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In-Home Care VS. Home Care Nursing: What's The Difference? | Fedelta Home Care, Seattle WA

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July 13, 2022

In-Home Care VS. Home Care Nursing: What's The Difference?

In-Home Care VS. Home Care Nursing: What's The Difference?

If your loved one needs extra assistance at home, you should definitely look into in-home care options. Home care is great for all types of people who need extra help. Home care allows your loved one to stay at home, while also ensuring that they get the attention and care they need to live a happy, safe and healthy life. 

You may still be wondering: what kind of home care will my loved one need? Home care can be broken down into two primary subsections: in-home care and home care nursing. What are the similarities and differences between these services? How do you determine which is better for your loved one’s needs? Here’s an easy-to-follow compare and contrast of in-home care vs. home care nursing.

Notable Differences Between In-Home Care And Home Care Nursing Services

To truly understand the difference between in-home care and home nursing services, perhaps it’s best to start by explaining who provides these two different types of services to your loved one. For in-home care, a caregiver comes to your loved one’s home to help. These services include but aren’t limited to companionship care, life enrichment and personal care. Our caregivers are highly vetted and trained professionals who care deeply about providing help and support to families. However, the services that a caregiver provides are limited. If your loved one requires nursing services, a registered nurse will be the one providing care. 

At Fedelta we work closely with accredited colleges here in Washington to hire the best registered nurses in the state. These colleges include Lake Washington Technical College, Edmonds Community College, Green River College, Bellevue College and Clover Park Technical College. 

A proficient and knowledgeable homecare agency, like Fedelta, will offer both types of services. Which service you need will be determined by what needs to be accomplished for your loved one. Still unsure of what services are best for you and your family?

What Services Can Caregivers Perform?

Hiring a general caregiver is best when your loved one doesn’t require any specific medical attention. Caregivers can provide important services such as:


Grocery shopping 

Light housekeeping 

Life Enrichment 

Meal prep for seniors

Companionship services

Help with social activities 

Pet care

Accompaniment on walks 

Medication reminders 

Safety checks 

Opting to hire an in-home care professional can vastly improve the quality of life for your loved one and even take some stress off of other family members who are acting as primary caregivers. The amount of care your loved one needs may change from week to week or day to day. You can use hourly care, 24 hour care, overnight care or short shift care. For more information on these types of assistance, visit Fedelta’s website

“Hiring an in-home care professional or home care nurse can vastly improve the quality of life for your loved one and take some stress off of family members who are primary caregivers.”

- Christina Aguilar, RN - Nurse Care Manager 

What Services Can Home Care Nurses Perform?

You should consider an in-home nurse if your loved one requires specialized medical attention. Since your loved one will be receiving care from a registered nurse, they’ll benefit from care that they would normally get at a medical facility from the comfort of their own home. This is a particularly useful service if your loved one needs routine care. Disease management care offers your loved ones medical support if they live with:

Parkinson’s Disease


MS / Multiple Sclerosis 

Heart Disease 

Alzheimer’s Disease 

ALS / Lou Gehrig’s Disease 


An in-home nurse ensures that your loved one gets an individualized treatment plan that addresses their specific disease. An in-home nurse might administer insulin shots for people who are diabetic. For people with MS or congestive heart failure, an in-home nurse will be able to perform a home infusion of the medications you need in order to stay in the comfort of your own home all while receiving the medical care that you need. 

In-home nurses can also support your family if your loved one requires post-surgical care or end-of-life/ hospice care by providing the following services:

Wound redressing 

Monitoring vitals

Administering medications

Monitoring and caring for catheters 

Providing physical therapy 

Home dialysis 

Ventilator treatments 

If your loved one requires specific medical attention and prefers the comfort of their own home, an in-home nurse is a great alternative to visits to a medical facility. 

How Are These Services Similar? 

If you thought that in-home care and home care nursing were similar, you’re not completely wrong. There is overlap that could certainly cause confusion. Both provide care and support to families. Both may stay at a home overnight to alleviate anxiety for families. An in-home nurse may take on caregiver roles, like companionship and medication reminders if they’re around frequently enough. The key difference is that in-home nurses can provide skilled, medical assistance that caregivers are not trained to perform. 

For a better understanding of what type of service your loved one could benefit from, consider setting up a free in-home consultation. You’ll work with Fedelta’s careteam to find the best solution for your family.