Care Planning for People with Memory Loss

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Sep 08, 2017

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A new Medicare billing code (G0505) now allows clinicians treating Medicare beneficiaries to be reimbursed for providing care planning to those experiencing cognitive impairment (memory loss), including Alzheimers disease.
This is a very important change in the billing system as it will allow physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified nurse midwives to offer assessment and care planning services beyond the scope of the Annual Wellness visit and receive reimbursement from the Physician Fee Schedule. What does this mean for the patient? Better and more comprehensive discussion and strategies to deal with memory loss and Alzheimers related issues.



Care planning allows newly-diagnosed individuals and their caregiver to learn more about medical and non-medical treatments, clinical trials and support services available in their community. All of this results in a better quality of life for those that maximize the information and support. Individuals receiving care planning support specific to dementia concerns typically have fewer hospitalizations, fewer emergency room visits and better medication management. Care planning is the key to care coordination and management for those experiencing Alzheimers and other chronic conditions. With this code, clinicians will have the time and resources to provide a comprehensive set of care planning services which may improve quality of life and reduce caregiver stress. Alzheimer's caregivers frequently report experiencing high levels of stress due to the overwhelming needs that are associated with taking care of loved ones. Too much stress is harmful to both the caregiver and those to whom they are providing care. Additionally, care planning promotes putting legal and financial plans in place which can provide comfort to the entire family thereby reducing the stress associated with future decisions.

Good health care requires a partnership between the patient, family and physician. Ask about the new care planning code options available through CMS Code G0505. Your physician may not yet be familiar with this new code. Share the information and plan ahead to get the most out of your medical appointments. When visiting your doctor, bring medications, provide good records, ask questions and offer honest answers. At the end of your appointment, ask the doctor to recap the most important points. Write them down. Note any follow-up steps needed (such as scheduling the next appointment or having tests done).most of all leave with a plan.For more information go to the Caregiver Center at www.alz.org or call the 24/7 Helpline at 1.800.272.3900.

Editorial Note: Debra Adams, Director Community Relations, Alzheimers Association Greater Dallas Chapter. Read more from the February 2017 Fact Sheet and at www.alz.org

