17 Questions to Ask Memory Care Facilities

Posted on

When you are making a decision like this man and woman sitting on a couch, evaluating options, determine the questions to ask memory care facilities.Sometimes you have to turn the tables, shift your perspective and look at things from a different angle in order to find the right answer. This is certainly the case when it’s time to search for the right type of memory care for yourself – or a loved one.

Life changes drastically when it’s time to plan for memory care. Remember: while this may feel like a sacrifice of autonomy and “normal” life, the right memory care community reclaims these things in a new way.

Click here to access the checklist now

Asking the Right Questions Leads to the Right Memory Care Community

Taking a gently assertive role as you interview (yes, interview!) prospective memory care communities via their director(s) and staff, you will know when you find “the one” for you.

You decide where – and by whom – loved ones will be cared for as their Alzheimer’s or dementia progresses. You’ll need to develop sharp “interviewing skills” as you learn which memory care communities or centers meet the essential criteria you require.

The following questions align with The Joint Commission’s Memory Care Requirements. Have these comprehensive guidelines on-hand as you move forward in the decision-making process – and you are encouraged to add your own questions.

With the director’s/staff permission, it is a good idea to record these “interview/introductory” meetings. That way, you can be fully present, knowing you can play the recording back later on.

After visiting the centers on your list, you can compare their care plans and care options, eliminating some and bumping others to the top of the list, narrowing in on your final choice.

Questions Regarding Memory Care Staffing

Do you have a Medical Director on staff?

Among the questions to ask memory care facilities, ask about the staffing. A smiling female medical staff member in scrubs.

Who’s at the helm, so to speak, when it comes to steering the physical and emotional well-being of the residents?

A community that is dedicated to serving the physical, mental, and emotional health of their residents will have the appropriate leadership to do so. Verify that they have a Medical Director on staff.

Are there RNs or LPNs on staff? If so, how many? Are they on-site 24/7?

Most high-quality memory care centers have RNs and/or LPNs on staff. They oversee any physical and/or medical needs that may arise in the course of a day. At these centers, skilled nursing staff report directly to the community’s lead physicians as needed.

Consistent staff assignments (the same caregivers caring for the same patients) build meaningful connections that foster personalized care services. Ideally, trained medical staff are available 24/7.

What medical services are available?

The bulk of the residents’ medical needs can be diagnosed/treated with on-site medical services, including:

  • Labs
  • X-Rays
  • PT/OT/SP Therapy
  • Home Health
  • Hospice
  • Podiatry
  • Pharmacy

Not only does this expedite care, it eliminates confusion associated with resident location changes and non-routine appointments.

What types of training does the staff have? 

All members of the caregiving staff should maintain ongoing, annual training in alignment with current best-practices for memory care. Participation in professional education/training should be documented.

What are staffing ratios for each shift?

The lower the ratio of staff:resident, the better a memory care facility can promote resident safety and well-being. Optimally, you’re looking for a 1:6 resident to staff ratio (or better).

However, according to payingforseniorcare.com, “…time and time again, relevant research has shown that assisted living communities with full-time RNs and direct care with in-house nursing staff have a direct impact on resident outcomes.”

Questions Regarding Memory Care Policies & Fees

  • Can my loved one stay here through the end of life or do they have to move if their care becomes too extensive?
  • What types of care can your community NOT provide?
  • What is the policy for a medical emergency/ER visit?
  • Does a staff member go with the resident on ER visits?
  • What is the policy for notifying family members?
  • What is the discharge policy?
  • Is the community all-inclusive or are there additional costs (i.e., cable TV, phone, medication fees, levels of care costs, activities/outings, transportation)?
  • Can my loved one return to the facility should they require outside rehab?
  • What happens if my loved one is no longer ambulatory?

Questions Regarding Amenities and Outings

Great memory care communities are unmistakable – they are vibrant places. These communities offer residents top-notch special memory care while they create new, colorful and creative lives.

A smiling elderly woman in a wheelchair looks up and takes the hand of another woman, while a smiling memory care facility caregiver looks on.

