Determining Needs and Understanding Options (Nurse Next Door Delaware)

Tiffany Rubin

Chief of Happiness

Nurse Next Door Delaware

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Learn more about how Nurse Next Door Delaware can help you determine how much or how little care your loved one needs and provide that care in the comfort of his or her home.

Are you looking for home care for a loved one but not sure where to begin? Perhaps you’re seeing clues that mom or dad could use some help at home. Or maybe your search is more urgent as in the case of a pending hospital discharge that’s happening faster than you anticipated.

Let’s start with how much care. We’ve devised a simple-to-use Level of Needs Calculator, as a tool to determine how much care someone needs. Use this as a guide, keeping in mind that every situation is different and for that reason, we always customize and tailor care for our clients. Our clients are all unique; their care should be, too!

Level of Needs Calculator

Fall Risk







0-3 meds

4-6 meds

7+ meds
Diet/ Nutrition

Can prepare meals & eat without assitance

Needs assistance to prepare meals; can eat without assistance

Requires assistance to prepare meals & eat
Completing Instrumental Activities of Daily Living (IADLs)

Needs minimal help

Needs moderate help

Completely dependent
Errands/ Transportation



Dependent on additional help
Care Needed


Personal Care

Nurse care or palliative
Primary Caregiver Capability (e.g. spouse)

Completely able to care around the clock

Able to assist with IADLs only

Unable to assist with care
Additional Assistance Available (e.g. family, friends, neighbors)


Most of the day; when called

Intermittment; unpredictable


0-12 points → 9-20 hrs/ week
13-19 points → 20-50 hrs/week
20-27 points → 24/7 care
The amount of care your loved one needs is part of the picture. The other part is the type of care needed. There are 2 types of care—non-medical/non-skilled and medical/skilled*. Nurse Next Door Delaware can provide both.

1. Non-medical/non-skilled

This type of care includes companion and personal care. It does not always require a physician’s order. Care can be provided by a companion who is not required to have medical training or by a Certified Nursing Assistant (CNA). A CNA is required to complete a state-approved program with practicum experience. Running errands, providing transportation, bathing, dressing, and cooking are all examples of the type of care provided at this level.

level of care 2

2. Medical/Skilled

This level of care always requires a physician’s order. It includes nursing and therapy services and can only be done by Skilled Home Health Agencies, like Nurse Next Door Delaware. A licensed professional, such as a Registered Nurse, a Licensed Practical Nurse, an Occupational Therapist, or Speech Therapist, always provides care.

Sometimes, getting your parents or loved one to accept help can be a challenge. If you’re worried about having this conversation with them, speaking to a professional at Nurse Next Door beforehand can help prepare you. Likewise, if you’re not sure about what exactly they need, don’t let a feeling of uncertainty stop you from learning more. We’re here to listen, advise, and if needed, devise a home care plan that promotes happier aging for your loved one and you.

level of care
Dr. Gayla Dehart of Nurse Next Door gives a few quick tips to help get your parents to accept the care they need, no matter what level of needs they require.

*= Depending on state or provincial regulations, not all locations may be able to or are required to provide medical/skilled care. Please contact us for further information on what services we can provide in your area.

Explore the services Nurse Next Door’s caregivers can provide to you, or CALL (+1(877) 588-8609

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