I think most of us approach the idea of sharing the care of an elder with a lot of trepidation. We have cared for them with one-on-one loving attention. We know their history, their preferences, their tempers and their needs. Bringing others, no matter how experienced, into the equation is counterintuitive.
However, for many of us, the time comes when we have no choice. Over the course of two decades I cared for seven elders. All but two spent some time in a care facility. During the 15 years I visited daily, I saw three changes of ownership. Each was good, though the last (and present ownership) has been the best, from the viewpoint of a family member.
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Dad was the true heart-breaker. He had surgery for complications from a World War II brain injury. Not only did the surgery fail, it put him into a horrible, paranoid dementia and introduced a voice in his head who we came to call Herman. The shock of his personality change after the surgery is indescribable. His emotional and psychic pain was one of the worst things I've had to bear. He survived this way for 10 years.
When Dad went into the same nursing home as my uncle (and eventually the rest of my elders), we watched the home closely. He was so terribly vulnerable, and we felt helpless in the wake of the changes. Yes, we knew the home was excellent. We knew most of the staff, as my uncle had been there for years. However, dad was on a different floor with different staff.