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[quote=Anonymous][quote=Anonymous]Other than the difficulty of managing staff yourself, it seems like a better deal to get private care in a normal apartment. Or am I missing something?[/quote]

You are missing something. Very hard to monitor staff for abuse dementia can lead to false accusations. The parent loses something and blames staff. Staff no show or don't wait for the the next person to show up before they leave.

Most importantly the social aspect is key. The parent can rot in front of the TV and they don't get social skills practice if they only interact with family who put up with bad behavior and staff paid to deal. Friends will distance if they get difficult. In a social setting your peers will shape you up and tell you when you are  a jerk. Making 1 new friend can be life changing and perk an elder right up. Joing a social activity can perk them up. You don't want their worlds becoming smaller and for all their attention to be on you. They need and their brains need social connection and social practice.

It is amazing to witness an elder who was isolated at home acting like a loon, move against his will to a residential setting, complain for a month and then develop a life. It's like they age backward once they get socially acclimated. Meals are right there, no worries if the weather is bad on delivery day.[/quote]

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