This means senior living at its best: attractive grounds, community gardens, recreation, and creative opportunities as well as safely organized outside trips.

Questions worth asking include:

  • What are the daily activities like, and are they every day of the week?
  • Do you charge for outside activities (for example: lunch outings, museums, etc.)?
  • Do you have Semi-Private and Private rooms? If cost is of concern, semi-private rooms can save residents thousands of dollars per year.

Ultimately, memory care communities should provide a rich spectrum of daily activities – offered in the morning, afternoon and evening. This ensures your loved one has access to fun, interesting and stimulating activities regardless of when his/her “best hours of the day” may be.

These activities should include a range of interests, hobbies and preferred modalities. Things like art, poetry, music, dancing, games, supervised cooking, sports and exercise, and social activities should all be on the menu.

All of these types of activities have been proven to slow the progression of dementia and Alzheimer’s disease and enhance the mood of those who suffer from cognitive decline.

But don’t forget the most important question of all…

Which memory care community makes you feel the most safe, comfortable and secure?

Be attentive to your intuition. As you tour prospective communities, the answers to your questions are important, but so are your instincts. With that in mind, feel free to use our checklist, with all the questions you read here:

 

Click here to access the checklist now

Guide for Talking to a Loved One about Memory Care

Posted on

Talking to Mom about Dementia CareTalking to a loved one about the need to transition into memory care is the definition of a “courageous conversation.” It brings up a myriad of emotions, including fear, sadness, grief, shifts in power dynamics, feelings of powerlessness, and the frustration that comes along with the everyday ins-and-outs of living with Alzheimer’s and other forms of dementia.

Speaking Compassionately & Effectively About the Need for Memory Care

After decades of providing compassionate, stimulating, and research-based memory care, we’ve learned a thing or two about how to talk to individuals about this very necessary and life-enhancing transition. 

The following are some of our suggestions for how to broach the topic and how to remain an open and engaged listener – as well as informer – throughout the conversation(s).

Have the First Conversation as Soon as Possible after a Diagnosis

By the time most individuals are diagnosed with Alzheimer’s or dementia, they’re already experiencing a grave shift in life as they knew it. That being said, in the throes of what we know is a progressive disease, this point in time is also their most cognizant when compared to what comes next.

For that reason, we highly recommend having the conversation about memory care options sooner, rather than later, so the individual has a say in their own future. The more he or she feels a sense of autonomy and empowerment – even visiting various memory care communities with you – the better it will be as decisions have to be made.

Think of this as the first in a series of ongoing conversations.

Unless your loved one jumps right on board (it does happen, but this is less common), you should think of this as a series of conversations as opposed to a single conversation in which all the decisions need to be made. In this way, more space is created for everyone to process and come to terms with the reality of the situation.

That is another reason why your first conversation should be brought up as soon as possible, rather than choosing the ostrich in the sand approach – wherein everyone is more emotionally charged because of a compressed timeline and more acute need for now-based solutions.

Start with the “what-ifs” and the “what are.”

Rather than jumping right into the, “you need to move into a memory care center…” conversation, the first conversation might be more about the “what ifs” and the “what are…?”

Examples include:

  • What is our plan if something happens to me?
  • Do we both have advanced directives and a will/trust on file with an attorney or trusted family member?
  • What would you want if I’m  no longer able to care for you – physically or even emotionally?
  • What if we need to finance long-term care options? What are the options?
  • What plan makes you feel the safest and cared for?

These questions are natural lead-ins to the “elephant in the room” you’re planning to discuss anyway and may bring about a more open engagement if the conversation leads naturally in that direction – as opposed to more abruptly.

Be clear about the options before having the conversation.

As the facilitator of the conversation, it’s important that you are clear on the available options so you can remain as centered and calm as possible. If you are unclear or confused – or have a myriad of flyers on hand but no real sense of which option is best – the more confusing it will be for you and your loved one.

