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Dad is 86 and has always taken care of everything from finances to yard mowing. Very independent. Since brain surgery he cannot drive and he has short term memory loss. He is very capable of taking care of himself such as bathing, cooking, cleaning but he can’t get or keep his medicine straight. I have no help caring for him and I could really use some me time.

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I have heard of others using adult daycare and being satisfied with the services.

Have you considered contacting Council on Aging in your area? They will do a needs assessment on your father.

If he qualifies they will send an aide out in four hour shifts. They can aide in bathing, cooking light meals, tidying up their rooms, changing bedsheets, playing a game of cards, doing puzzles, etc.

You can run errands or go have lunch with a friend while they are with your dad.
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I had Mom in a County run Daycare. If Dad is low income some allow medicaid.

I had gone from caring for an infant grandson till he was 20 months right into caring for Mom 24/7. After a yr I tried Daycare. The bus picked Mom up at 8am and left her off at 3pm. She was fed breakfast and lunch. She was there 3 days a week, MWF. They bathed her for me and she received PT. My husband felt we could drive her. It was 18 miles round trip and took about an 1 1/2 out of the time we had together. When she left, I was able to get a shower and then we went to breakfast and ran errands. The bus was part of the cost so why not use it.

I had a good experience. Mom was easy and they were good to her.
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I had my Husband in Adult Day program and it was the early "stepping stone" I needed. I got a break and he got a break from me.
My Husband was a Veteran and a program through the VA paid for the Day Program.
He may not like that Adult Day Program but you should give it a try.
Many will have different activities for varying degrees of cognition.
If that does not work many Senior Centers have many programs all day and if you could get him there he could participate in a lot of activities.
This would not work if there is a possibility that he would just walk out.
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My mom attends a respite program at a local Senior Center. She loves going
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Men are always in short supply in any senior group environment. How would you deal with it if your dad fell in love with another client attending the adult day program? What if dad insisted on getting married, or insisted on bringing his new love interest home to live with him? What if the new person was a scammer, or had scammer relatives? Or what if the new person was not a scammer, but someone with even worse brain damage or dementia than dad, but little support from family and friends, and all of a sudden you are minding two people. Adding new people into you dad's life could have unintended consequences.
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MACinCT Jan 2023
I feel that you are thinking way outside the box here. Because the man is incapacitated, it would be difficult to get get married and at least the process could be undone.
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I do companion sitting and several of my friends use adult day care and they enjoy the socialization, it is beneficial for their well-being.

You should go and check out the options to see how well they are ran and if it is the right fit. A good one will welcome your presence. Visit every one in your vicinity to comparison shop.

Your dad will do better if you visit with him and then help him adjust by participating for a bit, even for short amounts of time.

Best of luck finding the best place that enriches dad's life and gives you some breathing room.
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I used adult day care for my mom with Alzheimer's. It was hard to get her out of the house to go. I had to use therapeutic white lies to get her to go most of the time. Most of the time when she got there she would have a wonderful day. She was always quite the social butterfly so it gave her an opportunity to socialize. She was even the senior prom queen one year! That was a fun day!

Isolation is never a good idea. They need socialization and if you were to try to do it all yourself you would burn out in no time!
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There are also senior community centers in some areas. Ours offers exercise classes, lunch Monday through Friday, art classes, games, field trips, etc.

The community centers won’t be all day. If you want all day then look into daycare. Some are connected to the assisted living facilities. Others are independent.

Some churches also have senior activities. You may have to be a member of the church.
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I'd be asking serious questions right now about what adult day care is doing to protect clients and employees from contracting contagious disease. You can check up-to-date statistics in your area compiled by Johns Hopkins University of Medicine at coronoavirus.jhu.edu
They also will send you a daily bulletin so you can adjust your daily activities according to risk in your area.
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A lot is going to depend on the programs available in your area and whether it is a good fit, the ability to get out of the house and socialize can be a huge benefit. As a lonely senior living alone my mom was repeatedly encouraged to try day care, but the program seemed to be used mostly as respite by caregivers of those with dementia, and the activities were not suitable for someone with low vision... for us it was a hard pass.
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My husband had dementia and when he got to the point that I could not leave him alone for even short periods of time, I brought him to adult day care for 3 days a week. My state has a grant program for caregivers to help with cargiving costs and adult day care is included. Twice a year, I could apply for a grant and it was usually $1,000 - $1,500 depending on what was available. I took him for a tour and then told him that I would be bringing him there to visit while I did errands. (Don't ask if he would like to go - the answer would probably be no.) It was wonderful to have that respite from 9:00 - 4:00.
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A good quality day care is so helpful to client and for care giver. I highly recommend it.
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If you haven't tried already, look up PACE in your area. If dad qualifies, it would be the perfect solution for you both.

https://www.npaonline.org/pace-you/pacefinder-find-pace-program-your-neighborhood
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Good Morning,

Yes, I have tried the respite program and it is so needed today. I thought I was going to have a lot of back-up help coming from a large family but this is not the case.

