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Types Of Care

Types of Care – What We Do!

Many senior care options can meet a variety of needs. Here’s a quick breakdown.

Texas  Angels Home Care provides non-medical home care. These are services that provide in-home assistance with ADLs, IADLs, respite care, and companionship. 

  • ADLs or Activities of Daily Living are direct care tasks like bathing, feeding, transfers toileting, and ambulation. 
  • IADLs, (Instrumental ADLs) are tasks like transportation, shopping, meal preparation/cooking, laundry, and medication reminders. 
  • These services allow clients to live in their own homes, leading an independent and self-sufficient lifestyle in the comfort of their own homes. 
  • Non-medical home care, sometimes referred to as Personal Assistance Services (PAS) in Texas, are typically Private Pay, although Long Term Care Insurance can pay for all or a portion of these costs. 
  • While you may travel to see your Primary Care Physician (PCP), some medical practices now provide in-home doctor visits for those who cannot or do not want to travel to see their doctor. 

Other agencies provide:

  • Licensed Home Health (LHH) is a service covered by Medicare or your private healthcare insurance that is episodic. 
    • Medical service is for a fixed period, like six (6) weeks or until the patient goal is achieved, and it is visit-based.
    • A typical visit could last 30 to 60 minutes, or just as long it takes to complete the assigned task. Your physician must write an order; then, a Registered Nurse will come out and perform an assessment. 
    • Based on the evaluation and the physician’s order, you may receive wound care for bedsore, physical therapy after surgery, or a home health aide to assist you with bathing. 
    • Licensed Home Health will not come out to your home and sit with your spouse while you grocery shop or visit with friends. 
    • Licensed Home Health will not wash a load of laundry, cook dinner or perform light housekeeping.
  • Outpatient Hospice is another service covered by Medicare and private healthcare insurance. Outpatient Hospice assists clients with end-of-life care in their homes. 
    • Once you start Hospice, Medicare Part A will stop covering Home Health Care, and if hospitalized, Hospice coverage ends until discharge from the hospital.
    • Converting Outpatient Hospice to Inpatient Hospice is possible without a lapse in coverage. Hospice care only lasts six (6) months but can be extended after being recertified by the hospice agency’s physician.
  • Hospitalization, inpatient rehabilitation, and skilled nursing facility care would be covered by Medicare Part A.
  • Memory Care, long-term nursing homes, independent and assisted living facilities are typically private pay.  
  • Independent senior living facilities are communities of apartments for seniors. 
    • Your apartment can be one room, a bedroom with a sitting area, a kitchenette, and a separate bathroom. 
    • Or a multi-bedroom apartment with a full gourmet kitchen.
  • Assisted living can have a similar range of accommodations and provide separately billed, “a la carte” style ADL services that you can pick and choose based on your needs and your budget. 
    • These services include bathing, medication administration, or feeding. 
    • Most assisted living facilities have a few nurse aides to cover many clients
    • It may be required you wait to be fed or helped to the bathroom.

As you can see, even with this summary, there are many care options available for seniors and the disabled.  Navigating the sea of possibilities can be confusing, and a Care Manager consultation can help guide you.