SIGNS THAT YOUR LOVED ONE MAY NEED ASSISTED LIVING
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1. Wandering: In later stages of dementia, the risk posed by wandering becomes much greater, notes Rita Vasquez, M.A., an MFTI Clinician at Quail Lakes Counseling Center in Stockton, California. "They can wander even if you just take the time to go to the bathroom," she says, and the probability of falls and injuries increases.
2. Sundowning: "Sundowner syndrome" — very agitated behavior that becomes more pronounced later in the day — is a common characteristic of those with Alzheimer’s. Vasquez says that this can take a heavy toll on caregivers, and when it begins to severely disrupt family routines, this may be a sign that the caregiving burden is too hard to handle.
3. Aggression: Verbal, physical, and even sexual aggression frequently happen in those with dementia, and caregivers and other family members may suffer or begin to feel resentful. "I tell people when they’re getting to that state, it’s time to start considering placement," says Vasquez.
4. Home safety issues: Ask yourself honest questions about your senior family member’s health and your own abilities to care for them. Is the person with dementia becoming unsafe in their current home?
5. Escalating care needs: Is the health of the person with dementia or my health as a caregiver at risk? Are the person’s care needs beyond my physical abilities? If you’re answering yes to those questions, it might be time to have that tough family conversation.
6. Caregiver stress: Stress and other caregiver symptoms can be just as telling a sign as the dementia behaviors described above.