Basically, the longer the illness goes on you have to set things up, "what if". I would simply go online, the closer the better. In my case I drove mother one morning a week and picked her up at a neighborhood Adult Day Center.

The 9AM-1PM (continental breakfast, lunch) and physical therapy covered by insurance with a co-pay along with an on-site RN was a big help. This is called a medical model, the nurse is full-time. They paint, plant, bake, all supervised.

The 10AM-2PM time slot mother was exhausted when she came home. She is always tired-fatigued due to the Lewy Body.

At first, I felt like I was dropping off a little kid the first day of school. I simply said, "Mom, I am going to run a few errands, I'll be back at 1PM." That's it, don't make a big deal out of it.

Some facilities have fees on a sliding scale--others, grants. My mother is able to hold a conversation. In all honesty, I think that if my mother attended more than one morning then she would backslide and become non-responsive.

At lunchtime, people who speak will say to my mother, "oh you can speak" and they all sit together like high school. It's sad in all honesty, especially when you learn that some of the attendees had these exciting lives (tennis player, head nurse at a hospital, etc.) before dementia hit.

You need peace of mind so if you want to get your hair done, oil changed on the car, doctor's appointments, you know that every say "Tuesday" you have a 4-hour time slot that is available to you where you father is safe, fed and supervised.

You don't want to rush home if he doesn't pick up the phone or find him on the floor, etc. You want to put the odds in your favor.

In my case, it had to be done, however, where I live it's now flu season. So, I pulled Mom out for the wintertime and possibly will return in May if there is a slot.

An UpWalker Lite depending upon if your father is mobile and good walking shoes that fit since when the elderly lose weight their feet shrink too, I highly recommend. Good shoes are important.

As far as the medications, I took that over the first sign of trouble. I have (2) calendars. (2) pill boxes that lock and I fill the meds once a week and I dispense.
Fortunately, there were no meds that needed to be given during the respite. I did ask the RN to take my mother's blood pressure.

Also, there is a service that some drugstores offer. They package the daily meds but this only works if they are taken at one time and if your father has the executive functioning skills to do this. I would not leave this to chance.

You can't wing this. If he is unable, don't say dad did you take your medication? I would NOT give him access to medications. Too much can go wrong and this could present another set of problems.

Your internet provider can put a sensor on the door, with a camera facing it and should dad leave, you get a text with a video of him going out the door. $20 per month, well worth it. A lifeline button is recommended as well.

I would start dad out with one morning a week respite. My mother became accustomed to it, I needed assurance that nothing would happen to her while I was running errands, but in all honesty, my mother doesn't miss it. It was a necessity for the both of us so I could keep mother home. I told her that...if you want to remain home, then you have to attend one morning per week. You have to keep your ship afloat so that when your loved one is called home to the Lord, you are still standing.

On Sundays' the Eucharistic Minister comes with Communion and a Church Bulletin. They never miss, rain or shine--Christmas Day and Easter. Mother looks forward to it.

Your dad's primary care physician can do an assessment and write orders for P/T for the facility. Sign up for the portal.
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KNance72 Jan 2023
very good advice
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Sone members of my support group use it. Check with your local Council on Aging to see if there is some stipend also.
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Day care - Our VA offered it for my husband but when I visited, I impressed and almost went with it but decided against it because he is so high risk for pneumonia so I try to avoid public gatherings. Like a children's day care they aren't suppose to come with fever, etc. However, I remember there were times I sent my children to school believing everything was fine only to be called before noon because they were sick. For someone who is relatively healthy it seemed like a great choice. As someone else mentioned, for those who qualify the P.A.C.E. program may be an option which in our area includes adult day care. They even offered transportation.

Me Time - If he has VA benefits, ask about respite care. I now get 16 hours a week for someone to come to our home.

