehire and recommend.
Alice is becoming a fan-favorite here at Fellowship City Church! She is incredibly professional, but also very warm and welcoming. She's great with the kids, and always works well with whatever other childcare worker she is paired with. We can't wait to use her more and more in the future!
Rae was excellent. My son was happy & had fun. She went above and beyond to help me in tasks that are challenging bc of my health when she didn’t have to do that. Very thankful to have had her help. Highly recommend!
Marc is very upbeat and seems to be bonding well with my son. We are lucky to have him to help take care of my son
Shanelle cared for my boys over the summer and consistently went above and beyond what was expected of her! Both boys are very fond of her, and I was able to work and know they were safe and well cared for - an experience we couldn't get from daycare centers. I will absolutely be looking forward to working with her more in the future!
Manny is a great companion for our son. He is very cognizant that primary caregivers get the relief they need while his client gets the attention, independence and community interaction he needs. And just a really great guy!
Tracee has been great with our grandson. She is kind, patient, and very calming for his energy. She is reliable and very good with him. He likes spending time with her
Lee has done everything that I have asked of her and now I can breathe when my son, who has special needs, and requires constant monitoring for his medical condition is in her care. I can trust lee with his life.
Our four girls loved Aukia. She was fantastic and helped us out for portions of 8 days over a 2-week period. Very calm and comforting demeanor and engaging with the kids. Was always early. We would highly recommend Aukia and look forward to seeing her again.