What Kind of Care Does Assisted Living Offer?

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How Do I Know They're Getting Good Care?

Find a good assisted living community and make yourself a regular presence in the facility and develop relationships with the staff, if possible. Ask questions. Monitor your elderly loved one's behavior, what they say, and pay special attention if you notice any bruises or cuts on his or her body. By asking questions and maintaining communication with staff, it is easier to keep tabs on the care your parent is receiving. If you suspect elder abuse or neglect, talk to a supervisor or contact an ombudsman.

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What Happens When Mom's Alzheimer's Worsens? Will She Have to Move? 

Usually Alzheimer's and dementia patients stay in assisted living. Again, Alzheimer's and dementia care is handled on a case-by-case basis. Many assisted living facilities offer a secure unit for residents with limited memories. If you do not want your parent in a memory unit, you can always hire a private duty nurse. Private duty nurses allow seniors with dementia or Alzheimer's to stay in their current apartment, rather than in a secure unit. Check with your parent's facility to learn its policy. Finally, when seniors can no longer function without 24 hour assistance, the move to a nursing home may be required.

How Big are the Rooms? Can Couples Live Together?

Room sizes can vary. There are studio apartments and one, two or three bedroom apartments. They have private bathrooms (nursing homes usually have shared bathrooms). Some even have kitchenettes. Couples usually can live together, but it is best to check with the facility first.

Can Mom or Dad Socialize with Others? What if They Don't Want to? Is There Privacy?

One of the benefits of an assisted living facility is that there are group activities available for residents. Everything from games to exercise classes to happy hours are offered. However, if your parent does not like to participate in group activities, social interaction can still happen at meal time, since meals are usually eaten in the community dining room.

If your parent desires complete privacy they have the option of staying in their apartment and even eating meals in their apartment. Sometimes privacy cannot be given though, if your parent needs assistance with certain things. For instance, if your parent wants privacy during meal time, but he or she needs assistance eating, they may opt to eat in their apartment, but a staff member will still need to be with them to assist.

What Will Mom Do All Day? 

A vital part of quality of life is social interaction and assisted living facilities aim to provide a means for that interaction. A variety of activities are offered to ensure that your parent has something to do that fits their interests. There are many kinds of games offered, such as bingo, board games, puzzles and cards. There are social parties. There is usually some kind of physical exercise activity. There are movie nights. Also, entertainers of all sorts come in, and there are usually one to two different entertainers per week. There may be musical entertainment one night and a magician another night. Good assisted living facilities offer many different activities to suit people's needs and interests. If you are concerned with a facility's activity schedule, talk to the activities director. They are open for suggestions!

Are Assisted Living Residents Kept on a Daily Schedule?

Yes and no. Elders in assisted living still maintain some sort of independence and can decide which activities in which they wish to participate. For example, if your parent usually plays bingo, he or she can decide not to play one day. They do not have to go with activities schedules. Your parent will be on a daily schedule when it comes to things like meals, medication, bathing, dressing and grooming, and housekeeping.

Your parent will eat three meals per day: one in the morning, one in the afternoon and one in the evening. There is a window of time allowed for certain needs. For instance, if your parent needs assistance with bathing, he or she will know that a staff member comes to their apartment on a certain day between 8:00 a.m. and 9:00 a.m.

What If They Don't Remember to Take Their Medications?

If a resident does not remember to take medication regularly, staff can assist with that. A nurse may call the resident to come to the nursing station to take medication or a nurse may visit the resident's apartment and administer the medication. If you feel that your parent needs assistance with remembering medication, talk to the nursing staff at the facility.

Does Mom or Dad Need a Car? How Do They Get to the Doctor?

Many facilities allow residents to have cars if they are able to drive. It is not imperative that your parent has a car. Assisted living facilities have transportation available for residents for doctor appointments, banking needs, etc.

What Happens if an Elder has an Emergency at Assisted Living?

There are a variety of ways for staff to be informed of an emergency. Many assisted living facilities have emergency pull-cord systems. A pull cord would be placed in every room of a resident's apartment and if he or she needs assistance, they can pull the cord and the receptionist will be alerted to send for help.

Another emergency device is a panic button. Residents may wear a necklace with a panic button that alerts the receptionist that there has been an emergency. Panic buttons are particularly useful for falls.

In assisted living, residents are checked on multiple times per day since they need care for different things. Often, if a staff member has not seen a resident for awhile, he or she may pop in the room just to check on them and make sure everything is okay.

How Do I Know Mom or Dad Will be Safe?

Security is available in the form of emergency security and general community security. Guests are required to sign in so that the facility knows who comes in and out of the building. Also, to ensure caregiving safety, staff members must pass a background check prior to being hired.

 
 
 

Comments

 
  •  Comments 1 to 10 of 21 
 
 

LynnPO

Give a Hug

Apr 15, 2010

Many assisted living facilities DO take medicaide - you just have to ask. Often they have requirements that the elder share a room.

 
 

LynnPO

Give a Hug

Apr 15, 2010

Regarding the difference between assisted living and nursing homes: Some assisted facilities will request that an elder be moved once they require more than one aide at a time. For example: toileting, if it takes more than one aid to help the elder on or off the toilet, then the elder is considered too infirm and must move.

