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Carol
Please be careful (and it sounds like you are) with off-handed diagnoses of dementia/alz. Too many doctors are throwing around this term without having any training in the area. I think they use it when they tire of dealing with an elder that may just be forgetful or slow to answer.
I agree with Carol, if everyone agrees that she will be okay in her apt. I would try your plan for a year. Also, hiring a caregiver to come in once a week would give you another set of "eyes" looking out for her. I hired a caregiver from a local, reputable agency and she has been great. Ask these questions: is your staff hired locally? do you have a variety of ages? do you pay your staff a salary? do they do light houskeeping and personal care? These questions give you answers as to the stability of the company and how they treat their staff. Also, have them send out a few caregivers so your grandmother can choose a person with whom feels comfortable.
I also purchase "gift cards" for mom to give her caregiver for errands. Make sure they give her a receipt and return unused cards. This way, she doesn't have to deal with cash.
Good luck...
With regard to your travels, you may wish to hire a home health care agency, geriatric care management agency, or a similar service to check on her in the morning and in the evening while you are away. This way you have established a relationship with a responsible party that can act in your absence if required. It is unfair and unwise to expect neighbors, clergy, etc. to be responsible for her well being. Placing her in an ALF while you are away seems a bit extreme.
This is a big help to get some other perspectives. I have been torn between canceling the job and staying (which my grandma does not want me to do; of course, she is an unselfish lady). Especially since I recently delved into medicaid law in Florida to see about her options, I'm not sure ALF is even an option anymore. At least not without a lot of work.
Other thoughts are greatly appreciated and thanks again.
Was her husband a veteran? If so, she may be eligible for up to an additional $1,057 per month in VA pension to assist with the same costs of care.
Both VA and Medicaid can be received simultaneously but great care must be taken not to disqualify the applicant from one program while qualifying for the other as the eligibility rules are different for the respective benefit programs.
Is there a financial concern? NOW is the time to explore options. Some will tell you she can only qualify once she has "spent down" all of her assets. This is not the case and it is the worst advice available.
Personal resources can be successfully combined with public benefits to deliver options and peace of mind. If you do not have the time, temperament, or discipline to to deal with bureaucracy then hire some one to help you. It will be the best money your grandmother ever spent.
He is very independent, does his own grocery shopping, cooks, and does his own laundry... for now.
My advice would be for you to speak to your grandma about what she feels and wants. Talk to her about what care she thinks she needs, what concerns you have. Then talk to her and her doctor, her insurance, and any resources (Adult Aging services is good) about what you can do to help your grandma go the route she has chosen.
There are so many ways to help her stay independent. I went through a company to set up a camera at my dad's house - they have a payment plan where you purchase the camera over a year, then make a 12 dollar payment for monitoring service a month. The camera comes with a built in microphone, so I can see and hear what is going on at my dad's from anywhere with Internet access. It gives me peace of mind, gives my dad peace of mind, when I can't be there with him.
Meals on Wheels comes out to my dad's every day at 11 a.m. and while they aren't providers, they are a resource, a body that checks in on my dad faithfully each day.
Like you, my dad has a pastor who will visit. In fact, my mom's (she passed away) pastor and 3 other pastors from the community visit my dad several times a month (one each week) to say hi. He doesn't go to their churches, but I found most churches don't mind if you ask.
My dad goes to assisted living, daycare a few times each week to give family members who are close by a break (my 24 yr old niece who lives close by helps, as do others, anyone we can get really... it's crazy!).
My dad qualified for home health care, so he has a provider who helps him several times a week.
I pay his bills online. I schedule all of his doctor's appts remotely, and keep in contact with them after each visit to know he's okay. Doctors and insurance case managers help coordinate transportation for my dad, too.
Helping your grandma long distance is an option if she is healthy enough.