Dear Travel Bug,
Thank you so much for reaching out. It sounds like you and your husband have been doing a wonderful job of caring for your mother-in-law, but caregiving can take a toll, and it is important to get the help that you need. There are several options available for families like yours, and the choice you make may depend on finances, each family member’s needs, and the amount of care your mother-in-law requires.
One option is bringing care into your home by hiring a caregiver, either through a caregiving agency or independently, for a few hours, days, or weeks even. A caregiving agency would provide a trained person and pay their salary including withholding taxes, etc. If you hire independently, there are businesses available which for a fee can take care of the payroll for you.
If you are planning to leave town and would like a temporary place for your mother-in-law to stay, another option is respite placement in a residential setting. This is offered by some assisted living or memory care facilities, and they charge by the day or the week. Activities are generally available as well as around-the-clock supervision.
While the above might work well for instances when you and your husband travel, if your mother-in-law becomes in need of full-time care, you may want to consider permanent placement. This can be in a memory care, or a board and care (which is a private home with a small number of beds with around the clock caregivers), or a nursing home.
It is important to know that Medicare does not pay for caregiving or placement for a person with dementia or for assistance with daily activities, such as bathing, dressing, and supervision. If you have long-term care insurance, check your policy coverage. Individuals with veterans’ benefits may also be able to obtain assistance with costs, and Medi-Cal, which is California’s version of Medicaid, will cover placement in a nursing home.
Don’t forget that each family is unique, so talk to your husband, and see what might work best for both of you. Consider not only your mother-in-law’s needs, but your own and your husband’s needs, too.
For more information on caregiving options, please contact our Helpline at 844-435-7259 or visit our website at email@example.com. If you have a question for Miriam, you can e-mail firstname.lastname@example.org.