Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

HHA, vs private pay, vs CNA, companion etc. I just called a…

Customer Question
HHA, vs private pay, vs...
HHA, vs private pay, vs CNA, companion etc. I just called a home health agency and they said that their HHA is not allowed to drive my parent to the senior center or to dr appointments or grocery shopping and that i would have to provide the transportation myself. Can you give me some insight into this because it seems to make things very complicated. I had a nice arrangement worked out with my friend who would get my parent ready in the morning, washed, changed, fed and then out for errands at the mall or on some days to the senior center. They moved too far. My parent needs complete assistance toiletting, bathing, dressing and has balance issues lowering themselves and sometimes walking on the sidewalk to prevent a fall over bumps... Arm in arm requires a skilled and sure footed person to know how to prevent a fall. I know a fall is inevitable unless a wheelchair is used and we are trying to use the walker but there is more of a risk because the feet can still trip over a bump and the hand will let go of the walker if that happens. My parent does not have the logic to correct their balance should they trip. Yet excersize is critical to keep the their health as great as it is and their blood from clotting and the muscles from atrophying and the circulation as good as it is.
Submitted: 2 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Customer reply replied 2 months ago
I wish i could restructure my question...
Answered in 1 hour by:
12/16/2017
Doctor: Doctor John MD, Board Certified MD replied 2 months ago
Doctor John MD
Doctor John MD, Board Certified MD
Category: Medical
Satisfied Customers: 784
Experience: Medical Physician
Verified

Hello and welcome to JustAnswer.com

This is Dr. John and I will be helping you today.

I will be reviewing your question and will respond shortly.

I may need to ask a few more questions in order to best serve you.

Thank you for your patience.

Answers here are for education and information only.

Ask Your Own Medical Question
Doctor: Doctor John MD, Board Certified MD replied 2 months ago

so what is the question that you would like help with tonight?

Ask Your Own Medical Question
Customer reply replied 2 months ago
Why would the Home Health agency say that their Home Health Aid is able to assist my elderly parent with hands on care with toiletting and also wiping but they are NOT allowed to drive my parent to the senior center or to dr appointments or grocery shopping and that i would have to provide the transportation myself.
They said that ONLY Companions can drive a client. They also said that the Companion who CAN drive my elder family member can NOT help my family member wipe themselves when they use the toilet. My question is WHY?
I feel it is kind of backwards and not very efficient, not very resourceful and almost ignorant to have such a rule? Can you shed some light on why this is arrangement is designed this way in a professional organization? It is surely expensive enough at $22 for a companion and $27 per Health Aid per hour.
Doctor: Doctor John MD, Board Certified MD replied 2 months ago

a lot has to do with state and federal regulations as well as concerns for liability if they were in a car accident, etc.

Home health agencies focus on delivering specific care that can be reimbursed by health insurances and therefore have some fairly strict criteria on what they can do (and get paid from the insurance company for) and what they can't do.

As far as whether or not companions can provide home services, that is also a state-to-state regulation. Also, there is concern that a companion might start providing services that were considered medical or nursing care, which in most cases, require a state license (even for nursing or medical assistants).

I agree that its an obtuse and confusing system that does not benefit patients, families or even the doctors that care for elderly patients that have to try to arrange these services.

Ask Your Own Medical Question
Doctor: Doctor John MD, Board Certified MD replied 2 months ago

have you talked to the senior center about what services they provide?

Ask Your Own Medical Question
Customer reply replied 2 months ago
The senior center meaning the local senior recreation center?
Doctor: Doctor John MD, Board Certified MD replied 2 months ago
some senior centers have a list of community resources such as transportation options for seniors.I would also see if the county has a list of resources for seniors as well. Some public transportation programs offer senior vans at low cost for transportation options as well.
Ask Your Own Medical Question
Customer reply replied 2 months ago
The buses take two extra hours of wasted prep time each morning in order for my parent to be ready in time. It stresses them out and everyone else. It seems like a big drain and impractical. I am beginning to think that by seperating each task, that a new organization or medical license or degree has to be created so that an institution has something to teach in the first place. Otherwise there would be no tuition to charge or reason to create a degree or give out a diploma or certify someone.
Doctor: Doctor John MD, Board Certified MD replied 2 months ago

Did you contact the senior center or county social services?

Ask Your Own Medical Question
Doctor: Doctor John MD, Board Certified MD replied 2 months ago

does this answer your question?

