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Alzheimer’s disease is one of the most common problems people face in their 70’s and 80’s. One of the most important things you can do is tell people who would be taking care of you what you would want for medical care if you were to develop worsening dementia. What is dementia? Over 5-20 years, people with Alzheimer’s (and other forms of dementia) lose their memory and completely lose the ability to understand what's going on around them. Eventually people with dementia no longer recognize people they know, and eventually need help from others cleaning themselves up after they go to the bathroom. There is no known cure for dementia. Gradually people lose the ability to speak, eat, and walk. Eventually people die from dementia, often from dementia-related pneumonia. This process takes anywhere from 5 years to 20 years. The average time it takes dementia to progress to a severe form (of not being able to dress or feed oneself) is about 8 years. One of the most important questions to consider is: What kind of medical care would you want if you were to develop worsening dementia? Copyright © 2017. Unlimited use allowed for non-commercial purposes. Why it's important to express your wishes People with advancing dementia lose the ability to make decisions for themselves. Their families need to make medical decisions for them. Giving family members guidance about what kind of care you'd want if you were to develop worsening dementia can ease the burden of their decision making and make you feel more secure that you'll receive the care that you would want. Your guidance today will help the people taking care of you in the future. What kinds of guidance can you give? As dementia gets worse, many medical tests and procedures become harder for people to go through, with more risk of side effects and bad reactions. As people lose the ability to understand what is happening they can become fearful and agitated by unfamiliar surroundings. As their mind fades away, many people feel that life loses much of its meaning, especially when they’re no longer able to understand what is happening around them. At points along the way, many people might not want medical care which would keep them alive longer. Instead they might want only medical care that would help keep them comfortable. On the following pages are descriptions of the stages of dementia. By filling out this form you can give guidance to your loved ones. Read the description of each stage, then mark the box that reflects what goals of medical care you would want for yourself if you were at that stage of dementia. Copyright © 2017. Unlimited use allowed for non-commercial purposes. Stage 1 -- Mild dementia People may often lose ability to remember recent events in their lives. Routine tasks become difficult (such as cooking.) Some tasks can become more dangerous (such as driving.) If you were to be at this stage of dementia what level of medical care would you want for yourself?
Select one of the 4 main goals of care listed below to express your wishes. Choose the goal of care that describes what you would want at this stage. If I had moderate dementia then I would want the goal for my care to be: To live for as long as I could. I would want full efforts to prolong my life, including efforts to restart my heart if it stops beating. □ To receive treatments to prolong my life, but if my heart stops beating or I can’t breathe on my own then do not shock my heart to restart it (DNR) and do not place me on a breathing machine. Instead, if either of these happens, allow me to die peacefully. Reason why: if I took such a sudden turn for the worse then my dementia would likely be worse if I survived, and this would not be an acceptable quality of life for me. □ To only receive care in the place where I am living. I would not want to go to the hospital even if I were very ill, and I would not want to be resuscitated (DNR). If a treatment, such as antibiotics, might keep me alive longer and could be given in the place where I was living, then I would want such care. But if I continued to get worse, I would not want to go to an emergency room or a hospital. Instead, I would want to be allowed to die peacefully. Reason why: I would not want the possible risks and trauma which can come from being in the hospital. To receive comfort-oriented care only, focused on relieving my suffering such as pain, anxiety, or breathlessness. I would not want any care that would keep me alive longer.