Learn as much as you can about the individual’s financial status and options, whether or not they have a long-term care insurance plan, whether or not s/he is available for veterans benefits, the projected proceeds from liquidating a home or part of an estate, etc. Of course, many seniors are tight-lipped about this information in which case you’ll have to make your best guestimates and choose your prospective care options from there.

Once you’ve narrowed things down, you’ll have more concrete examples to share, discuss and/or tour over the course of the next weeks, months, or even years (if your loved one is healthy enough to do so).

Listen to all of your loved ones’ concerns and do not respond until they have finished.

This sounds so easy, and yet listening to “expected” resistance or arguments often means listening with a rapid-fire or emotionally charged response at the ready. This is very normal because you, too, are upset and saddened to even have this conversation in the first place.

Thus, the more you can provide space for truly listening, quietly and really connecting with the fears, feelings, and concerns raised by your loved one, the more supportive (and less threatening) your responses will be.

Consider the idea of a home care to memory care transitional timeline.

Speaking to a Loved One about DementiaOne thing is clear, the fewer transitions there are the better. Thus, it’s typically not recommended that you move a loved into an independent-assisted living community if you know a second transition to a memory care community is a given. If the individual is absolutely against the idea of making a transition into a memory care center sooner-rather-than-later, consider a more phased approach to the process.

Adding a caregiver or two into the weekly routine – preferably using a home care service that specializes in memory care may be the better place to start. Then, when the time is right and the individual has progressed to mid-stages of the disease, caregivers can assist with making the transition into the memory care center that you and your loved one have chosen.

Bring people your loved one respects into the conversation.

We often listen best when speaking with those who aren’t as close to us. Within these more “polite” relationships, we’re less emotionally triggered and more open to admitting the reality of what’s happening for us. 

For this reason, it can help to get others on board. If you are a spouse or child of someone with dementia, consider whether another family member might be a convincing advocate. Trusted physicians, clergy members, a therapist, long-time friends, former colleagues – all may help to ease the conversation with their more objective, yet caring, opinions and viewpoints.

Discuss the benefits of memory care.

The good news is that research is on your side. We now know that diet, stress reduction, social engagement, healthy sleep habits, avoiding head injuries, etc., can potentially slow down the progression of dementia.

Memory care centers provide places where those diagnosed with dementia-related conditions live more actively and independently for longer as a result of the memory-specific care they receive.

Speak positively about the options.

This isn’t to say you should sugar-coat things – but language and vocabulary matter when framing the possibilities and potential changes. For example, the word “facility” is cold and not very appealing – whereas “community” or “center” can strike a completely different chord. Your tone should always be respectful and come from a place of love and support, rather than a lecture or a talking-to.

If you find yourself or your loved one are triggered, and things are heated, pause the conversation and continue when everyone is in a better frame-of-mind.

Contact Us before You Start the Conversation 

Our staff has helped families with these tough discussions many times in the past. Our experts can provide you with talking points, informational resources, and other things that can help get the conversation started at home. And when you’re ready, feel free to bring your family and loved one out to tour one of our Memory Care Facilities.

Contact The Memory Center

LATEST NEWS


18
Jan

17 Questions to Ask Memory Care Facilities

Sometimes you have to turn the tables, shift your perspective and look at things from a different angle in order to find the right answer. This is certainly the case...

READ MORE

15
Oct

The Latest Alzheimer’s Facts, Figures & Stats [2020]

Medicine’s understanding of Alzheimer’s, and its effects on the human brain, is still in the pioneering phases. While we learn more all the time about how genetics, life events, and...

READ MORE

19
Mar

The Memory Center Response To Covid-19

The Memory Center COVID-19 Prevention Efforts – Updated March 19, 2020 Since the virus was first reported, The Memory Center has been very proactive in monitoring the situation via news...

READ MORE

GET MEMORY CARE NEWS & TIPS


Sign up for e-mail updates, news and tips from The Memory Center.

News & Tips
Sending

GET IN TOUCH


We want to hear from you. Feel free to ask a question or request more information about The Memory Center and our communities.

The Memory Center - Atlanta

Top