In most seniors’ lives, there comes a time when loneliness, inability to care for themselves, or medical conditions forces families to decide on where the loved one should be living. Often, the decision to be made is between moving to an assisted living facility or staying at home with home care services.

The decision is an intense personal deliberation, and families need to consider several factors to make it. Here is a guide of all the considerations to help you find the right and most suitable option for your loved one.

What is In-Home Care?

In-home care is amongst the most requested and fastest-growing services in Portland and the whole of the USA. In-home care services refer to professional support assistance services that allow senior persons to continue living in their homes. Senior home care assistance services come in several forms but generally involve providing care to seniors at their homes.

In-home caregiving is a popular option and often involves performing a few minor adjustments. You may need to remodel your senior’s house to include more age-friendly features such as wider doorways, non-slip flooring, and a walk-in tub. Additionally, you may hire an in-house home care provider agency to provide some care assistance services.

Typically, home care assistance agency services involve assistance with daily living activities such as dressing, toileting, bathing. Other activities include tasks like cleaning, medical home health care, cooking, and running errands. Families hire an agency to send caregivers to their loved one’s homes a few times a week or several hours, depending on their needs. Another option has a live-in caregiver.

Pros and Cons of In-Home Care


  • Allows your loved to benefit from one-on-one care tailored to meet their specific needs and preferences
  • The senior gets to age in place and enjoy the comfort of their home or close relatives’ house even as they age.
  • Both the family and seniors get the opportunity to interview and even choose their senior’s caregiver.
  • The services allow the seniors to form a personal bond, friendship, and companionship with their caregiver instead of having several caregivers. This also helps the seniors get more comfortable sharing their needs.
  • In-home care can be cheaper depending on the intervals at which the care is needed and the required skill level.


  • Managing the caregivers, care plan hours, and backup care planning needs a continued family involvement.
  • Homes may require safety modifications such as wheelchair accessibility.
  • Requires home maintenance and housekeeping.

What are Assisted Living Care Services?

Assisted living involves transitioning the senior from their home into a sort of community home for seniors. The communities offer semi-private and private quarters that will usually typically include all the commonly desired items in an apartment. Though the staff assists with daily activities like meal preparation and dining, dressing, bathing, dressing, and medication management, the residents live independently for most of their stay. Services will vary from community to community but typically include housekeeping, recreational activities, wellness programs, security, and transportation services.

Assisted living is a lot like in-home care since it covers daily activities, only that the senior moves from their family home into a new place. The living facilities involve round-the-clock staff keeping the seniors safe and assisting them in case of emergencies. Most assisted living facilities offer their meals either in a communal dining hall or in a room. Such communities also tend to offer social events and activities for residents.

Pros and Cons Assisted Living


  • When 24/7 care is required, assisted living is more affordable.
  • Families get the opportunity to focus on their relationship with the senior with less focus on the care needs.
  • Residents of assisted living homes have ample opportunities to make friends, enjoy company, and socialize with others.
  • The family does not have to hire, schedule, or manage the caregivers.
  • The level of care a senior needs can easily be increased when necessary at the assisted living homes.


  • One-on-one care may not be as frequent since staff changes are expected in assisted living homes.
  • A resident senior could get kicked out of assisted living in some unfortunate cases, due to a long list of reasons with limited to no advance notice. Evictions lie at the top of the list of grievances on assisted living across the U.S.
  • The form of living may limit the level of privacy the senior loved one feels depending on the specific facility dynamics.
  • There is a risk of insufficient healthcare and medical attention for patients with specific conditions such as dementia.
  • Long-term care is not guaranteed.
  • People in social spaces are more susceptible to COVID-19.

Signs It’s Time To Make That Transition

Signs it’s time to transition to care services for your elderly may not always present themselves with a big bang unless you’re overdue. The following are more standard telling signs that you should look out for:

  • Their health concerns and safety have surpassed your ability to meet their care needs. Loved ones with conditions such as Alzheimer’s disease may require as much as full-time supervision that may be hard to navigate while attending to your own life tasks.
  • Your responsibility as the caregiver is negatively impacting your formerly sound relationship with them.
  • They have started acting aggressively.
  • They are prone to sundowning (agitated mannerisms that become more pronounced as your night progresses)
  • Their care needs are quickly escalating.

One of the prime signs to look out for is caregiver stress. Caregiver stress is a common and very genuine phenomenon that occurs amongst those that provide assistance, care, or are available on call nearly throughout the day. Caregiver stress symptoms include depression, anxiety, feelings of being overwhelmed, isolation feelings, and spurs of anger towards the person they care for.

Contact the Senior Care Specialists in Portland

You must be aware of the stress that caregivers undergo and acknowledge its limits. Much of the in-home care responsibilities to your elderly, can you handle while on your own. Is there any other friend or family member that can step in and assist you? While you should keep the needs and wishes of your loved one in mind, you should never prioritize theirs at your own expense.

As much as the task of deciding the future of your elderly loved one may be stressful now; you can take comfort in the fact that you have made a big first step by conducting this research. Choosing between maintaining your aging loved ones at home or transitioning them to an assisted living home may not be easy. With time, researching reviews, and guidance, you can find the right choice for yourself and your aging relative. Currently, Caring for Portland stands out as the ideal choice by a mile. Call us today and let us guide you on the suitability of our in-home companion care services for your loved one in Portland. For now, take a deep breath…You are in good hands!