As the population of Dallas continues to grow and age, the need for reliable, compassionate support services for individuals living with Parkinsons disease and Alzheimers disease is more critical than ever. These progressive neurological conditions can dramatically affect a person's memory, mobility, and independence creating a ripple effect that impacts entire families. Finding the right Parkinsons / Alzheimers support in Dallas can make a meaningful difference in quality of life for both individuals and their caregivers.In this blog, well explore what support services are available in Dallas, how to choose the right care, and where to find trusted local resources all optimized to help families navigate this journey with confidence. Understanding Parkinsons and Alzheimers Support NeedsBoth Parkinsons disease and Alzheimers disease are progressive, meaning symptoms worsen over time. While the diseases differ in cause and impact, the support needs often overlap.Parkinsons disease is a movement disorder that may also affect mood, memory, and cognition over time.Alzheimers disease is a type of dementia that primarily affects memory, thinking, and behavior.Support services are designed to address both physical and cognitive challenges, offering therapeutic care, emotional support, and educational resources. Local Parkinsons / Alzheimers Support Options in DallasDallas offers a wide range of resources to support individuals at every stage of Parkinsons and Alzheimers. Here are some of the most common types of local support:1. Specialized Support GroupsParticipating in a local support group can be incredibly valuable. These groups allow individuals and caregivers to connect with others who understand what theyre going through. In Dallas, many organizations host regular meetings, both in person and virtually, specifically tailored to Parkinsons or Alzheimers communities.2. In-Home Care ServicesMany families in Dallas turn to non-medical in-home care to assist with daily living activities. This might include help with bathing, dressing, medication reminders, meal prep, and companionship all crucial for individuals living with Parkinsons or Alzheimers.Explore in-home support resources in your area: Senior Resources in Dallas, TX3. Cognitive and Physical TherapyOccupational and physical therapists can help manage the motor symptoms of Parkinsons and cognitive decline in Alzheimers. Dallas is home to many outpatient centers and therapy practices that specialize in neurodegenerative conditions.4. Respite and Adult Day ProgramsCaregivers need care too. Adult day centers and respite services in Dallas allow caregivers to take a break while ensuring their loved one receives safe, professional support and stimulation.5. Education and CounselingUnderstanding the progression of these diseases and learning how to plan for the future is essential. Local nonprofits and advocacy organizations in Dallas frequently offer workshops, webinars, and counseling sessions to help families make informed decisions. Choosing the Right Parkinsons / Alzheimers Support in DallasWhen evaluating support options, consider the following:Stage of the disease Early-stage care will look different than care for individuals in later stages.Specialization Seek out programs that have experience specifically with Parkinsons or Alzheimers, as each condition requires unique care approaches.Flexibility and availability Ensure the services match your schedule and adapt as the disease progresses.Family involvement Some programs in Dallas offer caregiver training or include family members in care plans.For a curated list of Alzheimer's and Parkinsons resources in Dallas, explore: Dallas Parkinsons / Alzheimers Support Services The Importance of Early SupportThe earlier families seek support, the more tools and resources theyll have to manage challenges as they arise. Whether its assistance with memory care planning, mobility training, or navigating health systems, Dallas has a rich network of services that can help families feel more in control and less alone. Final Thoughts Parkinsons and Alzheimers disease may present daunting challenges, but families in Dallas, Texas have access to comprehensive, community-based support services that provide comfort, education, and hope. By knowing where to turn and what resources are available, families can better navigate the evolving needs of their loved ones with confidence and care.
Navigating Hospital Stays and Rehabilitation for Parkinsons Patients. This article is part of The Parkinsons Care Compass: A Caregiving Roadmap Guiding Families Through Every Stage, an educational series presented by At Your Home Caregiving of Texas. We are honored to walk beside families, offering specialized in-home care solutions to support every step of the Parkinsons journey. Hospital stays are a stressful experience for any family, but for individuals living with Parkinsons disease, hospitalization poses unique challenges that can significantly impact recovery and long-term health. When a Parkinsons patient requires surgery, treatment for complications, or recovery after a fall, family caregivers must act as advocates, organizers, and partners in care. Being prepared and informed is the key to ensuring a safe hospital stay and a smooth transition back home.At Your Home Caregiving of Texas understands these complexities and stands ready to help families through every step of the journey, providing expert support for rehabilitation and home-based recovery.Unique Hospitalization Challenges for Parkinsons PatientsParkinsons disease complicates hospital care in several critical ways: Medication Management: Parkinsons medications must be administered on a strict schedule to manage symptoms effectively. Delays or missed doses can lead to severe motor symptoms, confusion, and even hospitalization complications. Mobility and Fall Risks: Hospital environments are unfamiliar, and Parkinsons patients face an increased risk of falls due to balance issues and muscle rigidity. Cognitive Changes: Hospitalization can sometimes trigger or worsen confusion, memory problems, or delirium, especially in older adults with Parkinsons. Communication Difficulties: Some patients experience soft speech (hypophonia) or facial masking, making it difficult to express needs clearly to hospital staff unfamiliar with Parkinsons care. Being aware of these risks allows families to take a proactive role during the hospital stay, minimizing complications and ensuring