什么是记忆力? The basics of memory care
  • Demographics of memory care communities
  • Community life
  • Services offered at memory communities
  • The costs of memory care
  • How to select a memory care community and what to expect during the assessment process
  • Finding inspection records on memory care communities
  • Touring a memory care community
  • Moving your loved one to the community and life after move in
  • Time moves in one direction, memory in another—William Gibson

    We typically associate old age with the fragility of the physical body: the wrinkling of skin, arthritis in the joints and failing eyesight. Even the mind shows its age with bouts of forgetfulness, whether it is forgetting where glasses were laid or an anniversary date. But what happens when the mind ages in a way that disrupts a person’s personality or memories?

    These are the heartbreaking effects of Alzheimer’s or dementia. While it’s easy to prescribe stronger reading classes or medication for arthritis, healing a mind with Alzheimer’s or dementia isn’t possible, leaving families little choice but to adapt to their loved one’s condition.

    If, after reading this article, you would like to find out more about memory care communities, or you need to discover a community that may be right for you or your loved one, please give us a call. Our dedicated team will help you find the right community, in the right location, with the right services and at the right price—all for free.

    What is Memory Care?The basics of memory care

    Alzheimer’s and dementia are two of the common memory-loss conditions included under the umbrella of memory care. This specialized care spans a spectrum of services depending upon the severity of symptoms exhibited by an individual—from cueing to requiring a secured setting to prevent elopement.

    Memory care goes beyond what is traditionally offered in an assisted living setting. Housekeeping, laundry and meal preparation services are provided but the level of assistance with activities of daily living is increased. Often the daily activities are designed specially to allow the individual to reconnect with favorite hobbies or interests.

    In recognition of the unique care challenges that Alzheimer’s and dementia pose, communities may only provide memory care, or in the cases of a continuing care community, have a neighborhood solely for residents requiring memory care. Often these communities incorporate design elements that research has shown to lower stress in individuals with Alzheimer’s or dementia. These elements include increased natural lighting, memory boxes outside the room and a circular neighborhood design that allows for safe wandering. Because an estimated six in 10 people with Alzheimer’s will wander, communities are designed to minimize the risk of elopement, whether employing security alarms on doors or performing more frequent safety checks.

    Demographics of memory care communities

    While there is data available for the demographics of assisted living and nursing homes, the same is not available for memory care communities. The Alzheimer’s Association reports that in 2014, an estimated 5.2 million Americans had Alzheimer’s. Five million of these individuals were 65 or older, and women compose most of these cases with 3.2 million compared to 1.8 million men.

    Community life

    The amenities found at a memory care community may not be as glamorous as those found in an independent living or assisted living community, such as an ice cream parlor or indoor swimming pool, but that is by design rather than oversight. Because research has shown that seniors with Alzheimer’s and dementia can become easily stressed and disoriented, communities are designed to create a relaxing setting.

    Communities typically have a secured courtyard that allows residents the opportunity to walk outside or garden without the risk of elopement. Gathering places, such as a TV lounge or library, are also common features. To create a more intimate setting for residents, a memory care community may even be designed around a neighborhood setting, with apartments clustered around shared common areas. Hallways are likely brightly colored, in a variety of colors, to assist residents in finding their way.

    Apartment suites are typically available in private or companion options, with some communities offering a one-bedroom apartment floor plan. These suites won’t have the kitchenettes found in assisted living apartments and the amenities are minimal—again, in the effort to reduce stress. To assist in way finding, many communities will place a memory box filled with mementos from the resident’s life outside each apartment.Man Gardening

    Dining rooms typically feature family-style dining so residents can gather together for mealtimes. Some memory care providers, such as Autumn Leaves, specially design menus that address the lack of appetite that can accompany Alzheimer’s and dementia. Their dining rooms feature a tropical fish tank, as studies have shown that watching fish can increase appetites, and attention is placed on creating a contrast between the food’s color and the plate so residents can better see the food.

    Activities are specially designed around a resident’s past interests so residents may reconnect with their memories; art classes, music and games are usually offered, along with exercise classes. Some communities may also provide escorted outings.

    Services offered at memory communities

    At a memory care community, staff handle all the responsibilities of life—from housekeeping and laundry to meal preparation and transportation. Assistance with activities of daily living is also a standard service offering.