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Memory Care in Mobile, AL

It often starts small. A parent repeats the same question three times in an hour. A spouse gets lost driving a route they have known for decades. Over time, the worry grows, and so does the exhaustion that comes with trying to keep someone safe around the clock. If you are a family member facing Alzheimers disease or another form of dementia, you may be wondering whether home care is still enough, and what a good alternative would look like.This guide explains what memory care is, who it is for, and how to begin the search in Mobile. It also profiles two memory care communities, Kauhale Heritage Woods and Kauhale Port City, so you can see what each offers and know what to ask when you call.What Is Memory Care?Memory care is a form of residential senior living designed for people with Alzheimers disease, other forms of dementia, and significant memory loss. Residents typically have a private or shared apartment, meals, help with daily activities, medication support, and round-the-clock staff. What sets memory care apart is the environment and the training. Layouts are designed to be easy to navigate and secure, routines are consistent to reduce confusion and anxiety, and activities are chosen to engage people at their current abilities.Who Is Memory Care For?Memory care is generally a good fit when a loved one needs more supervision and support than home or standard assisted living can provide. Common signs include: Wandering, getting lost, or leaving the house at unsafe times Increasing confusion about time, place, or familiar people Difficulty with bathing, dressing, eating, or taking medications safely Sleep changes, agitation, or evening restlessness A family caregiver who is exhausted, isolated, or struggling with their own health Memory Care vs. Assisted LivingAssisted living supports people who need help with daily tasks but can still manage most of the day on their own. Memory care adds secure spaces, staff trained in dementia care, and programming built around memory loss. Many communities offer both on one campus, which can help if a residents needs change over time. Both communities featured below offer assisted living and memory care.What to Look For Staff training in dementia care and clear staffing levels, including overnight A secure, comfortable layout that supports independence while keeping residents safe Daily activities that match different stages of memory loss Dining that supports good nutrition and is flexible when appetite or abilities change A clear plan for when care needs increase Transparent pricing, including what is and is not included in the monthly fee Memory Care Communities in Mobile, ALThe two communities below are both part of Kauhale Health and both offer assisted living and memory care in the Mobile area. They are located on different sides of the city, so location, apartment style, and the feel of each community may help guide your decision.Kauhale Heritage WoodsPhone: 251-665-9063 Address: 3440 Hillcrest Rd, Mobile, AL 36695Kauhale Heritage Woods is an assisted living and memory care community on Hillcrest Road in west Mobile. The community offers both private and shared apartments, which gives families flexibility in how they plan for comfort and budget. Online listings may also show the community under its earlier names, including SummerHouse Heritage Woods, so do not be surprised if you see more than one name in your research.The memory care program at Heritage Woods is built for people living with Alzheimers disease and other forms of dementia. The communitys photos show a welcoming lobby, comfortable common areas, a dining room, and an exercise room with seating, along with accessible bathrooms that include grab bars. These touches matter in memory care, where familiar, uncluttered, easy-to-use spaces help residents feel at ease.Because Heritage Woods offers assisted living and memory care in one place, it can be a practical choice for families who want a single community to grow with a loved one, or for couples whose needs differ.Good to know about Kauhale Heritage Woods Assisted living and memory care in one community Private and shared apartment options Memory care program for Alzheimers disease and other dementias Located in the Hillcrest Road area of west Mobile Tip: Ask how the memory care area is set up, how staffing changes overnight, and what happens if a resident moves from assisted living to memory care.Kauhale Port CityPhone: 251-380-0053 Address: 4720 Morrison Dr, Mobile, AL 36609Kauhale Port City provides assisted living and memory care in a homelike setting on