Art Projects for Seniors with Dementia

Pennsylvania offers Medicaid waiver programs under the Community HealthChoices (CHC) umbrella and the Pennsylvania Department of Aging (PDA) Waiver (often referred to as the PA Council on Aging Waiver). These programs help older adults and individuals with physical disabilities remain in their homes or community settings instead of entering nursing facilities. CHC and the PDA Waiver provide long-term services and supports (LTSS) based on assessed functional needs, emphasizing assistance with ADLs and IADLs. Covered services may include personal care assistance, adult day services, home-delivered meals, transportation, home modifications, assistive technology, and respite care for family caregivers. In addition, Pennsylvanias CHC Waiver offers Participant-Directed Services that allow participants to hire and manage their own caregivers, including family members. To qualify, applicants must be Medicaid-eligible, at least 60 years old (for PDA Waiver) or 21+ (for CHC), and require a nursing facility level of care as determined through a standardized functional assessment of ADLs/IADLs. In this article, we explain what Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) are and how needing help with these tasks is central to qualifying for Pennsylvanias Medicaid waivers like CHC and the PDA Waiver.What Are ADLs (Activities of Daily Living)?Activities of Daily Living (ADLs) are fundamental self-care tasks that a person must perform daily to maintain independence. Difficulty with ADLs often signals a need for supportive services. Core ADLs include: Mobility (Ambulating/Transferring): Safely walking, getting up from a chair, or transferring from a bed to a wheelchair. Dressing: Selecting and putting on appropriate clothing (including handling fasteners) without assistance. Eating: Feeding oneselfusing utensils to get food from a plate to the mouth and consuming it. Personal Hygiene: Bathing or showering and performing grooming activities like shaving, brushing teeth, and combing hair on ones own. Toileting (Continence): Independently using the toiletgetting to the toilet, transferring on and off, and cleaning oneself afterward. When someone can no longer perform several ADLs without help, it indicates that ongoing care or support is likely needed.What Are IADLs (Instrumental Activities of Daily Living)?Instrumental Activities of Daily Living (IADLs) are more complex tasks that allow a person to live independently in the community. While not necessarily performed daily, they are essential for managing ones household and life. Key IADLs include: Shopping for Essentials: The ability to shop for groceries, pick up prescriptions, or purchase clothing and other necessities. Meal Preparation: Planning and cooking mealsgathering ingredients and safely using kitchen appliances. Housekeeping: Keeping the home clean and livable tasks like cleaning, laundry, and taking out the trash. Money Management: Handling finances, such as paying bills on time, managing bank accounts, and budgeting. Transportation: Getting around or arranging transportationdriving oneself or using public transit or rides to run errands and attend appointments. Medication Management: Managing and taking medications properly remembering to take the correct medicines at scheduled times and refilling prescriptions. Communication: Using the phone or computer to communicatelooking up phone numbers, making calls, sending emails, and staying in touch with others. Trouble with IADLs is often one of the first signs that someone needs more support, even if basic ADLs are unaffected.Why ADLs and IADLs Matter for Medicaid Waiver EligibilityIn Pennsylvania, needing help with ADLs and IADLs is a central eligibility criterion for the CHC and PDA Waiver programs. These waivers serve individuals who would otherwise qualify for nursing facility care but prefer to remain in their own homes or community settings. Eligibility is determined through both financial and functional assessments. The functional assessment evaluates whether an individual requires hands-on assistance with ADLs and/or significant help with IADLs, thereby meeting a nursing facility level of care. Pennsylvania uses standardized toolsoften the Pennsylvania LongTerm Care Assessment System (PaLTAS) or the Minimum Data SetHome Care (MDSHC)to score independence in ADLs and IADLs.During the functional evaluation, an assessor reviews abilities such as transferring from bed to chair, walking safely, eating, toileting, meal preparation, housekeeping, medication management, and managing money. Cognitive issuessuch as memory problems due to dementiaare also considered since they impact daily functioning. If an individual cannot