I have never worked in home health but I think I would like it a lot more than working in a facility. I think the one-on-one would be really great instead of having 5-15 patients to juggle.
I think the late stages in a senior's life is very important. They need someone they are comfortable with. People with dementia need consistency and a familiar face. I am very patient and I like to be silly if that's what makes them smile, but I am very professional.
I have cared to many elderly people that I loved dearly. I believe you must treat them as if they were family... Its the only way for it to be done.