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He is borderline good and dementia of sorts. Sometimes can carry on a conversation, but most of the time is unable which causes depression and his starring out the window, lip quivers. Not sure what to expect from home care, how you operate, how it is paid. Is your group certified, background checks, etc.

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Nothing to be gained by telling him in advance. If he's anything like my mom, he'll be angry and uncooperative and you don't need to deal with that any longer than necessary.

When are they coming? This is to have someone come to your home to help with his care?

You need to direct your questions about the home care group that is coming to do an assessment to them directly. They are not on this forum and none of us fellow caregivers can give you any help with that.

When I took my mom to the AL I placed her in for an assessment, I told her we were going to see some people to look at and evaluate her memory issues. She did a much better job than usual since she's pretty good at show timing. She is currently in assisted living with additional levels of assistance. If/when she declines further, they will talk to me about either moving her to memory care or a nursing home, depending on which declines faster - her mind or her body. Who knows?

At the age of 88, it's got to be really hard to take care of a failing spouse. No one hopes to be in your shoes. I hope you get some help soon so that you can spend some time taking care of yourself.
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I totally agree....don't tell him. Just tell him that you have a visitor.

At 98 years old, my Mom had very mild dementia (in fact we took international trips.) However, whenever my Mom was included in a conversation she knew was evaluating her, she was on her best behavior. She would pay attention, answer their questions, track with the conversation, etc. When they were gone, she would be belligerent, have a hard time walking, needy, moody, etc.

As a result, when she first got placed in a Managed Care facility, she was deemed mentally fit enough for Assisted Living. Within 2 hours, they realized that she should be in Memory Care.

If you want a reasonably accurate assessment, you want him to act "normal".

So if you are bringing in the visitor to assess for home health care, start out the conversation in a place in the home where you would normally have visitors. Include him in the conversation and slowly steer the conversation to how you have modified the house.

Topics like certification, employment practices, billing, etc, should be done ahead and outside of the home visit. In other words, the home visit should be the final interview for the person or agency.

To this very day, outside people have no idea how bad her dementia is. She agrees with them, nods her head, and gives answers that have nothing to do with the question. However, they all attribute it to the fact that she doesn't hear well due to hearing aids.
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I wouldn’t tell him in advance at all. When the person arrives tell him “we have a visitor” and let the person take it from there
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AlvaDeer Jan 2023
I agree with Daughter1930. Simply introduce whomever comes, and let them handle it from there, both the questions and all else. And the OP should know that this Forum is just for questions by caregivers from caregivers and to caregivers. While there are ads from sponsors on the site on the right hand side of the feed, this is not an agency that provides home care.
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