Spring Arbor Living Blog

Alzheimer’s disease can be challenging for the person diagnosed and for their family members and loved ones. Each day can bring new demands as the Alzheimer’s patient and family tries to cope with changing levels of ability and new patterns of behavior. Caring for a loved one with Alzheimer’s disease can often seem overwhelming, but the more information you have, the better you can handle the future. Start by learning about ways to care for a loved one with Alzheimer’s disease, as well as where to find support, and how to determine the long-term care options that are best suited to you and your loved one.

There are some Alzheimer’s care preparations that should be done in the early stages of the disease. It may be hard to consider these questions, however, making preparations early helps for a smoother transition for everyone. Depending on the stage of Alzheimer’s at diagnosis, it is important to include the patient in the decision-making process as much as possible.
 
Questions to consider in preparing for Alzheimer’s and dementia care:

Who will make healthcare/financial decisions when the person no longer can? While a difficult topic to bring up, if your loved one is still lucid enough, getting their wishes down on paper means they’ll be preserved and respected by all members of the family.

How will the memory care needs be met? Sometimes other family members assume that a spouse or nearest family member will be the caregiver, but that is not always the case. Caregiving is a large commitment that gets bigger over time. The patient will eventually need round-the-clock care. Communication is essential to make sure that the needs of the Alzheimer’s patient are met, and that the caregiver has the support to meet those needs.

Where will the person live? Is his or her home appropriate, or is it difficult to access or make safe for later? If the person is currently living alone, for example, or far from any family or other support, it may be necessary to relocate or consider an assisted living community with support and custom care plans based on the level of memory care needed.

For information on memory care in North Carolina and Virginia contact Spring Arbor.

Help Guide

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Assisted living communities provide a type of housing for people who need various levels of medical and personal care. The goal of Spring Arbor Living is to provide a home-like setting and is designed to promote the patients’ independence. Services are offered to assist residents with daily living.

What Services Do Assisted Living Communities Provide?
Generally the services provided by assisted living communities vary from facility to facility. Services in various facilities often include:

• One to three meals a day
• Monitoring of medication
• Personal care, including dressing and bathing
• Housekeeping and laundry
• 24-hour emergency care
• Varying medical services
• Social and recreational activities

How Can I Know What Services my Loved One Needs?
Talk with your family, caregivers and patient about what services are needed from an Alzheimer’s Care Facility. Take time to consider what services are important before you visit the assisted living communities. This will help ease the transition. Think about these questions:

• How soon do you want/need to change the patients’ residence?
• What daily activities do they need help with (bathing, dressing, toileting, eating)?
• How often do they need help?

For more information or to set up an appointment contact Spring Arbor Living in your area.

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Alzheimer's is the most common type of dementing disease afflicting the elderly. There are approximately 4 million people suffering from this disease. The millions of people who suffer from this disease must be cared for either at home or in a care facility.

Caring for an Alzheimer's patient at home

About two thirds of those suffering from this disease are cared for at home by family, usually a spouse. As the disease progresses it carries with it a huge burden both physically and psychologically on the care givers. It is vital that the care giver access support systems that can provide reassurance, support groups, literature and strategies for coping with someone who has the disease.
 
Too often the strain becomes too much for a spouse trying to cope all alone with an Alzheimer's sufferer and they themselves have a physical or mental breakdown.

Choosing the right type of care facility

As the burden of care increases many families seek care for their family member outside the home. Finding the right Alzheimer’s care facility can be a difficult process encompassing many concerns.

Understanding the level and type of care facility where your family member is most appropriately cared for is critical. Choosing Assisted Living communities with levels of care is important. Too often families will place an Alzheimer sufferer at the wrong level, either in a facility that offers more assistance than the family member needs or worse making the family member cope with living in a facility that doesn't have the necessary support services required to meet their needs.

Contact Spring Arbor in your area. We understand the needs of those suffering from Alzheimer’s disease we can match their needs with our custom care plans.

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If you have a loved one suffering from Alzheimer’s Disease, visits are hard. You may try to convince yourself that you don’t need to go; they don’t know you are there. But visitors are important to people with Alzheimer's. They may not always remember that you came, or who you are, but the human connection has value. If you or someone you know is planning on visiting someone with the disease in an assisted living community, here are some ideas.

