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When to Move from Assisted Living to Nursing Home

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A senior and her adult daughter reminisce over a photograph as they pack for a move.

Navigating the different phases of senior living can be an emotional process. A significant transition that families may face is deciding when to move a loved one from an assisted living community to a nursing home, and the truth is that there isn’t a one-size-fits-all answer because it depends on your loved one’s unique situation.

Personal care communities and nursing homes are two distinct senior care options. Personal care offers a supportive environment where loved ones can enjoy a relatively independent lifestyle with access to assistance for daily activities. On the other hand, nursing homes typically provide round-the-clock medical care and support for individuals with more complex health needs.

Recognizing when transitioning from a personal care community to a nursing home is necessary can be difficult. But understanding the signs and being prepared for the change can make the process smoother and less stressful for everyone involved.

Signs It Might Be Time for a Transition

A few things can indicate that a change in senior care is necessary.

Physical Health Decline

A common indicator that it may be time to move from personal care to a nursing home is a decline in physical health. This could include frequent falls, difficulty managing chronic conditions, or the need for specialized medical equipment. And requiring constant medical supervision may make a nursing home more suitable.

Cognitive Decline

Cognitive decline, such as advancing dementia or Alzheimer’s disease, is another significant factor. People with severe cognitive impairments may struggle with daily tasks and require more comprehensive care. Depending on the stage of cognitive decline, personal care communities aren’t typically equipped to handle these kinds of needs.

Behavioral Changes

Behavioral changes, such as increased aggression, anxiety, or depression, can also signal the need for a higher level of care. These changes can be distressing for both the loved one and their caregivers. A nursing home with a specialized care plan and trained staff can provide the necessary support to manage these behaviors effectively.

Differences in Care Between Personal Care & a Nursing Home

The primary difference between personal care communities and nursing homes lies in the level of care provided. Personal care services offer support with daily activities like bathing, dressing, and medication management. In contrast, nursing homes typically offer 24-hour medical care, including skilled nursing services, rehabilitation, and monitoring of chronic conditions.

A skilled caregiver bringing a senior his meal.

Preparing for the Move

Transitioning into a new living situation can be a manageable process with some preparation.

Emotional Preparation

Preparing emotionally for the move is just as important as the logistical aspects. Open communication is key. Discuss the reasons for the move with your loved one and involve them in planning as much as possible. This can help them feel more in control and less anxious about the change.

Logistical Preparation

Logistically, preparing for the move involves several steps. Start by researching the senior care options in your area (or desired area) and visit the communities to get a sense of the environment and care provided.

Make a checklist of items your loved one will need in their new home and ensure that all necessary medical records are transferred. Creating a moving timeline and delegating tasks among family members can also be helpful.

Supporting the Move

Family members and caregivers play a crucial role in supporting the move. Be present during the transition period, helping your loved one settle into their new environment. Personalize their new space with familiar items from home to make it feel more comfortable.

Regular visits and communication can also ease the adjustment. Encourage participation in social activities and engage with the staff to ensure your loved one’s needs are being met.

Nursing Home Alternatives

Nursing homes aren’t the only option available. Some alternative options may provide the necessary care in a different setting.

Memory Care

Memory care communities offer specialized services designed for individuals with Alzheimer’s disease or other forms of dementia. These communities provide a secure environment with tailored activities and staff trained to manage cognitive impairments.

Memory care can be an excellent alternative for people with advanced dementia who require more structured care than a personal care community can provide but do not need the extensive medical care of a nursing home.

Respite Care

Respite care provides temporary relief for primary caregivers, allowing you to take a break while ensuring your loved one still receives the care they need. This can be particularly beneficial for families looking to delay a permanent move to a nursing home. Depending on the family’s needs, you can arrange respite care for a few days or several weeks.

At-Home Care

At-home care services can provide medical and personal care in a familiar setting for those who wish to remain at home. Skilled nurses, therapists, and caregivers can visit the home to assist with daily activities and medical needs.

Discuss Your Options with Us

Deciding when to move from a personal care community to a nursing home is a significant and often emotional decision. By understanding the signs that indicate a need for higher care, preparing for the transition, and exploring alternative options, you can make informed choices that prioritize your loved one’s well-being.

Call us today at The Village at Bellevue to schedule a community tour. We’d love to show you how our compassionate staff can support your loved one’s needs through various stages in life.

Written by Angela Clark

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