 
 

mbargielski

Give a Hug

Apr 21, 2010

My dad's assisted living home takes people that require more than one assist. It depends on the individual needs of the patient. We like it because he can stay there pretty much as long as he needs to.

 
 

BGB

Give a Hug

Jun 8, 2010

My Mom is on section 8 grov. housing but now we think she need a assisted living facilities. she has med/medi medical/medcare. if so how do i go about getting her into a facility and how is it paid. California

 
 

jjn80

Give a Hug

Jul 4, 2010

My Mom's assisted living home will also allow her to stay there even though she requires more than one assistant. They said they will keep her unless she requires skilled nursing care (IV, feeding tube, etc.). They are actually much better with her than a rehab facility she was in for a brief time after hospitalization.

 
 

LynnPO

Give a Hug

Jul 4, 2010

BGB - medicaide in each state is usually administered by the State Dept of Health and Welfare or a similar agency. It's likely the same one that approved and pays her Section 8 Housing but you have to talk with a different group within that agency. If you can look at the official site of the state of CA you should see links to the Dept of Health & Welfare. Be careful if you search for "California and medicaide"; you'll get all kinds of links to shyster lawyers who promise to get you qualified - you don't need their help, you can do this for your mom! There are a lot of good questions and thorough answers about medicare and medicaide on the Money and Legal section of this site. You really do need to understand the difference, one's a state program and the other is federal insurance for the elderly. Good luck.

 
 

debmcd1256

Give a Hug

Jul 4, 2010

Does anyone know of an asssisted living program in the St. Louis, Missouri area that will take a resident who needs assistance with transters? This thread sounds great but my experience in this area is that they want residents who are ambulatory. Thanks,

 
 

LynnPO

Give a Hug

Jul 5, 2010

DEB - The best way to find such an assisted living center is to call around. Most of the time, they'll send someone to evaluate your elder to see if they can accommodate their needs. Most of the people in my mom's assisted living facility were in wheelchaird and 40% needed help transfering to/from bed and toilet.

 
 

nanlinjoe

Give a Hug

Sep 10, 2010

I have a lot of guilt and anxiety for moving mom into a very nice assisted living facility, which she initially agreed to. Her house is for sale. I now am second guessing myself-----should I have let her live at home with12 or more hours of in-home aides---which charge $16-18/hr on weekdaya and $21/hr on weekends. Her money would run out much more quickly and then when she needed a nursing home, Medicaid would pay but I worry about the quality of care since I read so much about elder abuse,
bed sores, restraints in chairs most of the day, etc. The assisted living place that she is in now has promised to transfer her to their nursing home or altzeimer's home when she runs out of money and will help her apply for Medcaid. Mom has some depression and anxiety and is treated by the psychiatrist. She also has issues of back pain and foot pain. While the care is probably above average, it is understaffed with
1 RN and 1 Caregiver per shift. Mom's house has 16 residents and there are 2 other houses with the same quota. Mom gets very anxious if the medication aide is late in giving out meds. It kills me when my sister asked her if mom was happy there and m om's reply was, "I don't have any other choice." I have the space for mom to ,live with me but I work part-time and mom is very needy. When I get home exhausted from work and just want to chill before cooking dinner, it woluldn't happen and I would eventually lose my temper with her and feel even worse. I do visit her 3-4 times/week and take her out sometimes and to family events, as does my sister. She has more visitors than most of the other residents but she still is unhappy and it breaks my heart!!
Does anyone have a similar situation and words of advice? THANKS!!

 
 

LynnPO

Give a Hug

Sep 10, 2010

Nan - After a year and a half I still go through the same feelings that you described above. Trust your intuition and know that your mom is in the best place possible. If having her in your home would turn you into a shrew then it's best for BOTH of you that she live somewhere else. When you do see her you're able to be the loving and attentive daughter she needs. Believe it or not, visits 3-4 times a LOT. Since my Mom moved my brothers and their spouses have been to see her 3 times - 3 TIMES in a year and a half!! It's awful but there is nothing I can do; they just don't care. The relatively low number of residents per house is really in your mom's benefit; she'll get the attention and focus she needs from the staff and the management's willingness to help with medicaid when the time comes is really important. It can be a lot to wade through and they should be pros. I stressed over it for weeks and wish I'd had someone else to handle it. It's also a HUGE benefit that she can stay in the same place with familiar routine and staff. Such change at an advanced age can really throw off our elders.

You moved your mom because you know it's the right time. I knew it too whether I admitted it or not at the time. A few months after the move Mom's arthritis began to get really bad and because she was in assisted living they helped her adjust to the limitations and to use a wheelchair. If she were at home, she'd be calling me and expect me to stay and help "until she got better".... I'd still be there and I'd be a miserable wack job. If your mom is facing a decline then having professionally trained people to help meet her needs is critical. They can be more objective and she'll be more likely to accept their treatment and help than she would family. Trust that you did the right thing. Trust that you're a good daughter and that she knows you love her.

 
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