• Visit at the time of day when the person with Alzheimer's is at his or her best.
• Bring along an activity, something familiar to read or photo albums to look at, but be prepared to skip it if necessary.
• Be calm and quiet. Don’t talk loudly or talk to the patient as if they are a child.
• Respect the patient’s space, don’t get too close.
• Try to establish eye contact and call the person by name to get his or her attention.
• Remind the person who you are if he or she doesn’t seem to recognize you.
• Don't argue if the person is confused. Be responsive to their feelings. Distract the patient to a different topic if needed.
• Please don’t take it personally if your loved one doesn’t recognize you, is unkind, or responds angrily. They are reacting out of confusion.

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Dear Annie: Our mother has Alzheimer's disease, and we don't think our Dad is giving her the right care. Mom seems undernourished. Dad thinks a slice of toast or a cup of coffee constitutes adequate caloric intake for her. If she says "no" to food, he simply accepts that response without trying to encourage her to eat. Her clothes are now several sizes too big.

Mom has emotional outbursts and periods of uncontrollable crying, and she frequently screams out, thus making a good night's sleep impossible for either of them. It is difficult for her to walk more than 15 feet. Dad doesn't assist her consistently, and she has fallen numerous times.

Personal hygiene seems a thing of the past. Their home is now dirty and disorganized. We have offered to clean and do household chores, but they refuse. We gave Dad the name of a local specialist, but he refuses to call. We contacted their family doctor, who said he was unable to convince Dad that Mom needs to go into an assisted living community.

Dad seems to relish being the martyr and constantly complains about having to do everything. We understand that after 50-plus years of marriage, this must be extremely difficult for him. My siblings, our spouses and the grandchildren do not know what to do next. Sincerely, Caring Kids

Dear Caring: It can be traumatizing for one spouse to place another in an assisted  living community, and a certain paralysis can set in, preventing major decisions and changes. You and your siblings need to step up to the plate right now.

If this is situation sounds familiar please contact us at Spring Arbor Living in North Carolina or Virginia.

Original article stardem

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The decision to move your loved one into an assisted living facility is not an easy one. As your loved one ages, they may need more help with daily activities like bathing or remembering medication. Moving to a facility that provides some assistance, without sacrificing independence, may be an option. This type of assisted living environment such as Spring Arbor, is a great option for long-term care.

What should you consider when looking for an assisted living community? First, think about what activities you or your loved one need help with. Here are some considerations to help guide you in your search.

What is most valuable in your loved one's life? What gives them purpose and meaning? Think about where their doctors, church, and family are. The assisted living facility should be near the things and people they hold dear. Seniors need to remain connected.

Think about current and future needs. If a progressive illness is involved look for a facility that can accommodate as mobility changes. Ask questions like: What are the levels of care offered? Are there ramps located throughout? Is the room or apartment fully accessible if a wheelchair is required in the future?

Also, if dementia is involved, there is a risk of wandering; is there an Alzheimer’s area that is safe and secure? When a loved one has Alzheimer's or a related dementia it can seem as though few options are available. As needs progress, the constant care and attention required can seem overwhelming. To meet this need, Spring Arbor offers  "Special Care Cottages" programs that are custom designed for residents with these unique challenges.

Get referrals. You will be surprised at how many people you know or how many people you can be connected with who have done this research. Also, contact your local agency on aging to find out if they can provide a list of facilities they'd recommend in your area.

Visit a few times beforehand. Stop by the community at least twice and take at least one guided tour. Show up unannounced for some other visits in order to see what happenings on a regular day. A nighttime visit is important because most of the staff has likely gone home.

Talk to current residents. If is it possible, talk to residents you meet during your on-site visits.

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The terms Assisted Living Community and Nursing Home are often used interchangeably, however this is a mistake. They are actually very different, and a candidate for one is not necessarily a candidate for the other. However, that being said, Spring Arbor and The Oaks are assisted living residences. However, we recognize that just as every resident is unique and different, so too are his or her care needs. The fact is some residents require more time and attention than others. We address those needs individually rather than increase service fees for everyone.

The following are some differences between the Assisted Living and Nursing Homes.

Assisted Living Communities:

• Individuals in assisted living are more independent and can usually get through most of their day on their own. Generally, they only need help with daily activities like bathing, dressing, and preparing food.
• They still enjoy social activities and make autonomous decisions.
• Assisted Living Communities require limited to no medical care or specialized medical care.
• In Assisted Living Communities, residents are able to maintain their independence in a more secure atmosphere and they focus more on personal privacy and self-sufficiency than a nursing home.
• They offer their clients a comfortable apartment that is luxurious and comfortable.

