Expert: When to get help for Alzheimer's

How do I know when it's time to move a loved one with Alzheimer's disease to a care facility, and what resources are available to help make that decision and choose a facility?

Moving a loved one who is suffering the effects of Alzheimer's disease into a care facility is an individual decision that comes at a different time and under very different circumstances for everyone. It's a difficult decision that weighs heavy on caregivers and often leaves them fraught with guilt. However, there are times and situations when a higher level of care may be needed.

Alzheimer's disease is a progressive condition that slowly erodes the ability of those afflicted to think clearly and provide for even their most basic daily needs. While caring for an individual with Alzheimer's disease in the home where loved ones are nearby is preferable because of the familiarity and convenience it affords, medical issues can, over time, precede its practicality. Ultimately, progression of the disease may bring about behavioral, physical and cognitive factors that necessitate a move to a care facility.

For instance, behavioral issues such as aggression, paranoia, hallucinations, delusions and false beliefs may take a toll on both the individual and the caregiver. Additionally, physical challenges like falling, incontinence, wandering and even limitations imposed by the home environment -stairs for instance - may mean home isn't the safest place.

There are many options for those trying to decide if and when their loved one should be moved to a facility. There are also many resources to help choose a facility. Assisted-living facilities, group homes, nursing homes and long-term care facilities are all alternatives to consider when researching care options for your loved one. The Banner Alzheimer's Institute and the Alzheimer's Association have family care consultants who can help coordinate a range of referral services, education and support programs for caregivers.

And, while forgetfulness is a challenge associated with caring for almost all elderly patients, including those with Alzheimer's disease, it's the numerous issues that result from dementia that ultimately wreak havoc on caregivers. The subject of caring for loved ones with Alzheimer's disease usually centers on the patient's needs, but it's important to think about the emotional and physical needs of the caregiver as well.

You don't have to care for a loved one alone. There are many options to ensure both you and your loved one are well cared for.

Dr. Marwan Sabbagh is a geriatric neurologist and chief medical/scientific officer at Sun Health Research Institute. His office can be reached at (623) 875-6500. If you have a question for a medical professional, you cane-mail it to BannerBoswellPR@BannerHealth.com and check future issues of The Northwest Valley Republic for answers.