perform multiple ADLs without assistance or has significant deficits in IADLs, they are likely to meet the level-of-care requirement and become eligible for waiver services.Community HealthChoices (CHC) WaiverCommunity HealthChoices (CHC) is Pennsylvanias comprehensive HCBS waiver program for individuals aged 21 and older who require a nursing facility level of care. Administered by the Office of Long-Term Living (OLTL), CHC is a managed care program that combines physical health, long-term services and supports, and pharmacy benefits under a single plan (with behavioral health carved out). To qualify for CHC: Be age 21 or older. Meet Medicaid financial eligibility guidelines. Require a nursing facility level of care (confirmed through functional assessment). Live in a setting that meets HCBS requirements (e.g., home, apartment, assisted living). Be a Pennsylvania resident. Once enrolled, participants receive a comprehensive package of services tailored to their needs. Covered services may include personal assistance, home-delivered meals, adult day services, behavioral support, professional nursing, home modifications, assistive technology, transportation, and respite care. CHC also offers Participant-Directed Services, allowing participants to recruit, hire, train, and supervise their own caregiversoften family membersto assist with ADLs (bathing, dressing, toileting) and IADLs (meal preparation, medication reminders).PDA Waiver (Council on Aging Waiver)The Pennsylvania Department of Aging (PDA) Waiver, also called the Council on Aging Waiver, serves seniors aged 60 and over who require nursing facility level of care but choose to remain at home or in other community-based settings like domiciliary care homes. To qualify: Be age 60 or older. Meet Medicaid financial eligibility requirements. Be assessed as requiring nursing facility level of care (through the functional assessment). Live in a qualifying community setting. Covered services under the PDA Waiver may include personal care assistance, home-delivered meals, homemaker services, personal emergency response systems, respite care, adult day services, minor home modifications, and transportation. Like CHC, the PDA Waiver emphasizes managing ADL and IADL needs to keep participants safely in their homes.Participant-Directed ServicesBoth CHC and the PDA Waiver offer Participant-Directed Services, which empower participants to choose and manage their own caregivers, including family members, friends, or neighbors. Under this model, participants develop a service plan with guidance from a care coordinator, set schedules, and handle payroll tasks. This flexibility helps ensure that personal care and IADL support align with participants preferences and routines.Signs That Your Loved One May QualifyBelow are practical indicators that someone may be eligible for Pennsylvanias CHC or PDA Waiver due to difficulty with ADLs and IADLs: Trouble with Personal Care: Skipping showers, unkempt hair, or wearing dirty clothes may indicate difficulties with bathing and dressing (ADLs). Malnutrition or Weight Loss: An empty fridge or significant weight loss suggests issues with meal prep or feeding oneself (ADLs/IADLs). Mobility Decline and Falls: Struggling to walk without assistance, needing help to stand, or experiencing frequent falls signals reduced mobility (ADL: transferring/ambulating). Medication Errors and Memory Problems: Missing doses, mixing up pills, or forgetting appointments point to challenges with medication management and scheduling (IADLs). Household Neglect: Piles of mail, unpaid bills, or a cluttered home reflect trouble with housekeeping and money management (IADLs). A combination of needing help with several ADLslike bathing and toiletingand difficulties with IADLssuch as meal prep and housekeepingstrongly indicates a nursing facility level of care. Document these challenges for the functional assessment to demonstrate eligibility.Were Here to Help: Next Steps and Contact InformationNavigating Pennsylvanias Medicaid waiver programs can be complex, but you dont have to go it alone. At Passion to Care, we specialize in guiding Pennsylvania families through the CHC and PDA Waiver application processesfrom the initial functional assessment of ADLs and IADLs to completing paperwork and coordinating services once approved. If you notice your loved one struggling with daily tasks or if a professional has recommended nursing facility care, it may be time to explore CHC or the PDA Waiver. Our compassionate, family-first team ensures your loved ones needs are met with dignity and respect. Call us or contact us today to learn how to get started with Pennsylvanias Medicaid waivers for home and community-based services.

