What is an Assisted living?
The term, assisted living is self-explanatory. There are two kinds of activities that we need to perform to live independently.
1. Activities of daily living (ADLs) such as
–> Eating Food
–> Toileting & Bathing
–> Moving: the ability to shift position & location with or without the support of an assistive device like a walking stick, etc.
2. Instrumental Activities of Daily Living(IADLs) such as
–> Managing finances: operating bank accounts, managing cash, etc.
–> Transportation: self-driving or using public transport
–> Shopping: going for the purchase of groceries
–> Cooking: preparing and eating your meals
–> Housecleaning: brooming, mopping & dusting of the house
–> Necessary maintenance: small repairs at the house, using a hammer and small home devices
–> Direct communications: using instruments like mobile phones.
–> Managing medications: remembering and taking medicines as per doctor’s prescription on time
As one ages or faces some medical issues such as dementia, one may require assistance in the performance of these basic functions. The caregiver could be children, grandchildren, beloved relatives, or a professional care assistant provided for by a competent agency. When conditions become unmanageable at home, the elder may naturally have to shift to a private but luxurious elder-care home-like NEMA eldercare. Typically called Assisted Living facility (ALF), these homes are manned by professionally trained nurses and care attendants, supervised by doctors, and come to the rescue of anyone in need. These are long- term stay facilities providing for almost everything that one needs like meals, housekeeping, laundry, safety & security apart from robust health monitoring.
Why do the elderly resist Assisted Living in India?
Not all elders require assisted living. Anyone would prefer staying at their own home. One has memories associated, has a community which he connects with. In simple terms, he is used to staying in one place and it may be very difficult for him to shift to an assisted living in India home. However, ever so often it becomes strenuous to manage at home even with a dedicated care-assistant. The healthcare needs may grow to such an extent that the family or the relatives start to find it extremely difficult to manage. At this stage, we at NEMA Eldercare suggest beginning with Respite care i.e. to leave the elderly at our eldercare home for a few days. He will be well-taken care of, will enjoy the company of our seniors, watch TV together, read a newspaper, discuss politics, participates in daily activities. Simultaneously, his healthcare needs will be taken care of by a well-trained team of healthcare professionals. While he enjoys his break, it’s a break for his loved ones as well.
This initiation into an elder-home will mellow down his resistance towards shifting to an elder home. Once at NEMA home, no one wants to shift back. It becomes their vacation home!
Ideally, an elder should stay in their own home if they can manage. However, it is quite difficult to manage a household for an elderly, if they are alone with an empty nest. House-helps which used to be easily available earlier, have become phenomenally expensive and difficult to find now. This is true, especially in metropolitan cities like Delhi, Mumbai, Bangalore, etc. Moreover, they will not be regular, putting an enormous burden on the elderly. They will extract what they can from these humble souls. Further, their safety inevitably remains a concern. Most crimes are committed with the help of or information by these house-helps. There are a few emergency helplines available online. But in India, we are well-aware that in times of need, no one will appear.
In these circumstances, it best for elderly people to shift to an assisted-living facility in Delhi like NEMA Elder home.
How much does Assisted living cost in Delhi NCR?
The cost of assisted living depends on the quality of space, manpower, support infrastructure, and location. Care ratio (number of elders being attended by one care assistant) is dependent on the health condition of the elderly. It has a significant impact on the cost, as trained personnel are difficult to get and also quite expensive. Most elder homes train their manpower, spending considerable sums in the process.
The price of an assisted living shall comprise of space rental, food cost, housekeeping & laundry, maintenance cost, water & electricity, significant taxes, and manpower being deployed to care of the elderly resident. The cost of assisted living in Delhi NCR in places like NEMA Elderhomes ranges from INR 55K to 130K per person per month on normal care. These costs are significantly lower as compared to the US or UK where the eldercare industry is well-developed. If these elder-homes are given some support from the government, then India will be able to attract a high number of elder lies from abroad earning substantial revenue for India.
Costs can be lowered only if it’s a registered charitable institution, typically by getting private CSR money or charitable donations.
How old do you have to be for assisted living?
Assisted living is not linked to age at all. It is for anyone who needs it. This need could arise due to multiple situations. But mostly it is due to health conditions. At NEMA Eldercare, we have had residents with ages that range from 40 to 92 years.