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When Is It Time For A Nursing Home?

How do you know when it is time for the nursing home? My mom is 94 and has dementia/early Alzheimer's. I am her sole caregiver and I am not able to leave her alone anymore. Funds are limited for sitters and my children say it is time for a nursing home. Mom is not ill. It is just the dementia. Will a nursing home take her?

You have to be able to leave the house on a regular basis to take care of your own physical and emotional needs, and you can't leave your mother alone. As the funds aren't there to pay for help, and you live alone with your mother, circumstances and her continuing decline are telling you that it's probably "time."

Every family, and every caregiver, has their own way of coming to the decision that "it's time." Most often the need for 24-hour care is the final push, because no one can give this kind of care alone.

If your mother needs help with her activities of daily living (ADLs) such as using the toilet, bathing, dressing, moving around, or eating, or if she needs continuing supervision and someone to manage her medications, then she will most likely qualify for care in a nursing home. If she will need financial assistance from Medicaid you would be wise to begin looking now, as some nursing homes have long waiting lists for Medicaid spaces.

Once both you and your mother have begun to make the adjustment to new living arrangements you may find that you are both healthier and happier. She will have stimulation through the day and more social opportunities. You may feel the beneficial effects of not having to be on call every minute.

Even when you aren't providing 24-hour care, you will still be her advocate and caregiver. Becoming "partners" with her new caregivers will give you the space to enjoy the time you spend with her that you don't have now, because you are so consumed by the demands of caring for her.

 
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