As our loved ones age, its natural to notice some changes in their memory, thinking, and behavior. Forgetting where they placed their keys or occasionally mixing up names is often just part of growing older. However, theres a fine line between typical aging and the early symptoms of dementia. Recognizing this difference is crucial for getting help early and preserving quality of life.What you will learn:         The key differences between normal aging and early signs of dementia.         Seven critical symptoms of early dementia that shouldnt be overlooked.         How early detection can improve care planning and quality of life.         Ways in-home care supports seniors with dementia and eases family caregiving challenges.         Normal Aging vs. Early Dementia         Understanding whats considered normal aging is key. Age-related memory changes often involve forgetfulness that doesnt disrupt daily life. A senior might take longer to recall a word or forget why they walked into a room, but the information typically comes back. Theyre still able to manage household tasks, keep appointments, and make sound decisions.         In contrast, dementia is a progressive condition that interferes with the ability to function independently. It affects memory, communication, reasoning, and judgment, and eventually requires full-time care. 7 Key Dementia Signs You Shouldnt IgnoreHere are some critical signs of early dementia:1.      Frequent Memory Loss That Disrupts Daily Life: Forgetting recently learned information and relying heavily on notes or others to remember things they used to manage on their own.2.      Difficulty Completing Familiar Tasks: Struggling to follow a recipe, balance a checkbook, or operate appliances theyve used for years.3.      Trouble Finding Words or Following Conversations: Difficulty expressing thoughts or understanding what others are saying, often pausing, repeating themselves, or struggling to name everyday objects.4.      Poor Judgment or Decision-Making: Giving away large sums of money, neglecting hygiene, or dressing inappropriately for the weather.5.      Confusion About Time or Place: Getting lost in familiar places, forgetting how they got somewhere, or becoming confused about the date or season.6.      Changes in Mood or Personality: Unusual irritability, depression, anxiety, or withdrawal from social activities.7.      Misplacing Items and Losing the Ability to Retrace Steps: Putting items in unusual places and being unable to find them again without help.How In-Home Care Can HelpCaring for a loved one showing signs of dementia can be emotionally and physically challenging. Thats where in-home support from Always Best Care of Denver can make a meaningful difference. Our caregivers are trained to recognize the early symptoms of cognitive decline and keep families informed about changes. They can help with daily tasks, encourage mental stimulation, and provide companionship.Having a compassionate caregiver in the home gives families peace of mind, ensuring that your loved one is safe, supported, and able to maintain as much independence as possible.FAQQ: Whats the difference between normal aging and early dementia? A: Normal aging involves forgetfulness that doesnt disrupt daily life, while early dementia affects memory, communication, and judgment, impacting daily functioning.Q: How can I support a loved one with early signs of dementia?A: Seek professional evaluation early, and consider in-home care for support with daily tasks and companionship.Q: Is it possible to slow down dementia progression? A: While theres no cure, early detection and support can improve quality of life and slow down some symptoms.Schedule a Complimentary Consultation at Always Best Care of Denver!If youre concerned about memory changes in someone you care about, dont wait to take action. Contact Always Best Care of Denver at (303) 952-3060 for a care consultation. Our experienced team can help you understand your options and create a care plan tailored to your loved ones unique needs. Early support mattersand you dont have to navigate it alone.

