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Having had my mom in adult day-care for a while, I fully realize the benefits. Now, we have moved and don't have an adult day-care center close by but I am blessed to have a lady that takes mom to her house so I have my days free. However, I'm wondering why no one has come up with the concept of "overnight care". I have slept with my mother for the last 7 years and, due to her dementia and poor sleep patterns, I'm pretty much existing in a fog of my own now. What I wouldn't give for a night alone in my bed and some sleep!! I'm wondering why someone doesn't come up with the idea of night-time care - a place where you could take your loved one just for them to sleep - no meals, no meds, no bathing - you take your loved one after dinner at home and in their nightclothes and they could have a TV room where they could watch TV if they wanted, but they would just primarily sleep and then the caregivers could pick them up in the AM and take them home for breakfast and the rest of the day. Bad idea???

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Uncle Dave might be legit folks - it has been done:

I imagine it is hard to get great staff like that to work regular night shift, but apparently not impossible...
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The goal of the ASAP system is to provide frail elders with services which will enable them to live independently with dignity and comfort in their own homes, preventing or postponing the need for institutional care. In order to receive services through the
ASAP program, elders must meet certain clinical and income guidelines. The
guidelines can be obtained by calling the local ASAP.

Consult an elder attorney regarding frail elder medicaid wavers
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My apologies for mess made of links in the post "a place to go during the evening or at night". The links showing Dave Mainwaring's Knowledge Network are a mess. It was a cut and pasted effort gone bad.
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A PLACE TO GO DURING THE EVENING OR AT NIGHT

DayCare-at-Night programs provide individuals with Alzheimer’s Disease a place to go for evening(s) or night(s).

Who is the A DayCare at Night program for?
DayCare at Night program provide individuals with Alzheimer’s Disease who need supervised day-care an evening or at night.

they are:
Who are living in their own homes (or with a caregiver)
who: Are in the early- to mid-stage of the disease
who: Don’t require constant one-on-one assistance
who: Have some mobility (some programs may allow a self-propelled wheelchair)
Who: Are not physically or verbally abusive
Who: Do not wander excessively
Depending on the program, you may need:
Documentation of a doctor’s diagnosis of dementia or Alzheimer’s
Proof the person lives within the service area
An intake examination by the staff to determine eligibility according to its own DCN requirements

Delivery of A DayCare at Night program
Many programs may offer door-to-door transportation
programs may be part of stand-alone DayCare at Night center, specifically set up to provide DayCare at Night services, or they may operate within community centers or assisted living facilities
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It takes just one person to encourage setting up Evening-Daycare or daycare-at-night program for those with dementia or a Alzheimer's Cafe

If YOU are using or involved with a assisted living facility, senior services, day-care, caregivers, senior center, or area agency talk about setting up a Evening-Daycare or daycare-at-night program for those with dementia or a Alzheimer's Cafe

Search on Google for “Alzheimer's Day Care at Night” blog and the “Alzheimer's Cafe‘s” blog.

ALZ, Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes. In the UK many have been in existence for years.

Currently the concept is gaining momentum and hundreds of memory cafes sprouting up everywhere.

The concept is to provide a social occasion, a meetup, for anyone with dementia / Alzheimer's, their care givers and family. They are informal and generally free. Activities vary.

Any way you can spread the idea of Evening-Daycare or Alzheimer's Cafe programs to more communities will help.
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alzdaycareatnight