the best possible outcome.Preparing for a Hospital Stay: Advocacy and PlanningIf hospitalization is scheduled (for surgery or planned treatments), preparation can make a significant difference:1. Create a Hospital Parkinsons PlanPrepare a simple one-page document outlining your loved ones: Current medications and exact times for administration Mobility limitations and fall risk status Communication needs Cognitive changes or dementia symptoms Preferences for therapy, rehabilitation, and home care after discharge Provide this information to the hospital staff immediately upon admission.2. Bring Medications to the HospitalBring a full list and ideally the actual medications in their original containers. In some hospitals, families can administer Parkinsons medications if theres a risk of delays.3. Assign an AdvocateDesignate a family member or professional caregiver to be present as much as possible, especially during medication times, shift changes, and physician rounds. Having a consistent advocate can prevent critical mistakes and advocate for the patients specialized needs.The Importance of Medication TimingOne of the biggest risks for Parkinsons patients in the hospital is missed or mistimed medications. Parkinsons medications like carbidopa-levodopa must be administered exactly as prescribed, sometimes multiple times a day, to prevent a sudden worsening of motor and non-motor symptoms.Tips for ensuring proper medication administration: Clearly document the medication schedule and insist it be incorporated into the hospitals care orders. Politely but firmly remind nursing staff of the critical importance of on-time dosing. Advocate for medication self-administration if allowed by hospital policy. Watch for any substitutions generic or alternate medications can sometimes affect symptom control. Families should feel empowered to respectfully advocate for their loved ones medical needs. Delay in Parkinsons medication can lead to avoidable setbacks in recovery.Understanding Rehabilitation OptionsAfter hospitalization, rehabilitation is essential for helping Parkinsons patients regain strength, balance, and function. Depending on the situation, rehabilitation may occur in: Inpatient Rehabilitation Facilities (IRFs): Specialized centers offering intensive physical, occupational, and speech therapy. Skilled Nursing Facilities (SNFs): Short-term stays focused on medical monitoring and therapy. Home-Based Rehabilitation: Therapy provided at home, which may be the best option for patients with significant mobility challenges or those at high risk of hospital-acquired infections. At Your Home Caregiving of Texas partners with rehabilitation therapists to support continuity of care at home, ensuring that exercises, safety measures, and care plans are followed consistently.Key Rehabilitation Goals for Parkinsons Patients Improving strength and flexibility Reducing fall risk through balance and gait training Enhancing fine motor skills (handwriting, eating, dressing) Improving swallowing and speech if affected Maintaining independence as much as possible Early rehabilitation after hospitalization is crucial for Parkinsons patients. Without it, the risk of decline, injury, and readmission significantly increases.Transitioning Safely Back HomeThe transition from hospital to home is a vulnerable time. Planning ahead is critical to prevent setbacks.Steps for a Successful Transition: Arrange Home Care Services Early: Schedule in-home caregiving services to assist with mobility, medication reminders, and personal care. Conduct a Home Safety Evaluation: Adapt the home environment to minimize fall risks remove tripping hazards, install grab bars, ensure proper lighting, and use assistive devices. Coordinate Medication Management: Update prescriptions, confirm medication supply, and create a clear medication schedule. Schedule Follow-Up Appointments: Ensure post-discharge physician and therapy visits are scheduled before leaving the hospital. Implement a Rehabilitation Plan: Continue physical therapy and exercise routines at home, guided by professional caregivers and therapists. At Your Home Caregiving of Texas specializes in providing comprehensive transitional care for Parkinsons patients. Our caregivers work alongside families and healthcare professionals to ensure that recovery continues safely and effectively at home.How At Your Home Caregiving of Texas Supports RecoveryFamilies managing Parkinsons care dont have to do it alone. Our services are designed to ease the burden of post-hospitalization recovery by providing: Personalized Care Plans: Tailored to the individuals stage of Parkinsons and rehabilitation needs. Medication Reminders and Assistance: Helping maintain the critical medication schedule. Mobility Support: Assisting with walking, transferring, and exercises to rebuild strength and prevent falls. Nutrition and Meal Support: Preparing nutritious meals that support energy and healing. Companionship and Emotional Support: Reducing anxiety, confusion, and isolation during the recovery process. Coordination with Healthcare Providers: Keeping families informed and ensuring therapy recommendations are carried out at home. We work hard to create an environment where patients can heal comfortably, maintain dignity, and reduce the risk of hospital readmission.Final ThoughtsHospital stays are never easy, especially when Parkinsons disease adds another layer of complexity. But with the right preparation, strong advocacy, and a smooth rehabilitation plan, families can help their loved ones achieve the best possible recovery.At Your Home Caregiving of Texas stands beside you every step of the way from hospital bedside to a safe and healing home environment. Our specialized Parkinsons care services ensure that patients get the compassionate, expert support they need to regain strength, confidence, and independence.When its time to transition home after hospitalization, trust At Your Home Caregiving of Texas to be your partner in care and recovery. At Your Home Caregiving of Texas is proud to support families living with Parkinsons disease through compassionate, expert care. For more resources and personalized caregiving solutions, explore the full Parkinsons Care Compass series or contact us today at 469-830-8414. Together, we can create a safer, stronger path to recovery one step at a time. If someone you care about is facing the challenges of Parkinson's, know that you're not alonewe're always here to help.
