Managing care at home can be more complicated than you think.  There are many variables that affect the course of care, for example changes in medical condition, financial factors, changes in the caregiver's availability, environmental factors, changes in medications, and so on.  Managing the care of a loved one is similar to managing people in business.  You need to be the leader and decision maker. Also, you must track how your "employees" are working toward goals, which of course is the well being of your loved one.  Here are 5 ways to make sure that the care being provided is meeting your loved one's needs:

1. Keep a journal in the home for the care providers to log into each time they visit.

2. Keep track of the hours that the care providers spend in the home.

3. Make goals for your care providers such as, exercise four times a week, shower twice a week, etc.

4. Keep a chart on the refrigerator of all duties that must be performed during each visit.

5. Create a small "grab n go" envelope of copies of healthcare documents needed in a medical emergency. Keep it somewhere that's accessible.