Alzheimer's Day Care at Night guide to establishing Evening-Daycare. Promoting the establishment of new programs.
Carers often experience chronic sleep deprivation. At the onset of night-time. The demons of anxiety, anger, fear, hallucinations and paranoia come out. Night time can be unpredictable, up and down cycles. A DCN provides a place where Alzheimer's DayCare-at-Night programs offer activities to those who need supervised care. Those enrolled can enjoy daycare activities offered in evenings or over night..
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I've thought about this for years, especially when Dad was alive and I worried about him at home at night alone. He couldn't afford care both day and night and so I/he chose day for him.
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Hebrew Home for the Aged (if memory serves me correctly) in the Bronx (NYC) has a nighttime care program - the first such program in the country.
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What I would give to have a night's sleep right now. There clearly is a need for night care, whether it's in the form of respite for the caregiver or to accomodate people that have to work nights (or work overtime at night).
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The concept of night care is not new. The plan of wait to see what the state where you live will allow is the basis of so few or none at all night care centers, Thankfully the government is now more aware of dementia as a national problem more laws and initiatives have been put into play. I plan to open Night care centers in every city in Ga. The first of many will be in Woodstock Georgia with an opening (if all goes well) of April 6th 2015. I am a home health nurse with 25 years of watching how you struggle to keep them home. I know and I will help.
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The concept of night care is not new. The plan of wait to see what the state where you live will allow is the basis of so few or none at all night care centers, Thankfully the government is now more aware of dementia as a national problem more laws and initiatives have been put into play. I plan to open Night care centers in every city in Ga. The first of many will be in Woodstock Georgia with an opening (if all goes well) of April 6th 2015. I am a home health nurse with 25 years of watching how you struggle to keep them home. I know and I will help.
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What a great idea...I started a partial hospitalization program for the mentally ill in my town year ago & continued to travel around the country teaching other how to do the same thing. This concept of an Adult night care is simply great.
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Repetition may make it come true
Over-Night Care: Night programs serving individuals with Alzheimer's

We need All-Night Care all night respite programs.

A member of Dave Mainwaring's Knowledge-Network
All-Night Care for Alzheimer’s Restless Minds
Here is a success story
ebrew Home at Riverdale, Took the day program and ran it at night.
The activities mirror those done during the day: arts, crafts, exercise, and holistic remedies like meditation and pet therapy.
{quote} Participants are fetched from their homes by vans and spend 7 p.m. to 7 a.m. painting, potting plants, dancing and talking — or, for those immobilized by their disease, relaxing amid music, massage and twinkling lights.

The patients rest as they need, for a few minutes or a few hours, and return home the next morning fed, showered and, usually, tuckered out. {end quote}

It takes just one person to encourage setting up Night-Care respit for those with dementia.
If YOU are using or involved with a assisted living facility, senior services, day-care, caregivers, senior center, or area agency
discuss Night Care programs with your peers.
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One thing I wish is had learned is ten finger typing. I do hunt and peck typing an rely on the machine to spell correct.
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{Q}perhaps a "bulk" payment rather than just by the hour... It could be tiered like they do in AL: lowest price for someone like my Dad who isn't Alzheimers, then next price up for person who needs a bit more care etc. A room/TV is provided and the Caregiver doesn't need to do as much as during the day; they just sit, read, study, watch TV . But they are there just in case and the Elder feels safer just knowing that. {EQ}

You suggestion :=}

Call the local support agencies, for example HomeInstead). They are national franchises. Speak with the owner or office manager. Have a thirty second elevator presentation about your interests. Each agency will have different ideas and programs. I know the HI we use has tiered caregivers with corresponding rates.
Seems like years ago, we engaged them for one shift a week so we would know each other. As our needs changed they worked with us to fit our needs. Asolutes for us are bonding, liability insurance, CG work for them, we don't do taxes or any other such chores.
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I've had this same idea for some time now. My 93 yr old, mentally acute but physically limited Dad lives at home, has attentive neighbors and friends and extended family nearby and caregivers several hours during the day. I am the only child, 58 w/husband, job, mortgage/living away for 30 years 1500 miles away. Dad gets along with 6 - 8 hours caregivers during the day ,but night time is when I worry about him. He is on a fixed income or I'd get someone at night. He hated AL and the only reason we tried it was so he could have night care. He very occasionally gets scared at night and then calls a neighbor at 3 am. Not a good habit to get into. He would sleep better knowing someone is in the other room. If only nighttime care could be made more affordable than Day time; perhaps a "bulk" payment rather than just by the hour... It could be tiered like they do in AL: lowest price for someone like my Dad who isn't Alzheimers, then next price up for person who needs a bit more care etc. A room/TV is provided and the Caregiver doesn't need to do as much as during the day; they just sit, read, study, watch TV . But they are there just in case and the Elder feels safer just knowing that.
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My problem is that we can barely get Dad to go to my sister's house even for a visit, let alone a night away. He wants the familiarity of home. Sister finally realizes that sometimes we need a break so she must come here to sleep if we are gone overnight. That hasn't even happened yet. Breaks are few and far between; that's just the way it is. We try to remember that we're doing a good thing and try to roll with it.
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{Q} it would be nice just to have someone that could maybe sleep over to care for him through the night to give us a break and a good nights sleep once in a while. I think it would be best for the elderly to sleep in their own bed or home where they are more comfortable. {EQ}

