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Some residential care facilities that have been specifically designed with the needs of Alzheimer's disease and dementia patients in mind. To learn more, read about the considerations that went into the planning and building of Woodside Place, one of the first dementia-specific care facilities in the United States.
Even with help from community and respite services, providing care for a loved one with Alzheimer's disease or dementia will become more difficult with time. In later stages, long-term care options may be able to provide best for the needs of the individual; however, these options are often considerations that caregivers and their families find difficult to plan for or to even discuss.
Long-term Residential Options
The two main long-term care available to seniors and to individuals with AD/dementia are assisted living facilities and nursing homes (also known as a skilled nursing facility).Assisted living. An assisted living facility, such as a continuing care retirement community, is especially suited for those individuals in the earlier stages of Alzheimer's disease and dementia who do not have many medical problems but who do need more intensive support for Instrumental Activities of Daily Living (IADLs)Many people with dementia will need help with tasks that are called "Instrumental Activities of Daily Living," or IADLs. IADLs are activities that we perform from day to day that add to our quality of life, but are not as basic to self-care as ADLs or activities of daily living. The following tasks are considered to be IADLs:
- Managing money (i.e., writing checks, handling cash, keeping a budget)
- Managing medications(i.e., taking the appropriate dose of medication at the right time)
- Cooking (i.e., preparing meals or snacks, microwave/stove usage)
- Housekeeping (i.e., performing light and heavy chores such as dusting or mowing the lawn)
- Using appliances (i.e., using the telephone, television, or vacuum appropriately)
- Shopping (i.e., purchasing, discerning between items)
- Extracurriculars (i.e., maintaining a hobby or some leisure activities)
- Bathing (i.e., able to bathe without assistance in cleaning or getting into tub or shower)
- Toilet Use (i.e., able to use the toilet and clean oneself afterwards)
- Control or continence of urine and bowels (i.e., able to wait for the right time and the right place)
- Dressing and grooming (i.e., able to button a shirt, choosing appropriate clothing)
- Moving about (i.e., able to move in and out of a chair or bed, walking)
- Eating (i.e., able to eat without having to be fed by another)
- Your own health (physical, mental, and/or social), is being sacrificed and is failing due to providing care for your loved one.
- You experience some sort of injury or onset of disease that would make it difficult to care for another person.
- You are unable to provide your loved one with the sorts of care and activities that he or she would need to remain as healthy and active as possible.
Skilled nursing facility (Nursing home). A skilled nursing facility, also known as a nursing home, provides more extensive medical care. These facilities are best suited for individuals with AD/dementia who are in the later stages of the disease and who have more serious problems with their health or with daily living. In spite of your best efforts to support and to care for your loved one, you should consider long-term care for him or her in a skilled nursing facility if:
- Your loved one needs more constant supervision than you are able to provide, whether for wandering or for other behaviors.
- Your loved one is posing a danger to themselves or to others because of their behavior and actions.
- Your loved one is becoming more difficult to keep adequately nourished, hydrated, and/or healthy.
- Your loved one is no longer able carry out their activities of daily living.
- Facts: Caregiving in the United States
- Basic Tips for Caregiving
- Coping With Common Problems in Dementia
- Managing Financial and Legal Issues
- Providing Hands-On Care
- Short- and Long-Term Care and Living Options
- Care for Caregivers: Dealing with Stress, Finding Support