Ask Your Own Medical Question
Customer reply replied 2 months ago
There is a bus that use to come but my parent gets up before the bus parks so they forbid the use of their bus service for that reason.
Customer reply replied 2 months ago
No... I need to understand what is going on with this situation of getting assistance. Are you willing to spend a bit of time on this thread and i will take that into consideration because there is more going on here that i can not understand.
Doctor: Doctor John MD, Board Certified MD replied 2 months ago
Sorry, I believe I answered your original question. If you have more questions, please open another question.
Ask Your Own Medical Question
Was this answer helpful?
Ask Doctor John MD Your Own Question
Doctor John MD
Doctor John MD
Doctor John MD, Board Certified MD
Category: Medical
Satisfied Customers: 784
784 Satisfied Customers
Experience: Medical Physician

Doctor John MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I want to know how risky is my last behavior and whether it
I want to know how risky is my last sexual behavior and whether it will lead to hiv infection … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,739 satisfied customers
I have had an injury to my finger which had me lose feeling
I have had an injury to my finger which had me lose feeling for a couple weeks. I now have good feeling which I think is close to 100% sensation. I can feel very fine things like sand and leg hair … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My son is experiencing peeling of the palms and fingers,
My son is experiencing peeling of the palms and fingers, peeling in the ear canal and peeling of the skin in his nostrils. He has reactive arthritis and is hla-27 positive. Could this be a sign of Pso… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,689 satisfied customers
I have two things Id like to ask about, firstly my breasts
Second opinion] Hi, I have two things Id like to ask about, firstly my breasts are extremely itchi, I'm scratching to the point of bruising my skin. I have been to the dr about it 6 months ago, but su… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,018 satisfied customers
My 11 year old daughter was diagnosed with high cholesterol.
my 11 year old daughter was diagnosed with high cholesterol. she also complains of a stomach ache after she eats. … read more
DR. EHTISHAM
DR. EHTISHAM
Consultant Physician& Rheumatologist
Doctoral Degree
1,513 satisfied customers
Bumped the tip of my elbow resulting in a large lump on my
Bumped the tip of my elbow resulting in a large lump on my forearm the side of two eggs. This swelling went away after two days, but the underside of my arm is purple and red from above my elbow to be… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My son is worried about my grandson's tummy ache with
My son is worried about my grandson's tummy ache with grumblin sounds. It's lasted longer than a few hours. My grandson is hungry and we want to know if there … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,702 satisfied customers
I feel nauseous on and off every day for over 2 weeks now. I
I feel nauseous on and off every day for over 2 weeks now. I have headaches, aches around my body, dry mouth and metallic taste. Increased fatigue. Mild stomach cramps. My sinuses are not blocked and … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Bowl movement.....mucus and than a very small amount of
Bowl movement.....mucus and than a very small amount of stool. What is causing the abnormal situtation? … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,187 satisfied customers
What is on my tongue and throat? Having hard time
What is on my tongue and throat? Having hard time swallowing, sore throat and tounge and ear ache… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,187 satisfied customers
Doctor Phil ?.No light flash in front of eye but was to the
Doctor Phil Charles with follow up?.No light flash in front of eye but was to the extreme outside.Plus I just had a complete eye exam about 5 weeks ago.Wouldn't the eye doctor notice something then ?… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,702 satisfied customers
In my left leg for the past 3 weeks my muscle or vein has
Hello, in my left leg for the past 3 weeks my muscle or vein has been hurting on and off rather I'm sitting down or walking. I have not done any hard labor to strain anything … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,167 satisfied customers
I went to the market and came back home and found a biopsy
I went to the market and came back home and found a biopsy in my ears and I do not know that it is possible to bite or needle contaminated with HIV or HCCV or rash. How to break up is possible by touc… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,956 satisfied customers
I have been taking Flagyl for secondary infection to taking
Hi. I have been taking Flagyl for secondary infection to taking antibiotics, Keflex then Amoxicilin after a pilonidol cyst abcess draining...and had a re-lapse after taking the 10 day Flagyl course. I… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,120 satisfied customers
I'm trying Ambien for the first time as I have been able to
I'm trying Ambien for the first time as I have been able to sleep for the last two days. I took one pill almost 3 hours ago and still have not fallen asleep. Is it okay to add a .25mg Xanax or am I st… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Below are my urine tests resuklts and I am xoncerned about
hello below are my urine tests resuklts and I am xoncerned about them. My Doctor out for 3 weeks. Can you please tell me if I should worry? Component Results Component Your Value Standard Range RU/MICROALBUMIN 0.57 mg/dL mg/dL No reference (normal) range established for random urine. RU/CREATININE 66.86 mg/dL mg/dL No reference (normal) range established for random urine. MICROALB/CREAT 8.5 ug/mg 0.0 - 25.0 ug/mg … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,167 satisfied customers
Doctor Phil .This only happened about 2 hours ago.I noticed
Good evening doctor Phil this is Charles.This only happened about 2 hours ago.I noticed when I was putting 's'''something away in my hallway and it was lit dimly and dark outside I noticed when I turn… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,702 satisfied customers
I am suffering from a lot of OCD thoughts. I am taking meds
I am suffering from a lot of OCD thoughts. I am taking meds but so far not working. we have adopted an outdoor stray cat who we feed. we have an old container I fill with food. I don't wash it very of… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,702 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x