Mom in senior living center, with hired care giver, is it time for nursing home

2 answers | Last updated: Sep 11, 2016
A fellow caregiver asked...

My mother has lived in the independent side of a senior living center for over 2 years, she has alzheimers. We ended up having to hire a care giver to help her to meals, give her medications, get her dressed, showers and a few other things. That was going well, but now the office staff has been encouraging us to move mom over to the assisted side. She is getting worse, and when she gets sick with UTI's and Broncitus turning into mild phnemonia she has problems walking. Our concern is: even though she has a caregiver, the caregiver is not there 24hrs a day (5:30am - 7am, 11am-12:30pm, 5:pm-6:30pm, 8:30pm-9:pm) and night time is our biggest concern. We are afraid she will fall and no one will know till the next morning. She will not wear her alarm and don't think she will remember to push the button anyway. We have thought about moving her to the assisted side of this facility, but from what we have seen and heard from people who have their parents there, they don't get much more care than what our mother has now. So my question is: would it be best to move our mom to a nursing home? Very undecided on the right thing to do!!! Don't want to make the wrong decision. How do you know what you should do. When do you know when the right time to move them to a nursing home. Do you keep her independent and hire a 24 hour caregivers or do move them into a nursing home? My brothers and I do what we can do, but we cannot be there 24hr a day.

Community Answers

Caringdenise answered...

Hi Charneedsadvice, Thanks for your question, and sorry to hear about your mother's situation. A geriatric care manager or your mother's doctor may be able to best assist you in determining the best level of care for your mother, and whether a memory care community or skilled nursing facility is best. We also have family advisors available by phone to assist with senior living questions (toll-free, seven days a week): (800) 973-1540. If you decide to hire an in-home caregiver at the assisted living community, we have an online directory for home care agencies that may also be helpful to you.

Karenlorenzo answered...

Talk to your mom's doctor because he can prescribe or recommend the perfect long term care facility for her. If she requires advance medical supervision and round the clock medication, they she would need to be in a nursing or skilled care facility. But if you are more concerned on the difficulties she may have performing ADLs than illnesses, she would be better in an assisted living facility, you don't have to worry much because in case of medical emergency, they can transfer your mom immediately. This may help you decide as well, this is a list of different long term care settings : . It provides information regarding the various services they provide in order to cater to the needs of the care recipient, include the cost.

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