Morrison Drive. The community is near local shops, parks, and medical centers, which can make everyday visits easier for family members and help with appointments. Port City joined the Kauhale Health family after a change in management, and the community describes its focus as dignity, independence, and safety.The memory care program at Port City is designed for residents with Alzheimers disease and other forms of dementia, with personalized care for each person. Residents can also get help with personal care tasks, and the community offers respite stays, which are short-term stays that give family caregivers a break or a safe place for a loved one during a trip, a recovery, or a trial run before a long-term move. Pets are welcome at Port City, which can be a comfort for residents who have always had an animal in the home.Port City also shows apartment options for assisted living, including studio and one-bedroom floor plans, and has outdoor spaces such as a patio for fresh air and visits.Good to know about Kauhale Port City Assisted living and memory care on one campus Respite care available for short stays Pet-friendly community Convenient to shops, parks, and medical centers Tip: If you are not sure a move is right yet, ask about a respite stay. It can give your loved one and your family a real feel for daily life in the community.Why This Matters LocallyMobile is a city where family ties run deep, and many adult children live close enough to visit often. That makes location one of the most important parts of a memory care decision. A community that is only a short drive from your home, your workplace, or your loved ones doctor makes it easier to stay involved. Frequent, familiar visits can be reassuring for someone living with dementia, and they give you a chance to see how care looks on different days and at different times.The Mobile and Baldwin County area has a range of senior living options, from large campuses to smaller communities. Taking time to tour more than one, at different times of day, helps you compare staffing, atmosphere, and how residents spend their time. Being close to local hospitals and medical offices also matters, since people with dementia often have other health conditions that need regular attention.Finally, Gulf Coast weather is a real consideration. Hurricane season is part of life here, so ask any community about its emergency plan, including how it handles evacuations, power outages, and communication with families.How to Get Started With Memory Care in Mobile1. Talk with your loved ones doctorAsk the doctor about the diagnosis, how the condition is expected to progress, and what level of care is recommended. A physicians assessment is often needed for admission, and it helps you understand whether assisted living with memory support or a dedicated memory care setting fits best.2. Define your priorities and budgetMake a short list of what matters most, such as location, private or shared apartment, pet policy, and how close the community is to family. Then review what you can afford each month. Options may include long-term care insurance, veterans benefits, and personal funds. Ask each community to explain its pricing in writing, including what could raise the monthly cost as care needs increase.3. Call and tour at least two communitiesReach out to Kauhale Heritage Woods at 251-665-9063 and Kauhale Port City at 251-380-0053. Visit in person if you can, and try to stop by during an activity or mealtime. Helpful questions include: What training does your memory care staff receive, and how often? What are staffing levels during the day, evening, and overnight? How do you handle wandering, agitation, or difficult moments? What does a typical day look like for a resident? How do you assess residents, and how often is the care plan updated? What is included in the monthly fee, and what costs extra? Do you offer respite stays so we can try the community first? What is your plan for severe weather and emergencies? 4. Verify licensingConfirm that the community holds the appropriate license for assisted living and memory care with the Alabama Department of Public Health, and ask to see the most recent inspection information.5. Plan the transitionMoving day can be emotional. Bring familiar items such as photos, a favorite blanket, and furniture that feels like home. Share your loved ones life story, routines, likes, and dislikes with the care team so they can build a plan around the person, not just the diagnosis. Plan to visit often in the first few weeks, and keep in close contact with staff.Related Categories Assisted Living in Mobile, AL Skilled Nursing in Mobile, AL

