As caregivers for our loved ones with Alzheimer's and other types of dementia, we often face the challenging question: "Is it time to change my care receiver's living situation?" We are Nancy Treaster and Sue Ryan, and through our experiences, we've developed five essential tips to help you navigate this complex decision-making process.
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1. Understand Your Financial Resources
This foundational step requires a thorough assessment of both current and future financial resources.
Professional Resources to Consult:
- Financial advisors (especially those specializing in senior care)
- Government program specialists
Income Sources to Consider:
- Care receiver's savings
- Long-term care insurance
- Public health insurance (Medicaid in the US)
- Social Security disability benefits
- In-home caregiving costs
- Potential lost income if reducing work hours
There are three main categories of care options to evaluate:
- Professional caregiving services
- Government programs (VA benefits, Medicare services)
- Family caregiver arrangements
- Memory care specific facilities
- Communities with memory care units
- Different care models and staffing levels
- Waiting list considerations
This evaluation should include multiple perspectives:
- Get an updated medical evaluation
- Discuss current and future safety risks
- Request occupational therapy assessment
Key Safety Considerations:
- Cabinet and door safety
- Depth perception issues
- Stairs and accessibility
- Emergency services access
4. Evaluate Medical Needs
Current and Future Medical Considerations:
- Impact of multiple diagnoses
- Required medical procedures
- Physical care requirements
5. Prioritize Wellbeing for Both Care Receiver and Caregiver
This final tip focuses on quality of life considerations for everyone involved.
- Care receiver's social preferences
- Community engagement opportunities
- Caregiver isolation prevention
- Balance of stimulation and comfort
Safety and Emotional Considerations:
- Physical safety for both parties
- Caregiver burnout prevention
- Managing aggressive behaviors
Making the Final Decision:
- Consider all evaluation points
- Maintain awareness of available options
- Stay connected with potential care communities
- Be prepared to act when needed