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Caregiver Duties: Understanding the Differences Between Professional and Family Care

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Are you looking for a list of caregiver duties because you’re about to begin caring for a loved one? Or are you or a family member preparing to move into a senior living facility, prompting you to ask questions like “What is a caregiver?” and “What do caregivers do?” Well, in both professional and family-care settings, caregivers make a positive difference for seniors, frequently improving their quality of life. They provide loving, compassionate care and, in return, they often report that the work is gratifying, rewarding, and fulfilling.

Professional and family caregivers are essential to the fabric of society. According to the U.S. Department of Health and Human Services, in 2014, there were more than 46 million seniors aged 65 and older in America. By 2060, the number of seniors could reach almost 100 million. That means caregivers are more important than ever. And it may surprise you to learn that unpaid family caregivers actually play a larger role in senior care than professional caregivers.

Check out the following sections to uncover essential information about caregivers and their roles and responsibilities:

Facts About Caregivers in America

Smiling elderly woman sitting at a table looking up at a male nurse in scrubs who is comforting her with a gentle hand on her shoulder in a bright kitchen.

What is a caregiver? Most people would probably say that it’s a paid professional who cares for seniors in their homes, assisted living facilities, or nursing homes. That answer is partially correct. However, it leaves out a large group of caregivers: family members who provide unpaid, in-home care to their loved ones. Both professional and family caregivers take on important roles related to senior care.

The U.S. Bureau of Labor Statistics says that in 2018, America’s senior care industry consisted of:

  • More than 366,000 licensed practical and vocational nurses (LPNs/LVNs) working in nursing and residential care facilities as well as for home health care agencies
  • Over 391,000 registered nurses (RNs) employed in nursing and residential care facilities as well as with home health care agencies
  • More than 828,000 nursing assistants working in skilled nursing facilities, retirement communities, assisted living facilities, and home health care agencies
  • About 831,800 home health aides employed across the country
  • Over 2.4 million personal care aides employed throughout the nation

Even though many professional caregivers are employed across the country, there are even more unpaid family caregivers helping aging seniors. A 2015 report by AARP found that more than 34 million Americans had provided unpaid care to adults above the age of 50 within the past year. Of those caregivers, 85 percent were providing care for their own family members. On average, they had been in their caregiver roles for four years and provided 24 hours of care per week.

So family members are offering an impressive amount of care to their senior loved ones. In fact, a 2014 study by RAND Corporation concluded that Americans are providing approximately 30 billion hours of unpaid care every year for their aging family members and friends. The opportunity cost of that care is $522 billion per year. If that care was replaced by non-nursing or skilled nursing care, it’s estimated that it would cost $221 billion or $642 billion, respectively.

Professional and unpaid caregivers are both essential for quality senior care. Whether you or your loved one is planning to get family support at home or move to an assisted living facility or nursing home, it’s important to understand the scope of caregiver duties so that you know what to expect.

Professional, Non-Medical Caregiver Duties

Paid caregivers vary in their responsibilities and types of employers, which can include assisted living facilities, retirement communities, nursing homes, and home health care agencies. The most common types of senior caregivers in this category are:

  • Home care aides
  • Personal care aides
  • Certified nursing assistants (CNAs)

Licensed practical and vocational nurses (LPNs/LVNs) can also be responsible for providing non-medical bedside care. The education, licensing, and responsibility requirements vary based on the specific types of positions and facilities. For those reasons, senior caretaker job descriptions are not all the same. But there are common responsibilities among the different positions.

Whether they’re providing in-home care or working at senior care facilities, non-medical caregivers are often responsible for the following tasks:

  • Assisting with preparing care plans: Caregivers work with medical professionals and family members to conduct needs assessments. They look at what types of care are needed, how much of it is needed, and whether any medical support is required. The plans they create help guide the actions of all caregivers and family members who are helping with a senior’s care.
  • Assisting with daily living and medication needs: Caregivers can help seniors get dressed, have a bath or shower, and take the proper amounts of medications at the correct times. A caregiver can often help with almost any basic daily living activity.
  • Providing mobility assistance: Senior caregivers help residents and clients who are not able to get around easily on their own. They can do things like help you or your loved one get in and out of bed or move from a wheelchair to a couch.
  • Preparing meals: In-home caregivers can be responsible for preparing and serving meals. On the other hand, caregivers who work in facilities may work with dietitians, nutritionists, and other kitchen staff members in order to serve three healthy meals per day, as well as snacks and beverages. They may also ensure that special dietary needs are met, such as for seniors who are diabetic or have celiac disease. In a facility, caregivers may serve meals in the residents’ living quarters or help ensure that residents make it to the dining hall at meal times.
  • Housekeeping: Caregivers are often responsible for tidying and cleaning homes or living quarters, vacuuming, dusting, cleaning the bathroom, changing linens, doing laundry, and washing dishes.
  • Arranging transportation: Caregivers can help seniors arrange transportation to get to appointments, social outings, and other activities.
  • Monitoring and communicating: Caregivers usually conduct ongoing needs assessments of the seniors they’re caring for. They note any changes in their residents’ or clients’ health and report those changes back to family members and other medical professionals.

Professional, Medical Caregiver Responsibilities

Some senior care facilities and in-home care agencies offer skilled nursing services. Those services are typically provided by LPNs/LVNs or registered nurses (RNs). The types of medical care they can offer depend on several factors, including professional licensing and their state of residence. But here are some of the medical care services that may be provided:

  • Monitoring vital signs
  • Drawing blood
  • Changing dressings
  • Giving injections
  • Inserting catheters
  • Preparing and monitoring IVs
  • Treating acute or chronic conditions
  • Providing palliative or hospice care for terminal illnesses

Senior care residences, specifically those with skilled nursing units, may also have other health care professionals on staff such as licensed physicians, physical therapists, and advanced practice nurses (APNs). Skilled nursing staff can offer high levels of medical care to seniors without requiring them to attend appointments outside of their facilities.

Family Caregiver Duties

When seniors want to keep living at home, unpaid family members are the most common care providers who help them out. Providing care to a loved one can be challenging and demanding at times, but it’s also highly rewarding. Family caregivers are often responsible for many of the same tasks as professional caregivers, but only one or two family members may be taking on those responsibilities for a particular senior.

A survey by Pew Research Center found that the most common responsibilities of family caregivers include activities like running errands and completing housework and home repairs. In fact, 58 percent of the caregivers who were surveyed indicated that those were the main tasks they helped their loved ones with around home. However, a growing number of family caregivers are taking on medical and nursing tasks. The AARP study found that 57 percent of unpaid caregivers of adults were taking care of tasks like giving injections, administering tube feedings, and caring for catheters.

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