We have carers/companions from HomeInstead agency. They are available round the clock. They can be assigned to stay awake all night or to just be present (and sleep). They will sleep in a chair if necessary.

They specialize in providing in-home care. Minimum shift is 3 hours, they can arrive at the time you specify and leave when you specify.
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~Dave, I think the cafés are a wonderful idea. Thank you for all the information that you've shared.
You remind me of my husband...endless energy and talents! Oh, and great taste:)
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One NYC hospital has a nighttime adult care program. I don't remember which hospital; however, I just found this: latino.foxnews/latino/health/2012/10/01/night-camp-for-dementia-victims-in-city-that-never-sleeps/. Granted, that is New York City but it is possible that other places - although most likely larger urban areas - have similar programs.
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If there is room enough which we do have caring for my dad it would be nice just to have someone that could maybe sleep over to care for him through the night to give us a break and a good nights sleep once in a while. I think it would be best for the elderly to sleep in their own bed or home where they are more comfortable. That would be great to be able to get my Dad all fed and settled for the evening and have someone come in and maybe my husband and I could go out "together" once in a while, just like we did when we had children and got a babysitter only this sitter would spend the night. It would just be a matter of finding the right person that could handle what may need to be handled. How would you go about finding someone like that. I don't know.
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There is such a thing already! It is called 24 hour care for people who cannot be left alone. I did sleep-overs working for Kelly Assisted Living in the 90s where I came on duty at 7 p.m. and the next shift nurse arrived at 7 a.m. I prepared the evening meal for my female patient, and then I took the dog for a walk and I went to my room. She could call if she needed, and I slept lightly as the dog had previously peed in the condo and I could not stand the smell. So rest assured, there are agencies already set up to handle 24 hour care, or you can hire a live-in.
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{Q}You may just be the one to start it up in your area? {EQ}

the Create A Better Day Café started following my prompting

Reminder that Cafe's are not the same as day care at night

There are now hundreds of cafe's tinyurl/l2x8dmw

As to “That sounds like a wonderful idea, but if you mean 7 days a week, I wonder if it makes the elderly a rolling stone...no place to call home? “

Day Care and day Care at Night/evening are similar only the time period is different.

Over the last sixty years I facilitated organization of on-line communities, groups, organizations etc.

My secret of success is planting ideas and attracting individuals who build upon the ideas

The idea is building ball-fields and then seeing who comes.
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WHO WE IS{Grin}

Dave Mainwaring Occasionally a Internet contact will ask: Who are you? Good question:)

Having made thousands of friends and business contacts over the years individuals slip past out of one's memory.

Spent my summers late 1940's through 1960's sailing/racing small boats out of Wollaston and Quincy Yacht clubs.

Graduated North Quincy High School (1955) Quincy, MA.

Served in the Coast Guard attached to Captain Of Port Boston and USCG Cutter Evergreen.

Met my wife at Camp Annisquam, Gloucester MA, while sailing master.

Moved inland to Western Mass.

Graduated University of Mass, Amherst.

Worked in radio broadcasting for a couple of years.

Sold for 3M electrical products umpteen years. Tried out greener pastures for several years.

In 1995 I entered the Printing and Publishing world by launching the Computer To Plate Pressroom. Managing Director PrintPlanet.com from 1997 through August of 2007

Over the years I often fielded the question: just what is it you do? Only recently I discovered that some friends tell me I am a pioneer in the field of knowledge work and social networking. Not so sure they are correct, but they are good for my ego.