Before this benefit kicked in, I was able to get the grants from our Area Council on Aging to help pay someone to come to our home to help. In our area, these were only valid for three months at a time and depending on their funding sometimes could be renewed.
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Your Doctor Can order the visiting Nurse to come in for medicine . A Certified nurse for bathing and Light Housekeeping . CNA . Physical and Occupational therapy can be ordered a couple times a week . I have Not tried daycare but that Is a Option .
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My husband with dementia attended senior day care and he loved it. They had planned activities and a hot lunch everyday. They even had a therapy dog come in once a week and my husband loves pets. He looked forward to it and called it his “job”. It gave me the downtime I so needed. I dropped him off in the mornings but they also provided transportation. When he got home we had dinner together and he would tell me all about his day, shortly after that it was bedtime! You can do as many days as you want/willing to pay for. We started out with 2 days/week and advanced to 3. It would have probably progressed to more but sadly Covid shut everything down. He spiraled downhill quickly after that
and now he is in SNF. Good luck with your decision.
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My mother goes to daycare 4x a week. It started off as one day, then 2 then 3 then 4 days. I had to talk her into it. Now she loves it. My situation wasnt easy. First daycare closed. The second stopped bus service. Had to pick a third one that offered bus service. Elder service pays for 3 days and she pays for 80.00 for one day. I wake up earlier to get mom ready for daycare but the respite is worth it. I also work from home. Adult day care gives me respite, allows me to work and has helped keep my sanity. Mom loves it too. I recommend it to anyone.
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My husband started going to a city-run adult day care last June. He was never a group activities kind of guy so I wasn't sure he'd like it. After day-1 I didn't think it was going to work out as he seemed very grumpy about going but the center's administratorsuggested we keep trying and now he loves it. They are only open 3 days a week since covid; I started him out at 2 days a week- now it's 3. I drive him and pick him up; as it's only a mile from our house it's easy. Lovely building, nice room, nice staff. He really blossoms there, telling jokes and dancing and thanks all the staff people when he leaves. I work from home and can get work done or I take leave time and use the time to run errands or do projects around the house while he's away. Highly recommend.
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Adust day care provides a social sharing of age relations more than most seniors can get at home.
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My mom attended a county run senior center and loved it. There are daily activities, time for the members to socialize and share meals. They even went on outings to different places around the community.
Consider contacting the local council on aging. They provided additional support to help mom stay in her own home - companion care, light housekeeping. Basically, they will assist you by doing things you have trouble getting to. Cost was income based with nominal copay.
praying for you as you continue with the journey of helping your father
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It isn't a matter of any of us individually liking it (as)

* Every individual using services in a day care is diferent (history, inclinations, medical conditions)

* Every management team and individual worker is different.

It depends on the specific interactions of the daycare team and how your dad may 'take' (resist / enjoy) this new environment / experience. Even if he is shy or resists, it is important to ask management how they integrate (ease in) a new person into their community, then watch them.

I would suggest:

* Talk to the management about your dad (and they will / definitely should ask about him / personal preferences, inclinations) and explain how they operate.

* Sit / observe, watch how staff / management interacts with their clientele.

* First day or two when your dad is there, sit with him and (then) away from him to observe how he is in the group setting; how staff support him (they will definitely show more interest in him with you there although ideally, it will be the same level of support when you are not there).

As well, I applaud you for considering this as it will give you some seriously needed personal time 'off' (space) to yourself. As well, it may stimulate new feelings for your dad being in a new environment surrounded by others engaged in activity.

- They will be able to do so much more for / with him than you can by the fact there are more / different people around with a targeted purpose (whatever activity it is).

* The only way you will know how things go is to try it, encourage him to try it out if he is reluctant. Encouragement / support / active listening go a very long way in these (any) new situation / behavior.

Let us know how it goes.

Gena / Touch Matters
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My mother absolutely loved it. Taking her there was evidence that organized activities would be the best thing for her. As she declined, it was an easy decision to move her to AL and now MC. When there are activities, she is happy and tired out enough to sleep better. It's a win-win-win for all.
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When my mother was able, she used to go to day care. She loved it.
She used to think that she was going to work. They did variety of activities, and including day trips. I thought it was wonderful.
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If your father is agreeable to an outing to adult day care, do it. He will be able to connect with others his own age and engage in the activities offered. The more you can get him out and about and being with others, the more you both will benefit. He gets to be around others besides you (before he gets too used to that and then all interest dwindles away) and you'll get some time to yourself or to be with others. Don't let it become a 24/7 caregiving role if there is anyway to put that off into the future.

Check some facilities out and chose the one with the most activities and people that seem to be encouraged to participate. If you're dad loved a game like dominos or cards, find a place that offers those things.
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I started my mother 2 times a week with Adult care and both of us love it my mom is mild dementia some mornings she does not want to go but when we get there and she sees people her own age and the activities they do it is worth it and I get some of my life back.
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you could check with friends who had parents in day care, also there are people who would come to your home (aides) who are trained to help out. this would help you if your dad is ok with it. if he doesn't care then you are good.
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If you are contemplating "adult day care" in the home, don't fail to explore Home Instead. I was able to keep my husband at home through a long sad year with the incredible help of two wonderful compassionate people who arrived promptly at 8:00 a.m., bathed him, fed him his breakfast, changed his bed linens and "entertained" him (kept him company without talking down to him). He was unable to walk due to post-polio and I relied on the Home Instead helpers to get him up and dressed. He had some dementia but knew his friends and greeted them when they arrived. When they left at noon, they usually helped him to bed and my shift started. Regrettably I could only afford them 3 days a week so the rest of the time I was on my own. I would have had them 5 days a week but the long term care insurance (Lincoln Benefit Life) I had been paying for for 20 years ($80K) is STILL refusing payment of our legitimate claim. Re the meds, you'll have to continue supervising.
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DrosieD Jan 2023
My husband has Alzheimer's. I'm going to keep this in mind. We're moving to a single-story home soon. I'll check local COA for reputable daycare in my area. I'll definitely check out Home Instead when he becomes beyond the adult daycare.
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Pammie187: Perhaps your best resource would be your locality's COA (Council on Aging), who should have on staff an elder care professional and also a social worker. Start there.
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