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it seems that every state has its own idea of what a home health aide should be or do. I have been allocated 16 hours a week. the maximum in Virginia, i have been told, is 20 (maybe 22). the aide is allowed to help me bathe, cook a light meal, do the things i would do if i could do them (whatever that may mean) but not do anything for any one else in the house at the time, eg wash a dish a guest might have used, or move a cup a guest might have left on a table. she may do my saundry, and do my shopping - but not take me anywhere in her car - ....and although i am very fortunate to have a sympathetic and understanding lady helping me, she is always inventing excuses not to come, and i cant remember the last time she came more than twice in the same week! and yet i am thankful for what help have got.....and at least i am not totally dependent yet! hilary Camilla Flintermann wrote: > > Thanks, Nancy, for a great account of the waiver program in Ohio. Don't > know if it is similar to Maine's, but probably not too different. > It also occurred to me re: Ivan that one problem may be his spasmodic > mobility. I know when Peter briefly had Medicare payment for HHA services > after a hospitalization they were careful to explain that in order for them > to pay, the person MUST be "housebound", i.e. very limited in outside > activities---could go to visit a daughter, eat out occasionally, but not > frequently, etc, Could that be part of Ivan's problem? > > Nancy wrote-- > SNIPPED> > >As for social activities... this is a dilemma for many because people > >need socialization and unfortunately society doesn't value it enough to > >want their tax dollars to go for the activities hours with the HHA doing > >the transporting. Society doesn't acknowledge or see that socialization > >is vitally important for the total health of a human being. It is > >cheaper to place a person in adult day care than it is to pay the HHA > >for that day. $61. -85. for adult day care verses HHA at 12.55 per hour. > >Also, if the HHA calls off the patient is without care. Some patients > >would be in grave danger if not one was there to assist them. The > >solutions always sound so logical and easy, but they are not. > > Camilla Flintermann, CG for Peter 82/70/55 > Oxford, Ohio > <[log in to unmask]> > > on the web at http://members.tripod.lycos.nl/genugten/flinterm.htm > and also at http://www.geocities.com/camillahf/index.html > > "Ask me about the CARE list for Caregivers of Parkinsonians ! " > And visit the CARE webring at > http://www.crosswinds.net/~caregivers/index.html