I have accomplished my success while working without walls, networking businesses, and individuals. Established hundreds of friends and acquaintances around the world, on every continent.
I'm a firm believer in self education, up-skilling and cloud computing. My goal is to do something, discuss something, learn something, and enjoy building model boats and ship models.
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That sounds like a wonderful idea, but if you mean 7 days a week, I wonder if it makes the elderly a rolling stone...no place to call home?
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You may just be the one to start it up in your area?
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I have a bad habit of not documenting when I launch blogs or start projects.
Best of my recollection I launched Alzheimer's Day Care at Night guide to establishing Evening-Daycare. Blog in January 2012.

My objective was promoting the establishment of new Day Care at Night programs.

I wrote: Carers often experience chronic sleep deprivation. At the onset of nighttime. The demons of anxiety, anger, fear, hallucinations and paranoia come out. Night time can be unpredictable, up and down cycles. A DCN provides a place where Alzheimer's DayCare-at-Night programs offer activities to those who need supervised care. Those enrolled can enjoy daycare activities offered in evenings or over night.

I promoted this on several on-line groups. Some times it feels as if I am whistling in the dark. My time is consumed caring for my ADW and I have no way of knowing if the project has resulted in Day Care at Night programs.

I know that my promoting memory cafe's has resulted in cafe's being started.
Alzheimer's Cafes Worldwide blog (launched August 2012)

Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes. In the UK many have been in existence for several years. Currently the concept is gaining momentum and hundreds of memory cafes sprouting up everywhere. The concept is to provide a social occasion, a meetup, for anyone with dementia / Alzheimer's, their care givers and family. They are informal and generally free. Activities vary. Support and funding depends on the host-provider and contributions. Shared on Ish's, Ishmael's, Knowledge Network blogs, web sites, groups

One I know of is: the Create A Better Day Café

Are you caring for someone with Alzheimer's or other dementia?
Create A Better Day Café encourages socialization with other caregivers and loved ones where you can just be yourself. This is a wonderful opportunity to get out with your loved one and have an enjoyable afternoon. It's a time to step out of the daily routine, leave the disease at the door, and enjoy a positive experience in a supportive environment. The afternoon will consist of conversation, music, arts, games, refreshments, and most importantly, laughter. There is no cost. It is open to anyone at any stage of the disease process accompanied by friends, family, and loved ones.
Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm
at Pleasantries Adult Day Services
Call Tammy for more information at 508-335-1968

tinyurl/pbkgafy
is a discussion group (linkedin) specific to Advancing Alzheimer's DayCare at Night {evening} Programs
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I wonder this all the time...night care centres or dementia specific sitters. It would make a world of difference to every carer!
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A night-time care, sounds like a good idea to me, my grandmother have a TV in her room and perfect bed that keeps her save from falling, but if there’s no one around or sleeping with her, she’ll demand to keep the lights on and she will sings all night long… out loud!! And you will never know what will come to her head… so the idea of overnight care for adult is really good one, and help us a lot.
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Alzheimer's Day Care at Night blog provides a guide to establishing Evening-Daycare. alzdaycareatnight.wordpress

It takes just one person to encourage setting up a community program for those with dementia.

See if there's a local Evening-Daycare or daycare-at-night program in your area. Feel free to contact Alzheimer's Association 24/7 Helplineto tel: 1.800.272.3900 e-mail: info@alz.org find out more.

If there's no Evening-Daycare or daycare-at-night program near you, consider starting one!

If you offer a assisted living facility, senior services, day-care, caregivers, senior center, or area agency why not set up a Evening-Daycare or daycare-at-night program for those with dementia.or a Alzheimer's Cafe

Alzheimer's Cafe ‘s blog: http://www.alzheimercafes.blogspot.com

ALZ, Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes. In the UK many have been in existence for years.

Currently the concept is gaining momentum and hundreds of memory cafes sprouting up everywhere.

The concept is to provide a social occasion, a meetup, for anyone with dementia / Alzheimer's, their care givers and family. They are informal and generally free. Activities vary.

"Speak softly and carry a large microphone" Bill Blinn TechByter Worldwide

"You can , speaking softly, advocate change." . UncleDave Mainwaring
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Maybe not, Twin. If it is lucrative to run an adult day care and families find it affordable then those families with overnight preferences may find it doable. Interesting concept..:)
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