Many seniors struggle with the loss of independence that inevitably comes as the body and mind age. It may become difficult to climb stairs, or take care of personal needs such as bathing and cooking. Memory loss can also endanger seniors if they forget to turn off a stove burner, or leave a tap running. The idea of leaving home and moving into a senior's home is depressing to most people. Other patients may be ill or dying, and seniors may begin to see their surroundings as merely a place to go to die. If home health care is a viable option, it can allow seniors to remain in the comfort of their own home, surrounded by familiar things. Home health care can range from a senior companion who does shopping, cooking, cleaning and keeps the elderly person company, to a registered nurse or therapist who provides help with home dialysis or physical therapy. Respite care is a service that allows regular senior caregivers some free time - for several hours, or days - with the peace of mind that their loved ones' needs are taken care of. Hospice care is for terminally ill seniors who prefer to remain at home until they pass away. Some seniors require a caregiver to come only once or twice a week to assist, while others need 24 hour live-in care. Often, elderly people are still capable of living alone, but due to a recent surgery or illness need regular medical attention for a short period of time. Sometimes, a home health care worker is needed if a family member can no longer provide the level of care and attention the elderly person requires. If home health care is an option, the first step is to contact the physicians and therapists who provide care for the senior. A home care specialist, usually referred by a physician, can do an assessment of the clients' needs and offer the best advice on what type of senior caregiver is best. Home health care is often entirely or partially covered by insurance, depending on the senior's eligibility for the level of care requested. Although home health care is usually preferred to moving into a nursing home, many seniors resist their caregivers as they resent being dependent on another person. When possible, the senior should have input into planning before the caregiver comes into the home. On the other hand, seniors may be reluctant to complain to family members or friends if there are problems with the home health care worker. Careful observation by loved ones can determine if there are issues with the seniors' care. Growing older doesn't necessarily mean entirely giving up freedom. In a lot of cases, home health care can offer seniors the medical help they need while allowing them to retain some of their independence.