Kiplinger

Home Health Care: Finding the Right Help for Seniors

When it comes to home-care workers--the aides who provide in-home personal assistance and health care support to seniors--Brenda Case has seen it all. Case, age 55, a real estate agent in Grand Junction, Colo., was for several years a full-time caregiver for her mother, who had severe rheumatoid arthritis. And in that time, a constantly rotating cast of home care workers came in and out of the home that Case shared with her mother.

There was a nurse who was wonderful. There was a bath aide who never came to work at all. And there was an occupational therapist who insisted that Case's mother should practice job skills such as moving coins from one bucket to another--even though the

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