GrandFriends Adult Day Program: Compassionate Care for Adults Living with DementiaThe GrandFriends Adult Day Program, located at the Via Health, Fitness, and Enrichment Center, has provided a safe and engaging environment for adults living with dementia for the past 30 years. Our mission is to offer older adults who need supervision and daily care with opportunities to stay mentally and physically healthy. Participation in the program can often delay or prevent the need for placement in a nursing home.Benefits of Adult Day ProgramsAdult day programs play a vital role in maintaining health and independence by providing: Enhanced Independence Encourages self-sufficiency in a supportive environment. Social Engagement Stimulates alertness and activity through meaningful interactions. Structured Activities Creates a sense of routine and anticipation. Physical Exercise Helps reduce anxiety, improve stamina, enhance balance, and promote better sleep. Support for CaregiversCaring for a loved one with dementia while managing work and family responsibilities can be overwhelming. GrandFriends offers caregivers much-needed respite, ensuring their loved ones receive professional and compassionate care in a secure setting.Program Expansion and Grant SupportIn August 2024, Via was one of 21 recipients selected to receive grant funding from the Alzheimers Association Center for Dementia Respite Innovation (CDRI). This funding has allowed us to: Expand Program Space Providing a more comfortable and accommodating environment. Hire Additional Staff Ensuring a 1:4 caregiver-to-client ratio for personalized care. Enhance Technology Introducing smart boards for interactive experiences like movies, museum tours, virtual bird watching, chair yoga, and games. Offer Individualized Programming Tablets with specialized games and activities tailored to each participants needs. Improve Transportation Services Clients within a 15-mile radius can access transportation for $3 per one-way trip. Program Details Hours: MondayFriday, 7:30 AM 5:30 PM (accommodating caregiver work schedules). Cost: $55 per day (one day per week) $50 per day (two or more days per week) To schedule a tour and assessment for your loved one, contact: Christy Harvison, GrandFriends Supervisor 251-470-5228 charvison@viamobile.org "This project is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $6,607,011 with 75 percent funded by ACL/HHS and $1,620,872 with 25 percent funded by non-government source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government."
Naples Green Village is a premier senior living community located in beautiful Naples, Florida. Our community offers a luxurious and comfortable environment for seniors looking to enjoy their retirement years to the fullest.At Naples Green Village, we pride ourselves on providing top-notch amenities and services that cater to the unique needs of each resident. From spacious and well-appointed apartments to delicious dining options and a variety of engaging activities, we strive to make every day enjoyable for our residents.Our staff is dedicated to providing personalized care and support to help residents maintain their independence and quality of life. Whether you're looking for independent living, assisted living, or memory care services, Naples Green Village has the perfect option for you.Contact us today to learn more about our community and schedule a tour. Experience the luxury and convenience of senior living at Naples Green Village.
Naples Green Village is a premier senior living community located in beautiful Naples, Florida. Our community offers a luxurious and comfortable environment for seniors looking to enjoy their retirement years to the fullest.At Naples Green Village, we pride ourselves on providing top-notch amenities and services that cater to the unique needs of each resident. From spacious and well-appointed apartments to delicious dining options and a variety of engaging activities, we strive to make every day enjoyable for our residents.Our staff is dedicated to providing personalized care and support to help residents maintain their independence and quality of life. Whether you're looking for independent living, assisted living, or memory care services, Naples Green Village has the perfect option for you.Contact us today to learn more about our community and schedule a tour. Experience the luxury and convenience of senior living at Naples Green Village.