Reply to Balancing Senior Living Choices / Dementia

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Keep in mind that every move will make her condition much worse, necessitating more care. If it were me - keep her in her current home with caregivers that you oversee, then consider just caregiver at night and adult daycare, then when it’s obviously time - move her to a dementia unit near you. The sale of the house will help fund that unit.[/quote]

DP. This is very difficult when you are not local. There is also a shortage of caregivers right now and her mother may not receive good care without someone checking on her regularly. [/quote]

Agree with PP, it is difficult to manage in home care long distance.  OP you mentioned wanting more social engagement for your mother.  Given your situation, I would move her closer to you in the near future.  It will be easier now and she may even create some relationships that will help as the disease progresses.  You will also have a chance to spend more time with her.

It depends on the level of care she needs right now, her insurance, and available finances.  If the facility near you is a CCC and offers a benevolence fund, it would be an easy choice to start there.  If it is a higher level of care than you need, then it may not be worth it just yet.  If you are in the DC area there are some good agencies that provide in home care in 2 hour increments.  Many do 2 hours in the am and two hours in the pm -- that would ensure she has care daily and reduce the burden for you, but would likely be less expensive than assisted living.  Medicare may cover at least some in home care.

I suggest you spend some time really looking at her current coverage as well as other options.  See what is/could be covered for her in your area before making your final decision.  For a loved one we found changing from an HMO to straight medicare made it much easier to get care and more was available in home.

Bottom line, you need to consider the big picture and long term, but the next few years are likely the most important in terms of her comfort and enjoyment.  After that, it's what will work for you.

Best of luck[/quote]

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