Memory Care in Gulf Shores, AL

When a parent needs repeated reminders, a spouse becomes uneasy when left alone, or familiar routines no longer feel manageable, families face a difficult question: what support will make daily life more workable? Choosing memory care involves understanding the persons needs, the communitys capabilities, and how family members will stay involved.For families researching memory care in Gulf Shores, AL, Haven Memory Care is a local option to explore. This guide explains its published services and offers practical questions for evaluating a possible move. The goal is a thoughtful decision based on the individual, with enough information to plan beyond move-in day.What memory care providesMemory care is residential support designed for people living with Alzheimers disease or other forms of dementia. Its focus includes daily assistance, routines, supervision, and engagement suited to a persons cognitive abilities. Families should ask each community to explain its staffing, environment, admission criteria, and limits of care.A memory care search is also a good time to bring concerns to the persons healthcare professional. A housing decision does not establish a diagnosis or replace medical evaluation. Describe specific changes and ask what information will help a community assess the person accurately.Look at daily life rather than a label aloneTwo people with the same diagnosis may need different kinds of help. One may need prompting to begin meals; another may need hands-on assistance with personal care or more support at night. Make a simple record of a typical day, including the tasks that go well and those that require help.Include preferences as carefully as challenges. A favorite breakfast, quiet morning routine, familiar music, or preferred way of being addressed can help others understand the person behind the paperwork. Haven Memory Care in Gulf ShoresPhone: 251-923-2800Address: 6848 State Highway 59, Gulf Shores, AL 36542Haven Memory Care is part of Community Senior Life. Published amenities include meals, medication management, laundry, housekeeping, private and semi-private apartments, transportation assistance, and a Vigil monitoring system. These details create a useful starting point for a tour. Ask which services are included in the proposed rate, what assistance means in practice, and whether the available room arrangement fits the persons preferences.Personalized planning and ongoing supportHavens memory care service page describes individualized plans developed with the resident and family, with its Director of Nursing involved in welcoming each resident and planning care. It also describes around-the-clock assistance and physical, educational, and social activities. Ask how that process would work for your relative. Who completes the assessment? When is the plan reviewed? How are new concerns communicated? Request an example of how staff would approach a real situation your family already encounters, such as reluctance to bathe or confusion during a change in routine.The most useful conversation connects a published program to a particular need. Ask how staff learn a residents communication preferences and how family observations become part of the plan.Tour with specific questionsObserve how staff approach residents and explain activities. Ask how someone can participate when a group setting feels overwhelming, and whether quieter alternatives are available. Look at the route between a bedroom, bathroom, dining area, and shared spaces.Discuss the monitoring system directly. Ask what it monitors, who responds, and what additional procedures support residents who may become disoriented. A named technology does not explain the entire approach to supervision.Questions to bring include:What needs can the community support at admission?Who is present overnight, and how are requests for help handled?How are medicines coordinated with prescribers and pharmacies?What changes could require a different care setting?How are families notified about concerns or changes in the care plan?Build a sustainable financial planRequest a written, itemized estimate for the assessed level of care and room type. Ask about deposits, recurring fees, additional services, rate changes, and notice requirements. Discuss what happens financially if the resident goes to the hospital or needs to move.Avoid comparing a quoted monthly amount with another communitys base rate alone. Compare the actual services and terms each proposal includes. If a benefit or insurance policy may help, verify eligibility and payment arrangements with the responsible organization.Why memory care matters locally in Gulf ShoresA Gulf Shores location may make it easier for nearby family members to remain part of everyday life. Relatives in Orange Beach, Foley, or elsewhere in Baldwin County should consider the practical schedule for visits, appointments, and family meetings.Think about who can visit consistently, who can attend a care conference, and who should receive updates when others are traveling. Assigning those roles early can reduce confusion after a move.Coastal planning deserves a place in the conversation. Ask Haven about its current severe-weather procedures, family notification process, transportation arrangements, and plans if residents must temporarily relocate. Request instructions for keeping emergency contacts current.How to get started1. Write a one-page summary of the persons routines, current assistance, preferences, and concerns.2. Call Haven Memory Care at 251-923-2800 to discuss an assessment and tour.3. Ask which records and decision-making documents the team needs.4. Tour with a focused question list and discuss the persons actual daily needs.5. Review the proposed care plan, itemized charges, and admission agreement.6. Make a transition plan covering belongings, medicines, family communication, and follow-up.Practical tip: Choose a few meaningful belongings with the person whenever possible. Ask the community how to arrange them within its room and safety policies before bringing furniture or other large items. Related categoriesRespite Care in Gulf ShoresSupport Groups and Services Elder Law and Estate Planning