    Advanced healthcare services, such as skilled nursing services, are typically not offered unless the community is part of a larger campus.

    The costs of memory care

    Because Alzheimer’s and dementia requires a higher level of care, memory care costs are higher than those of assisted living. While the cost assisted living and nursing care have been calculated for each state, the same has not been done for memory care.

    To help you budget for when a loved one needs to join a memory care community, SeniorHomes.com has compiled pricing* for each state.

    State Monthly Average Monthly Minimum Monthly Maximum
    Alabama $4,101 $1,800 $5,695
    Arkansas $3,792 $2,550 $5,525
    Arizona $4,160 $2,845 $6,210
    California $4,524 $2,320 $8,200
    Colorado $4,828 $2,020 $7,595
    Connecticut $5,344 $3,000 $8,280
    Delaware $4,990 $3,700 $7,410
    Florida $3,817 $2,000 $5,795
    Georgia $4,036 $2,575 $5,430
    Iowa $4,620 $3,000 $6,025
    Idaho $3,165 $2,495 $4,000
    Illinois $4,950 $1,265 $7,180
    Indiana $4,610 $1,800 $8,550
    Kansas $4,813 $3,315 $6,685
    Kentucky $4,403 $3,750 $5,370
    Louisiana $3,892 $2,825 $5,000
    Massachusetts $5,642 $3,475 $8,750
    Maryland $4,822 $3,100 $6,840
    Maine $5,800 $5,130 $6,300
    Michigan $4,265 $2,660 $6,020
    Minnesota $4,511 $2,304 $5,700
    Missouri $4,760 $3,294 $5,185
    Mississippi $3,233 $2,425 $4,285
    Montana $4,108 $3,900 $4,350
    North Carolina $4,381 $2,950 $5,800
    Nebraska $4,813 $4,150 $5,195
    New Hampshire $5,208 $2,900 $6,900
    New Jersey $5,238 $3,395 $7,500
    New Mexico $3,440 $2,895 $4,125
    Nevada $4,391 $3,200 $5,475
    New York $5,055 $2,975 $10,099
    Ohio $4,559 $1,800 $7,665
    Oklahoma $3,862 $2,725 $5,590
    Oregon $3,854 $2,393 $5,200
    Pennsylvania $4,599 $2,095 $10,447
    Rhode Island $5,270 $5,050 $5,490
    South Carolina $3,703 $2,320 $5,156
    Tennessee $3,841 $2,360 $5,800
    Texas $4,520 $1,950 $6,300
    Utah $4,528 $3,100 $5,850
    Virginia $4,100 $1,800 $6,850
    Vermont $5,575 $3,500 $7,650
    Washington $3,983 $2,600 $5,000
    Wisconsin $4,220 $3,600 $5,700

    *2015 Cost data provided by senior living communities and compiled by SeniorHomes.com is subject to change without notice. This data is for informational purposes only and may contain inaccuracies. Your actual senior living costs may vary depending on your personal situation.

    The monthly rate for most communities includes the cost of rent and services; utilities may also be included with cable TV and phone often extra. A one-time community fee is standard, and there may also be an assessment fee. How care costs are calculated varies by community. Some communities may offer different care packages, ranging from minimal cueing to hands-on assistance, which allows families to select the care level which meets their loved one’s needs. Other communities assign care points to the level of support a resident requires and charge a fixed amount per care point, in addition to the monthly fee.

    How to select a memory care community and what to expect during the assessment process

    Given the high costs associated with memory care, some families may seek the less expensive alternative of an assisted living community to care for their loved one. The good news is that more assisted living communities are offering “memory care light” for those who don’t exhibit wandering or require an enhance environment. For those seniors who exhibit wandering or require constant attention, a memory care community is the best option.

    However, if may be difficult to find a community, especially in rural areas, that offers memory care. Of the senior living providers that offer memory care services, the National Study of Long-Term Care Providers, 2012 found that only 26 percent serve residents with dementia or have a portion of the community designated as providing dementia care. Some companies, such as Silverado or Autumn Leaves, only provide memory care at their communities while others offer this care type along with assisted living.

    Figure 1. Selected characteristics among residential care communities, by community bed size: United States, 2012

    Characteristics of Memory Care Communities

    Courtesy of NCHS Data Brief Number 170, November 2014. Operating Characteristics of Residential Care Communities, by Community Bed Size: United States, 2012.

