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My mom does very well during the day in Memory care. However, she has sundowners. She takes a low dose Seroquel. I just get worried about her waking up in the middle of the night all alone and confused. Normally she would call me, but she is starting to forget how to use her cell phone now.

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There is staff that should be able to reassure her. If she were to get up staff is there to get her back to bed safely.
I do not see hiring someone to be with her. Often facilities will not permit outside hiring for liability reasons. If you need someone hired it would probably have to go through the facility and it will likely cost you more.
I would wait and see if mom has problems that the facility can’t handle if that is the case they may suggest hiring someone. Take your cues from that when and if it happens
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Yes with the shortage of help, facilities are welcoming the help. My neighbor hired one for nights at facility for this reason.
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Yes, my mom had to have a caregiver who was charged solely with being a companion to her. Mom's behaviors were terrible, hitting, kicking biting, etc. If we wanted mom to remain in the facility the additional caregiver was necessary. She would keep mom busy and entertained leaving less interest in my mom to cause trouble.

The facility had an agreement with a company so that the caregivers were paid a bit less than had they been hired directly.

Facilities are short handed normally, but there are some residents that NEED the one on one like my mom did. Employees of the facility have many residents to care for more than just my mom. And it is not fair to the facility to not get the extra help that mom needs. Nor is it fair to other residents to have one person requiring so much time to keep her out of trouble and possibly injuring others.

Hire a caregiver to be a companion to mom. Ask the facility if they have a company that they normally use. The facility probably has rules about how this is done. And yes, it was an additional charge, but helped keep mom and others safe.

Good luck. This is tough.
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Is this an actual problem, or are you worried it might be a problem?

I would talk with the MC folks and ask how often they check on Mom, how she seems to sleep at night, and perhaps ask if you can set up a camera in there.

Getting an additional caregiver who'll likely be paid to sleep all night or hang out with the rest of the help seems like it should be the last resort.
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