3 Key Differences between Home Care and Home Nursing

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The terms home care and home nursing are often used interchangeably. However, there are key differences between the two forms of senior care. Continue reading to learn the difference between home care vs home nursing services Singapore.

Considering Elderly Health Care

Thinking of what to do for senior healthcare is inevitable. As people grow older, their health care may become too much to handle by family members. Some seniors may require more care and nursing than others. The family members or the elderly will have to consider whether they want to stay within the comforts of their own home with the assistance of health aides or if they want to stay in a private nursing home with around-the-clock care and other specialized services.

There are certain factors to consider when choosing what to opt for. As mentioned, some seniors might prefer staying in their homes with familiar surroundings. While others might prefer the constant socialization and around-the-clock access to medical care services that nursing homes provide. Furthermore, private nursing home costs can be quite pricey. And lastly, the nursing needs of the seniors have to be assessed.

Home care and home nursing are both residential care settings that support residents in their senior living. Home care is where older adults receive care from the comforts of their own home. Home care for elderly Singapore may range from a couple of hours a day to 24/7 care. While home nursing or nursing home care is where seniors stay in a long-term or short-term nursing home where they are assisted in their daily living by medical professionals and qualified nurses.

In this article, we have listed 5 key differences between home care and home nursing to help you choose whether home care or home nursing is better suited for your senior family members.

1) Home care is more personal, while home nursing is supervised care

The relationship between seniors and home health aides is more personal in a home care setup. In home care, the home health aides are dedicated to their patients and act according to their needs, free from any restrictions, unlike in home nursing. You can also choose what type of caregiver you want, like a qualified nurse, a home health aide, or other medical professionals. These caregivers can either be visiting health professionals, or they can stay at home for 24/7 personal care.

Home nursing is the opposite. Residential care home residents stay in a nursing home facility where they are monitored by registered nurses, nursing care assistants, and doctors. In home nursing, there are more patients so the staff of residential home care homes may be assigned to other residents besides your loved one.

2) Home care prioritizes comfort; home nursing prioritizes security

In home care, residents not only receive personal care from a personal home health aide, but they can also be with their loved ones in the safety of a familiar and comfortable setting. In this setup, seniors can spend their years of old age relatively stress-free since they won’t have to adjust to a new environment and to new people. Seniors have more independence since they can move around their home. They are free to choose the level of personal care services they need from their caregivers.

Meanwhile, home nursing provides security by providing immediate and 24/7 medical care in case of emergencies. Qualified nurses on site can immediately provide medical assistance to residential care residents. This is especially important for those requiring frequent medical treatment or mental health issues.

Furthermore, most residential care homes also have restrictions in place for the safety of their residents. Visiting hours are limited to a few hours a day, pets are usually not allowed within the residential homes, and some resident settings do not allow cooking in-house, probably to prevent fire accidents. They also have 24/7 security and staff unlike in home care.

3) Home care is often less expensive

Home care is often less expensive compared to home nursing. The price of either senior living care depends on the location or residential settings, the amount of care needed, and the level of care needed.

For in home services, it also depends on who you hire and whether you choose to go through an agency or not. As mentioned before, it would also depend on the number of daily hours you would ask from the in home health aide. Nevertheless, below is a table of the average cost of home care in Singapore.


Average Cost of Home Care in Singapore

Rates of Non-medical Professionals

Rates of Skilled Medical Professionals













On the other hand, nursing home costs more because there are usually more amenities and security is also provided. Residential homes also have private and semi-private rooms that vary in pricing. The table below shows average cost of nursing homes in Singapore.


Average Cost of Nursing Homes in Singapore

Rates of Semi-private Rooms

Rates of Private Rooms













Home care costs may go up by 10-15% if you go through an agency. While the nursing home costs may increase depending on any additional special care needed and other consumable costs. Both nursing services utilize private pay. Lastly, they are both cheaper than a hospital stay.

4) Home nursing offers services for illnesses like Alzheimer’s

As aforementioned, nursing homes may be pricier, and this is because they are equipped with specialized services for mental health issues like dementia or Alzheimer’s. Nursing homes have around-the-clock security, which is good for keeping residents who tend to wander safely. Nursing homes have qualified nurses who assist in wound care, medical reminders and administering medication. Skilled occupational therapists also provide physical therapy for those with severe physical disabilities.

In home care, the caregivers can still provide some medical care. They are more suited for those with a less severe form of physical disability. They can help in daily living activities such as meal preparation, caring for personal hygiene, and physical activity. However, nursing homes provide all these services too.

5) Home nursing offers more social activities and communities

Nursing home services are not limited to medical services. Residential care homes also host events or organize trips that residents engage in. Your elderly loved one won’t feel lonely despite being away from family members since they can socialize with other residents.

If you want more social and physical and social activity for your older family member, you may consider an assisted living home. An assisted living home is like a nursing home with home care benefits. Here, the residential settings can be decorated to be more homier. Plus, the rules are more lax. The residents can have visitors any time for indefinite periods of time. Both types of nursing homes provide mobility by having ambulance services.

Senior living can get lonely if your elderly loved one is stuck at home while the whole family is busy and not at home. A nursing home or an assisted living home can provide some of the benefits of home care with the services and security of a nursing home. Most importantly, they give a sense of community to older adults.

Many families opt for either home care or home nursing. Both residential settings have their advantages and disadvantages. Home care may be the most cost-efficient choice if your loved one is relatively independent. However, a nursing home may be better if he or she requires more medical assistance. Ultimately, the best decision is what makes your elderly loved one safe and happy.

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