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My dad has been in memory care for 2 years now. The place does seem short-staffed however my dad is always clean & dressed and his room is always clean. It is a locked facility so that issue is covered. He receives basic medical care and medication management within the facility. Luckily it is one block from a regional hospital so quick transport for emergency. At the facility he receives daily structure, regular nutritious meals, activities on most days including exercises, and help with things like showering and shaving. Before moving there he was living with my mom in a completely unstructured environment. Due to depression, my mom had stopped cooking, cleaning, even shopping for food on a regular basis, and had closed off from all friends years ago. Dad was receiving essentially no oversight or care and mom had actually become verbally abusive toward him. I am an only child and had no other option for his care as my parents had/have no support system. I am very grateful for my dad's memory care facility, they were a lifeline when things were very bleak. The staff at the facility works 8 hour shifts and there are different people to shower & dress him, prepare & serve food, administer medications, provide daily activities, etc. The food is surprisingly good, too, which is a plus. My dad seems very aware that he is receiving good care.
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Reply to Upstream
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It is impossible. One-on-one care will not be available in a facility unless you hire a private caregiver to spend 24 hours with the resident. Though like said, there are advantages to memory care living. There is more than one caregiver watching the resident, those that work eight hour shifts so are able to refresh before the next shift.

There are falls and other accidents at home even with one-on-one care. Falls happen in facilities too. There are more socialization opportunities in a facility that are not available at home. There are options for day care if at home, but often the elder will refuse to go.

There are certainly benefits of either location. Sit down with that list and compare the benefits. Caring for a person with dementia in the home is very hard work that no one but a caregiver understands. Weigh the options, then make a decision. Have other resources lined up before taking the responsibility of home care on.
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Reply to gladimhere
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If on the other hand you mean how do hired caregivers cope with home environments, it is about training and experience. It can take time to find the right personality fit with your loved one, and you do need to be careful in choosing your agency, but generally these people know their job and do it well.

Would you like to say a little more about the situation you're dealing with?
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Reply to Countrymouse
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It really depends on the agency itself.  I've had experience with only 2, plus 2 out of state that my grandmother and dad were in finally after caregiver burnt out. The last one my aunt was in for 4 weeks was specifically Memory Care, and was excellent.  I was so thankful.  It gave me time to recover, and just enjoy visits with my aunt.
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Reply to GrannieAnnie
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If you’re writing about a facility, consider that a facility has three shifts of caregivers and other medical personnel on duty 27/7/365. While facilities may be understaffed, it’s still preferable to one or two people in a private home who may be stressed, burned out and exhausted from caring for this person. These facilities adhere to safety regulations. If the person is a flight risk, there are locked doors and alarms. Medical Care is available if needed and there is no need to leave the facility unless it’s an emergency. They also are completely handicap accessible. Should a person fall, there are staff trained in how to get them up without hurting themselves, or the resident. The staff is trained in how to care for a person with dementia. They can go home at the end of their shift and return the next day. This doesn’t happen when you’re living with the person you care for.

While it might seem like a wonderful idea at first to promise to care for someone with dementia in your or their home, a large percentage of people who post on this site write that if they’d known how difficult it would be, they never would have taken on the caregiving responsibility.
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Reply to Ahmijoy
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