Some time it is really difficult to manage all the work at your home and outside. If all the family members are working and no one is there to care for elders then it is difficult for elders and also for family members. In this case you can provide them health care at nursing home or at your home by hiring a worker who is full experienced providing health care to your elders. You can hire a worker either from an agency or directly but the workers employed by the agencies are well experienced and trained for there job.
When you are hiring an employer it is important to keep it mind that they are doing the job for which they are hired. You must not involve them in your own activities which can create a problem. Talk to them and tell them all their work which they have to do so that all the work they have to do is assigned at the starting only. There are many cases where there are problems between the employee and the employer. To prevent these problems you must all fulfill their basic needs for example you must provide them a proper room for them etc.