Thursday, March 12, 2009

When is it time to move mom out of the house?

When Is It Time:

Scenarios:
Couple living alone, one is ill, or both are ill. One has dementia, the other has no cognitive loss, or both have dementia.

An individual is either a widow, single or divorced, retired, physical illness, or dementia, or both.
The couple or individual may have adult children who live near by, or the children live on the east coast, or in another country, or there are no children. There are no family members available.
The individual or couple have a caregiver, who is hired to work so many hours a day, or so many days out of the week. There are no caregivers at night.
The individual or couple own their own condo, it is on the 2nd floor.
The individual or couple continue to drive their own automobile. Their hearing is poor, reflexes are slow, and one have dementia, mild.
The individual or couple are cooking their own meals, responsible for their own medication, one or both are confused.

Indicators:
Safety: falling, wandering from home, confused with appliances, unable to call for help, living gas on on the stove, not recognizing an unsafe situation, stairs, driving, fire (what to do)

Personal Care: unable to prepare meals, shopping, driving safely,
showering, eating, changing soiled clothes, cleaning clothes, confused
with medications, incontinent, not sleeping, not getting out of bed

3. Behavioral Changes: wandering, pacing, rummaging, hoarding,
isolating, withdrawn, paranoid, crying, spending money

Financial Problems: confused with checking account, confused with bank accounts, money missing, not paying bills

Spouse and Family: spouse is aging, unhealthy, unable to cope, increased burden, depression, stress, isolated

Medically Compromised: Insulin dependent, CVA, seizures, multiple medications, brain tumors, not ambulatory


Options for Living:
Caregiver in the home
Board and Care: 6 beds
Residential: Independent living, Assisted living, Secured

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