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Carol
These have 3 meals a day in dining rooms, they have nurses on staff (make sure of each place) med are given, there are things to do. You can come in anytime.
Mom really got to like it, but really I waited too long to get her into one so she could enjoy the people and activities. She was failing faster than I thought!
Assisted Living accepts those with memory loss. That is usually why they are assisted. From there they will transfer them to Memory Unit when it is needed, when the person becomes a danger to him/her self. MAKE SURE you have fully visited their Memory Unit and approve of it. My mom is in a wonderful place now, having to of taken her out of two Emeritus's for lousy care. She is now in Brookdale's Freedom Inn. Professional care. And they listen to me, and we have meetings all the time to address anything I have concerns or input about. Emeritus threw us out because I demanded they do what they promised, we lost our $5000 deposit. Brookdale's Freedom Inn has bent over backwards and has brought in Hospice care, not for end of life, but for her needs which are so great now. Now my only guilt is if I don't think I visit her enough, but have gotten freedom now!! And know she has a team attending to her, I am not a team, I am one person.
Medicaid Diversion is available to cover a good $1000 worth of care needed (have to get on the list and have funds reduced to receive it) I retained an Elder Lawyer for mom's larger funds, we are working on that now for nursing home care) , the rest is rent and food, which the resident pays. And VA pays $1000 (we don't have that).
Many different facilities and many different prices.
Good luck, get him into an Assisted Living facility. When he needs it, They will put him into Memory Care. See, Memory care is for those who are Forgetting how to eat, and to the bathroom, or wandering, outside, down the road and getting lost, over and over, etc. Assited living most have memory problems, but physical stuff they are still able to do, and it is so streamlined, they can follow it.
Hope this helps.
Assited living is not tramatic. Sounds like your dad is still pretty aware in the present. Just forgets a lot.
There were some stressful elements, though -- she did go home when things weren't going well, and when she was at the facilities she had a daily list of things she wanted from home. It was worth it, though -- less disorienting for her, less depressing, and she retained a feeling of control during a stressful and frightening time of life.
I have DPOA, MPOA and "Guardianship due to incapacity". Moved her from her home to IL and then after a couple of years there moved her into LTC this January. Did she want to move, absolutely not. Was it a forced move, absolutely. But it needed to be done for her own security and safety and health. With the POA's, I could do this. If you don't have them in place already, then it is going to be much more difficult and you will need to find an elder care attorney who practices in the county where dad lives.
Without the POA's you probably will have to go the guardianship/conservatorship route. This involves going before a judge and lots of paperwork and financial & family disclosures and court supervised monitoring/reporting for life. It's sticky - you need an attorney. The family MUST be united in the approach to care for dad.......otherwise the judge could appoint an outsider as the guardian. You want to keep that from happening as it is very difficult to revoke and there are even more court costs involved.
In my experience I will say that if you are moving him into a private pay AL or NH situation, then it is going to be alot easier as they need the revenue stream. Even if he's a cantankerous old goat! If it's moving him into a NH or LTC and he's going on Medicaid, then it won't be as easy to get him placed. Good luck.
Are there things that would make it better? Picking out a new bedspread or sheets, taking favorite photos, assuring them their belongings will be safe and not thrown away.....just reassuring and also letting them help with decisions. I know that isn't always possible but to feel absolutely like they are loosing control is scary!
Put yourself 30 yrs down the road and what do you want....how do you want to be treated. I don't like it when my spouse tells me what to do! My kids?! I hope they are learning from my example with my dad.
Just some thoughts to put yourself in their shoes.
Just some thoughts.
My experience is that trying to let them make the choices just doesn't work. I think it could when you are dealing with active, health and financially very well-off elderly in their 80's it can work. But there are very few of those out there. When you are dealing with those with dementia and other chronic illnesses who are aging, they have no reality of their cognitive state and what 2011 expenses and their fiances are, then there aren't alot of options out there.
Their safety,health and security should be what it is all about. If you have to forcibly make them move and legall can, then do it.
A gentle reminder here and there. I think there is room for kind persuasion. Just like a child, 'which shirt would you like to wear, this red one or this blue one'. If they feel like they have some control, life is better all around. I know it is not the answer for everyone but let's remember they have feelings too.
My grandmother was told by her daughters that she was moving out of her home and into a facility and she had a nervous break-down. All she really needed was somebody to check on her daily. They had already picked it out without her knowing. They were loving daughters, but after that I learned my lesson.
And....just because it is a facility doesn't mean you can take them there and never check up on them. I know of a woman living in an assisted living facility. She didn't show up for breakfast. The staff never checked on her to find out why. Her 2 children came by to visit that afternoon. She had fallen in her room several hours earlier. Terrible.
Another friend's mother is in another facility. The room is never really clean. My friend had to discuss this with the staff. Just be aware and if something is out of place, take it seriously.
Sorry this is so long.
And, um, what is this about taking them there and never checking up on them? Is there any earthly clue that buggerman or igloo are talking about that? We really can't assume that everyone who needs to place their loved one in a long term care facility is just trying to get rid of them and won't continue to care for them. Yes, what you say about it is valid, but putting it in this thread seems a little out of place to me.
Small simple choices go along way in the "moment" as that is what these people only have. I see the caregivers at my mom's Memory unit do exactly that. They are very experienced there.
Forcing a move is traumatic. When they put my mom into Memory it was horrible. It should of been transitioned slowly. Mom pulled the fire alarms 5 times, causing the fire department to come out 3 of those. I can't tell you the pain I still endure from this. But she has been failing so fast it is the best place. Just done harshly.
I am glad, Newtonjoyce, that you brought up the serious need for family to visit often. I have caught problems of every nature as many never have enough caretakers. It is easy to put off visiting for a week or two, but not a good idea. Caretakers at Mom's facility tell me many children live far away. Who watches over these people, I always wonder? As I said, I now have Hospice on board, I work closely with home health care nurses, and I keep a strong communication with the management and the caretakers, in house physical therapy and especially the Nurses! Even those who clean and cook. Every time my mom falls they call me with a report. If she is off to the ER I am immediately contacted and I meet her there.
Good places want you involved, want your feedback, questions, and ideas.
Who put this person into dementia care? Why? How long ago?
What is the evidence that this isn't the right place for this person?
Where do you think this person should be?
It is very good of you to be concerned and to want to help. Provide a few more details and perhaps someone here can give you some suggestions.
Would it help Mother to have in-home help, such as someone to bathe Father, housecleaning services, and Meals on Wheels?
Is Mother in favor of moving him to an appropriate care center? Let us know what your mother's attitudes are about this situation. Maybe someone here can then provide more specific help.