Home Care and Nursing Agency

Deciding Between A Live-In Caregiver And An Hourly Caregiver: What You Need To Know By Lydia Kirunda RN

When it comes to caring for the elderly, there are a variety of options available. One of these is having either a live-in or hourly caregiver. Each type of care has its own advantages and disadvantages that should be weighed carefully when making this decision.

In this article, we will explore the pros and cons of both live-in and hourly care, in order to help you make the best choice for your elderly loved one.  We will cover topics such as cost, privacy, flexibility, and more so you can make an informed decision based on your needs. With the right information and understanding of these two types of care, you can trust that your elderly relative is getting the best care possible.  Let’s get started!



 Increased Access to Care: Having a live-in caregiver allows for 24/7 supervision, which can be beneficial in certain situations where continuous monitoring and assistance is necessary.


 More Personalized Care: A live-in caregiver can develop a more intimate relationship with their client, providing additional emotional support and customized help with day-to-day tasks.

 Cost Savings: Hiring a live-in caregiver typically costs less than hiring an hourly one, since the costs for room and board are often included in the rate.


✔ Flexibility: An hourly caregiver can be scheduled around the needs of the individual or family and can easily be changed if necessary.

✔ Professionalism: Hiring an hourly caregiver provides access to trained professionals who are able to deliver high-quality care.

✔ Increased Privacy: An hourly caregiver is less intrusive than a live-in one and allows for more freedom and privacy for the individual or family.


✘ Reduced Privacy: Living with a caregiver can be intrusive and may infringe upon the family’s privacy, as well as the elderly individual’s own autonomy.

✘ Potential Fatigue: Live-in caregivers often have more on their plate than hourly ones and can become overworked or underpaid if not managed properly.

✘ Lack of Flexibility: Having a live-in caregiver means that the family cannot easily switch or change caregivers if they are not satisfied with the care they are receiving.


✘ Costly: Hiring an hourly caregiver can be expensive, particularly if they are needed on a more frequent basis.

✘ Unreliability: An hourly caregiver may not be available when needed or may have other commitments that can interfere with the care they are providing.

✘ Limited Access to Care: Hourly caregivers are not present 24/7 and cannot provide constant supervision and assistance in all situations.

Overall, the decision of whether to hire a live-in or an hourly caregiver should be based on the individual needs and preferences of the family or elderly individual. Both options have their pros and cons, but with proper planning and consideration, it is possible to find the best option for each unique situation.

The key is to do your research and select a caregiver who has the qualifications and experience necessary to provide the best quality care for the specific needs of the family or elderly individual. Additionally, it is important to consider factors such as cost, availability, scheduling, and access to care before making any decisions. With this in mind, it is possible to make an informed choice that will ensure the highest levels of safety and care.

Ultimately, it is up to the family or elderly individual to decide which type of caregiver is best suited for their needs. It may take some time and effort to find the right person, but in the end, making sure that they receive personalized care and support is worth it.  With the right caregiver, they can be sure to receive quality care and support when they need it most.

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