Q: My father has Alzheimer's disease. He will not eat or bathe and becomes aggressive at times. I don't want to put him in a nursing home, but if it comes down to that, what are my options?
A: This is never an easy decision and one family must make for themselves. There are, however, different types of facilities and issues to consider. It is important to remember that caregivers frequently experience increased stress and must address their own physical and mental health in order to properly care for their relative.
Residential care facilities
Retirement housing generally provides residents with an apartment or room that includes cooking facilities. Round-the-clock staff is generally not available, and they may have no knowledge about dementia. This is not a suitable option for persons with dementia who live alone, except for persons in the very early stage who can still care for themselves independently and remain safe.
Assisted living facilities bridge the gap between independent living and nursing homes, typically offering a combination of housing, meals, and personal assistance. Usually persons requiring more assistance will have to pay an additional fee.
Skilled nursing facilities or nursing homes may be best for those needing round-the-clock care or ongoing medical treatment. Services and staff are on-hand to address nutrition, care planning, recreation, spirituality, and medical care. Many have care units designed to meet needs of people with dementia.
Issues to consider when choosing a residential care facility
Does the facility promote independence? Is it safe and secure?
Is the staff continually trained on dementia care?
What programs are offered for people with Alzheimer’s?
Can family members participate in creating and reviewing care plans?
Talk with residents and visitors; see if they seem happy, comfortable, relaxed, and involved in activities.
Talk with staff to see if they're competent.
Visit www.consumerreports.org, search nursing homes. Choose the September 2006 article. Click “Choosing a Nursing Home.”
For help with this or any other dementia situation or for a list of our services visit our website www.alznyc.org or call our 24-hour helpline 1-800-272-3900. There is always a caring and informed person at the other end of the line to help you.
- The Alzheimer's Association,
New York City Chapter
The Alzheimer's Association, New York City Chapter
If you have a question for the Alzheimer's Association, New York City Chapter, please send it to Jed Levine at expert@alznyc.org