Medication Services in Senior Living: Support Options and What To Know

Are you wondering about the different medication services senior living has to offer? Medications become increasingly important as people age, given the higher likelihood of health problems. Seniors may end up with chronic conditions that require multiple medications and complex medication schedules. Taking the proper medication at the right time can be tricky, especially for seniors with poor memory or dementia symptoms. Fortunately, most senior living options provide different levels of medication services. What this looks like depends on state regulations and the type of senior living environment. In this article, we will explain the different types of medication services available and how they may vary depending on the level of senior care.Types of medication services in senior livingTo look at medication services, we first need to consder what the different terms. This is where things get complicated, as there is little consistency between the terms from state to state. Each state may use varying terminology for the levels of medication services. Were going to review the common terms for types of medication services here, so you can have an understanding of what to expect. If you need medication services at the senior living community youre interested in moving to or already live in, its important that you talk through the options with someone at that facility. Medication managementMedication management often refers to the overall system for organizing and managing residents' medications. It can include the areas discussed next, along with planning, storing, monitoring, reviewing, and organizing medications. Each community will have its own specific processes, some of which are more complex than others.Medication reminders Medication reminders are the simplest type of medication support found in senior living. This type of service could be as simple as verbal reminders for residents that its time to take their medication, or an alarm that plays a reminder when the resident should take medication. Because reminders dont involve direct contact with the medication, theyre generally considered a nonmedical service, and as such can be offered by staff without medical licenses. Senior living communities differ in what type of staff member can provide this reminder. The minimum rule is often set by the state in which the facility is located, so while one community might allow certain staff members to provide verbal reminders, another might notThis type of medication service may be offered as an add-on for an additional fee. Be sure to talk with a community representative about any costs that could be associated with medication reminders.Assistance with self-administrationThis type of service supports a resident who administers their own medications. Self-administering medication can be defined differently from one state to another, and usually involves the physical act of removing the medication from its container, handling it, and taking it by mouth (if an oral medication). Some residents can take their own medications but benefit from some degree of assistance from a staff member. Assistance steps can involve: - Bringing the medication container to the resident.- Opening the labeled container, removing medication, and placing it in the residents hand.- Applying any topical medication (e.g., cream).- Placing oral medication in a container and helping the resident lift it to their mouth.- Observing the resident taking medication.These are all common examples of what assisting in self-administration might include. The state in which your community is located might have slightly different definitions or include other actions that constitute assistance with self-administration.If youre interested in this type of service, youll want to talk with someone in the community about the specific procedures and the cost.Medication administrationMedication administration is the highest degree of medication assistance, and can include:- Any approach that requires judging medication dose, strength, or delivery method.- Medication that is provided as needed.- Medication provided through tubes.- Administering drops, inhalers, or suppositories.In the assistance category, staff help residents with their medication, while in administration, staff help with tasks that residents can no longer do themselves. This level of medication service is most likely to be an add-on cost for which residents pay extra, in addition to the monthly rent.Differences between statesThe distinctions between medication reminders, assistance, and administration sound logical and straightforward, yet theyre surprisingly complex in practice. Not only do states define these terms differently, but the tasks in each category differ as well. For example, medication administration is often as described in this article, but sometimes includes different additional tasks: For example, providing medication reminders in Iowa and reading labels aloud to residents in Maine.There is also variation in training requirements. Staff who administer medication typically need to be medically licensed, while those assisting with self-administration may only need to be trained. However, some states and facilities may require higher levels of training or even medical licensing for medication assistance.Levels of medication services by care typeNow lets take a look at how medication services can vary based on the care type you or a loved one lives in.Independent livingBy definition, people in independent living communities dont need much extra support. However, medication reminders are sometimes available as an optional add-on service that a resident might choose to have. Assisted livingAssisted living typically provides some degree of medication support. This can be as simple as medication reminders, but often includes assistance with self-administration as well. Skilled nursingSkilled nursing facilities have the staff required to provide full clinical administration, including medications that are provided as needed or where the medication dose is adjusted.These facilities are also subject to considerable oversight, so medication management systems are likely to be well developed, reducing the risk of errors. Memory careFinally, memory care provides tailored support for people with dementia.Medication management is vital here, as seniors with cognitive decline may not be able to understand their medications or take them effectively as their condition progresses. Medication support will often begin with reminders, then transition to assistance and finally to full administration. However, the exact processes will vary depending on the residents needs and where the memory care is provided. Why medication services matterMedication assistance can be crucial to making sure seniors take the right medications at the right times. This is highly significant because: - Seniors might be taking several different medications each day, which can quickly become confusing.- Missed doses, doubled doses, or taking incorrect medications can lead to serious health issues.- Memory issues or dementia symptoms reduce a persons ability to take medications independently.- Taking medications correctly and consistently promotes better health and reduces the risk of complications.Questions to ask a community about medication servicesVariations in regulations, procedures, and facility types mean that medication services can differ considerably from one facility to the next. As a result, its important to ask questions about the exact processes used. Here are some key questions to begin with:- Who handles medications, and how are they trained?- What is your system for ensuring medication safety?- How do you prevent medication errors?- How do you monitor for medication changes and side effects?- What are the processes in your medication support system? What tasks are residents responsible for, and which ones are staff members responsible for?- What happens if residents refuse their medications?Its also worth discussing your loved ones specific needs and situation, as this allows you to discuss potential challenges early on and find solutions.If medication management is a concern for your loved one, Oasis Senior Advisors Carrollton-Frisco can help you compare communities based on the level of support they provide and explain how medication services work in each setting. Contact your local advisor, Holly DeLisi, at (682) 375-9604 to find options that match your loved ones needs.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.