• Those in nursing homes need a great deal more care. They usually require 24-hour nursing supervision and are generally not in good health.
• Nursing home patients require help with much more than three or more daily tasks:walking or being pushed in wheel chairs, eating, and regular medical tests.
• A nursing home is a place for someone who is unable to be cared for at home, but is not a candidate for hospital care.
• Nursing homes also provide rehabilitation to help people gain back their independence after a serious health problem.
• Similar to hospitals, nursing home patients have little to no privacy and quite often share rooms.
• Those in Nursing homes are viewed as patients, not clients. They are there to get well. If you or your parent is well, a nursing home is not ideal.

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It is finally time to make the difficult decision that you have dreaded for so long. Your elderly parent or parents are not able to live in their own home anymore and they must move. Realize, while this will be challenging for you, it will be difficult for them to make the move. There are four very prevalent reasons or emotions that make it difficult for your aging parents to move out of their old house, and it is important for you understand where they are coming from and how they feel. When you understand their challenges and difficulties you will find it easier to relate to them and easier to talk to them about the move.  When you are able to talk and communicate about it, the entire process will be easier for you and your family.
 
Grief is a very strong emotion which is difficult to handle and is very common in seniors whenever they feel as though they are losing something that they value.  When an elderly parent has to go through losing what they have always thought of as their home, they will experience grief. They are not only moving away from their home, but also their neighborhood and many of their possessions that were a part of their lives for many years.

Of course they are also experiencing a loss of independence and control. As long as your mother and or father lived by themselves they were independent and had control over how they ran their lives. Inevitably they will feel anxiety over their perceived loss of that control when they move out of their homes, regardless of where they move too. This is very difficult for them to deal with, but once moved into an assisted living community, this emotion will pass more quickly.

All of this is very overwhelming. Moving, at any age, is one of the highest stressors. Inevitably it entails throwing things out, selling things, closing bank accounts and selling their home. Combined with all the other emotions, this gives them a sense of ‘where do I start?”

Understand and remember that this is not only hard on you and your family or siblings, but it is very hard on them as well. There are many reasons emotionally and physically why it is difficult and for elderly parents to move out of their house.  Once you understand the reasons you will be able to lessen the difficulties that your parents are experiencing.

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Have you ever walked into a room and then forgotten what you wanted once you got there? Have you ever put an item in a “safe place” and then forgot where it was when you needed it? Do you think sometimes that you are going “crazy” because you forget people’s names? Or maybe you forgot to do something you said you were going to do?

Sometimes we are having a “senior moment” as they say; but that’s just what it is–a moment. Usually the name is just on the tip of your tongue and you remember it when you can take the time to think. Or the reason for walking into the other room becomes clear when you slow down and let your thought catch up with you.  These are ”normal” occurrences usually due to stress, being too busy, not feeling well, or simply not paying attention.

However, when you misplace something and you have a problem retracing your steps to find it, this might be a warning sign.  If you are making a familiar recipe and forget how much salt to use, this could be normal.  But if you are confused about whether to use a measuring spoon or a measuring cup for the salt, this could be a warning sign.  If you drive to the mall and forget where you parked the car, this is typical of someone not paying attention or making a mental note of where they parked.  But, if you forget where you are and how you got there, this is a warning sign.

There are several warning signs to watch for in detecting early stage Alzheimer’s.  No one sign is an indication of having a problem in and of itself. Keeping track of abnormal behavior will give your physician details to help diagnose the problem, and only a qualified professional can make a diagnosis after appropriate testing. For more information on the warning signs, contact us today and we'll be happy to assist you in any way we can.

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This is actually not true. For today’s seniors, moving to an assisted living community is one way they can make the most of their retirement income now. There are many economic benefits of living in senior communities.  These range from free local transportation – which eliminates or minimizes costs for fuel, maintenance/repairs and auto insurance – to eliminating expenses associated with maintaining a single-family residence.

Assisted Living communities eliminate such expenses as routine maintenance, lawn care, pest control, snow removal and more. Homeowner’s insurance, always an expensive companion to home ownership, can also be removed from the monthly budget. This represents a huge savings in Virgina, for example, where property insurance has increased dramatically.

Our assisted living communities provide residents with fixed monthly costs, which cover local transportation; rental or purchase of an apartment, villa home, or cottage; and two or three meals prepared daily by professional chefs. Contact us today to learn more about our residencies or if you have any questions regarding assisted living.

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