In the early stages of Alzheimer’s disease (AD) or other forms of dementia, seniors frequently choose to remain in the comfort of a familiar home. As limitations increase, frustrations often follow and overwhelmed family caregivers turn to supportive services to help with the challenges that arise. I certainly took advantage of these services throughout my time caring for multiple seniors, including my parents and an elderly neighbor.

The biggest challenge I faced, though, was when I hired professional caregivers for loved ones who had dementia. Back then, home health aides (HHAs) weren’t always sure how to handle unusual dementia behaviors or the tricky situations they created. Thankfully, due to increased awareness of the unique difficulties inherent to dementia care, reputable home care companies across the country are providing their employees with proper training. Experienced and informed professional caregivers can provide benefits to both seniors and their family members that make in-home care worth considering.

Do Dementia Patients Do Better at Home?

The biggest advantage of home care is that it allows elders to remain in their own homes for as long as possible. This option is far less disorienting for a dementia patient than a move to an assisted living facility, a memory care unit or a nursing home. Familiar environments offer a great deal of security and peace of mind for individuals with memory issues. If a company offers specially trained home health aides for dementia patients, then in-home care can be the ideal starting point for families who need extra help with their loved ones but want to prevent or delay placement in a long-term care facility.

Just as familiar surroundings are safe and soothing, the same can be said for daily routines. Maintaining a schedule similar to the one a senior followed prior to their cognitive issues can help reduce anxiety and confusion. For example, an elder who watched the nightly news after dinner each evening for many years may feel a sense of normalcy when it’s switched on, even if they don’t completely understand the reports they are seeing and hearing.

A fundamental aspect of home care is that services are provided for all clients (with and without dementia) according to personalized scheduling tools called care plans. This organizational technique easily translates into a set routine for dementia patients who thrive on familiarity and repetition. Professional caregivers are trained to facilitate daily activities, including chores and personal care tasks, at the appropriate times and provide assistance as needed. Humans are creatures of habit and preserving these very personal and deeply ingrained routines can help elders retain a sense of control and understanding of what is going on around them.

With in-home dementia care, home health aides provide one-on-one care and supervision that is fully customizable. Since a HHA only has one senior to supervise and assist, it is much easier to keep a set schedule—and adapt it as needed. Staff members in senior living communities are responsible for multiple residents at once, which can make it difficult to keep a consistent routine.

Read: Why a Daily Routine is Helpful for People with Dementia

Specialized Dementia Care Training

Home care companies provide assistance with activities of daily living (ADLs), companionship, transportation and many other core services. In addition, many companies offer professional training in dementia care for their employees. Common aspects of this training include methods for staying engaged with a dementia patient, managing often unpredictable behaviors through validation and redirection, communicating effectively, and breaking down activities into smaller steps that are easier to manage. There are several training programs and schools of thought when it comes to dementia care, so be sure to inquire about the education a home care company provides to or requires of its caregivers.

Safety training is also part of professional caregivers’ initial and ongoing education since seniors with dementia may be prone to wandering and other risky behaviors. A 2013 study published in the Journal of the American Geriatrics Society found that 90 percent of community-residing persons with dementia had unmet safety needs, particularly for fall risk and wander risk management and home safety evaluations. Increased supervision and assistance from both informal and formal caregivers are crucial components in helping elders reduce safety risks while they continue living in their own homes.

Meaningful Activities for Dementia Patients

Knowledge of the clinical aspects of dementia allows home health aides to better serve their clients and enrich their lives with social interaction and activities. Perceptive caregivers can provide a positive environment for dementia patients by learning about a senior’s interests and adapting the way they engage in these meaningful hobbies both in the home and in the community. For example, if golf is something an elder enjoyed, they may visit a golf course for a walk or to watch others play the game.

Sensory stimulation is another crucial component of dementia care, especially in the later stages of cognitive impairment. Studies show that participating in music therapy, light therapy, aromatherapy, dance or other outlets has a positive effect on mental health, physical health and social functioning in older adults. An experienced caregiver will work to engage clients in activities, even as their interests and abilities change.


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Care That Evolves With the Client

In-home care can be customized to provide as much or as little assistance as a family requires, and changes can be made as often as necessary. Services can be unskilled (e.g., companion care and homemaker services) and/or skilled (e.g., personal care and nursing care) in nature and can be provided occasionally for respite, on an around-the-clock basis or anywhere in between. This flexibility is a significant advantage for family caregivers and seniors who are dealing with progressive diseases like dementia. As a loved one’s condition declines, HHAs and home health nurses offer the adaptability needed to continue caring for a dementia patient at home.

Read: The Difference Between Home Health Care and Non-Medical Home Care Services

When Home Care Is No Longer Enough

Home-based services for dementia patients can help delay the move to long-term care, but their growing needs will eventually necessitate higher levels of care and around-the-clock supervision. Without a robust team of family caregivers to share the burden, stress levels are sure to rise and Alzheimer’s caregiver burnout inevitably sets in. It’s important to look elsewhere for assistance before a loved one’s care becomes physically and emotionally unsustainable.

According to the Alzheimer’s Association, a person with AD lives for four to eight years after diagnosis on average but can live for as long as 20 years. While it is possible to receive these more intensive dementia care services in the home, the cost of 24/7 home care is often too much for the average family to pay for privately over the long term.

The time for thinking about a move to assisted living, a memory care unit or a nursing home is different for everyone. Ultimately, the decision depends on whether family members and hired caregivers can continue to cope with changes in a senior’s condition at home. A reputable home care company will closely monitor their ability to provide the best care for their patients. Should a client’s needs surpass what is noted in their current care plan, the company will let the family know that additional services and/or a change in setting is needed.

Read: When Is It Time to Place a Loved One with Dementia in a Long-Term Care Facility?