Home should be a haven, but for someone living with dementia, it can quickly turn into a maze of confusion and hazards. At Always Best Care of Denver, we know that a few thoughtful tweaks-big or small-can make all the difference. So, how can we transform a regular home into a dementia-friendly home? Grab a cup of tea, and lets roll up our sleeves!What you will learn: The key reasons why home modifications for dementia are essential for safety, comfort, and independence. Simple, practical ways to adapt each room. Useful safety tips, technology aids, and supportive equipment that help prevent accidents and ease daily life for loved ones with dementia. Why Home Modifications for Dementia MatterDementia changes how people see, remember, and interact with their environment. Simple tasks become tricky, and familiar spaces can suddenly feel foreign. Smart home modifications for dementia can: Reduce falls and injuries. Boost independence. Ease anxiety and confusion. Prevent wandering and accidents. 3 Key Principles of a Dementia-Friendly HomeLight It Up Double the usual lighting levels; aging eyes need more light! Use daylight as much as possible; keep curtains open and windows clear. Add motion-sensor lights in hallways and bathrooms for nighttime trips. Color and Contrast Use contrasting colors for walls, floors, and furniture to help with depth perception. Avoid busy patterns; they can confuse or even frighten someone with dementia. Try colored tape or labels for steps, switches, and taps. Declutter and Simplify Keep walkways clear; no tripping over shoes or stray rugs! Store daily-use items in easy-to-reach, labeled spots. Remove or lock away hazardous items like cleaning products, knives, and medications. Room-by-Room Home Modifications for DementiaKitchen Safety Tips Install stoves with auto shut-off features or remove stove knobs. Keep sharp objects and cleaning supplies locked away. Use clear labels on cupboards and drawers. Regularly clean out the fridge; no one wants a science experiment gone wrong! Bathroom Modifications Add grab rails and slip-resistant mats. Install a raised toilet seat and a color-contrasted toilet seat for easy spotting. Use lever taps and label hot and cold clearly. Remove electric blankets and hot water bottles. Bedroom Safety Place non-slip mats beside the bed (but make sure theyre not a trip hazard). Install nightlights or motion-sensor lights for late-night wandering. Remove mirrors or limit them. Living Areas Arrange furniture for easy navigation; think wide, open paths. Use photos of loved ones and familiar objects to create a sense of belonging. Keep commonly used items, like the TV remote or favorite blanket, within arms reach. Top 10 Dementia Safety Tips Lock away hazardous items (cleaners, knives, meds). Use contrasting colors for steps and switches. Install grab rails and slip-resistant flooring. Add motion-sensor lights throughout the house. Label doors, cupboards, and drawers. Remove or secure loose rugs and cords. Keep emergency numbers on every phone. Limit mirrors and reflective surfaces. Use door alarms to prevent wandering. Regularly assess the home for new hazards. Technology Aids and Equipment Door alarms and GPS trackers for wandering prevention. Smart home systems for automating lights and heating. Memory aids like whiteboards or digital reminders. Accessible phones with large buttons and photo dialing.          Frequently Asked Questions About Home Safety Modifications for People With Dementia         How do I start dementia proofing a home?         Begin with a walk-through, looking for trip hazards, poor lighting, and unsecured dangerous items. Tackle the most urgent risks first, then work room by room.         Whats the best lighting for dementia patients at home?         Bright, even lighting is key! Use natural daylight when possible and add motion-sensor lights in dark areas. Avoid glare and harsh shadows.         How can I prevent wandering at home?         Install door alarms, use locks on exit doors, and consider GPS devices. Keep doors to unsafe areas locked, but allow easy access to safe spaces.         Are labels and signage really helpful?         Absolutely! Clear, simple labels (words or pictures) on doors, cupboards, and drawers help jog memory and reduce frustration.         What should I avoid in a dementia-friendly home?         Busy patterns, clutter, loose rugs, and anything sharp or toxic. Also, steer clear of complicated gadgets and confusing layouts.Transform Your Home Into a Safe Haven | Start Your Dementia-Friendly Makeover Today!Making home modifications for dementia isnt just about safety-its about helping our loved ones feel confident, comfortable, and cared for. At Always Best Care of Denver, we believe a few thoughtful changes can turn a house back into a home. Remember, its not about perfection; its about progress. Ready to roll up your sleeves and create a dementia-friendly home? Were right here with you every step of the way. Contact Always Best Care of Denver at (303) 952-3060 to learn more and schedule your free consultation.