Grandpa has dementia/alzheimers, any advice on living arrangements?

Where will the care be given?

Memory Care in assisted living facilities are incredible for these types of folks.

Brookdale dot com

Assisted living. My 89 year grandpa now has a girlfriend. She is a mute...grandpa still teaching me things.

First person to talk to is his doctor. Where he goes and what type of treatment/care he gets will depend on his current physical condition plus the prognosis for his future health. The doctor can direct you to the proper health agencies to get more info. Best of luck, those of us who have had to deal with this situation already can surely sympathize with you.

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Really torn between letting him live with us or putting him in an assisted living.

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You may want to do that, and hire someone part-time to come in.

There are nursing homes for alzheimers patients. I'm sure you'll need to be referred /approved. A doctor will have to make this assessment.

And I'm glad you say money is not a big problem, since this care will run you about $5000 a month.

My advice to you is to seek a proper facility. We would all like to care for our loved ones, but there is appropriate care out there. He needs routine and structure. Moving him in with you is a temporary fix that may or may not suit him, then you'll end up paying astronomical amounts for sitters to compensate for the additional care required. Seek an appropriate setting. He will have a transitionary period wherever he goes, but give it a week or two and you will see that you made the right decision. The first step is looking, as hard as it may be. I work in the industry and am going through a similar family situation as well.

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moderate/severe dementia

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Not to be an arse/cold, but once it's severe, quality of care isn't going to make a big difference. My family put my 86 year old grandfather in a home once his Alzheimer's got severe. At that stage, he's mostly just going to sit around and do nothing. Higher quality care should be a priority in the earlier stages if you put him in a home, but my family just watched over him until he got so bad that it was impossible. It's an awful situation, but don't worry about putting him in "Paradise Gardens Senior Living", just put him in a place where you're confident that he won't be abused/neglected. He really won't know the difference.

Assisted living with a memory care unit would suit, if memory care is even necessary. Dementia diagnosis are fine for assisted living to an extent. The facility will help you coordinate the necessary physician paperwork.