    With the larger communities being those that primarily offer memory care, you may be reluctant to have your loved one join, as he/she might not receive one-on-one care or be overwhelmed by being surrounded by many people. However, many memory care communities are designed around a neighborhood-style setting, where common areas are duplicated throughout the community. This allows residents to have a homelike atmosphere within a larger setting.

    Once you have identified a community, your loved one will be assessed to determine whether they are a good fit for the community, i.e. whether the community can provide the type of care they require. Depending upon the community’s assessment policy, a nurse may visit your home to assess your loved one. It is important to be honest about your loved one’s behavior, whether he/she wanders or has difficulty walking, so the nurse can develop a care plan that thoroughly addresses all his/her care needs.

    Finding inspection records on memory care communities

    Unless services, such as medication management and assistance with activities of daily living, are provided by a third-party home care agency, most memory care communities are licensed and inspected by a state agency charged with Smiling Coupleoversight of long-term care facilities. These inspection records are available from each state, either online or through a public records request. If the memory care community is part of a larger campus, the community might be listed in a directory search by its name rather than the campus name. For example, if the community is called The Pines, the memory care community might be called The Terraces at The Pines.

    Most states also require communities to post or make available their most recent inspection results upon request. By viewing several years’ worth of records, you can see if there are patterns of failing to follow procedure, and whether the violations are life-threatening or minor.

    Touring a memory care community

    It is also important to visit the community to see if it is a good fit for your loved one. Touring a community at different times is recommended, as this way you can view residents and staff throughout the day, rather than just at lunch or during activities. And because touring can be overwhelming at first, bring a checklist with you to note certain features. Also, make sure to use all of your senses to study the community. If you smell urine or see the building is in need of repair, it could be a red flag.

    Be sure to ask whether staff are certified or received training in memory care because this ensures that your loved one will be care for by staff who understand how Alzheimer’s or dementia affects the mind and body. Also ask if the community has a specialized memory care program. Because of the unique caring challenges that Alzheimer’s and dementia pose, some communities developed unique memory care programming, such as the Clare Bridge Program by Brookdale or Life Guidance at Atria, that guides how residents are cared for to ensure every aspect of their lives is properly handled—from physical well-being to being nurtured spiritually.

    Moving your loved one to the community and life after move in

    Once you have selected a community, you may dread the trauma that the transition will cause. However, there are a number of steps you can take to make the moving process less traumatic. Of these steps, establishing and sticking to a story is the most important. This could be as simple as telling your mother, “Your father is visiting a family friend.” Having your loved one’s room already decorated will also help with the transition and reduce the stress of moving. Some communities may also assist in escorting your loved one to the community.

    After the move, your loved one may not readily take to community life and ask to leave. In these situations, be prepared to have a story as to why he/she cannot come home, such as the house is being repaired. Eventually, your loved one will settle into a routine and accept the community as home.

    Written by SeniorHomes.com’s Andrea Watts.

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    你在哪里寻找帮助?

    记忆护理社区是专门为患有阿尔茨海默氏症或其他记忆相关疾病的老年人设计的退休社区。雷竞技平台可靠吗如果一个退休社区有阿尔茨海默氏症设施,它通常与独立生活和辅助生活区分开。其服务和设施旨在提高居民的生活质量,创造一种安全感和安全感。

    寻找记忆保健

    时间朝一个方向移动,记忆朝另一个方向移动威廉吉布森

    我们通常把衰老与身体的脆弱联系在一起:皮肤的皱纹,关节的关节炎和视力的衰退。就连大脑也会时不时地健忘,比如忘记玻璃杯放在哪里,或者忘记周年纪念日。但是,当心智老化破坏了一个人的个性或记忆时,会发生什么呢?

    这些都是阿尔茨海默氏症或痴呆症令人心碎的影响。虽然开设更强的阅读课程或服用治疗关节炎的药物很容易,但治愈阿尔茨海默氏症或痴呆症的大脑是不可能的,这让家人别无选择,只能适应他们所爱的人的状况。

    在阅读了这篇文章之后,如果您想了解更多关于记忆护理社区的信息,或者您需要发现一个可能适合您或您所爱的社区,请给我们打电话。我们的专业团队将帮助您在正确的位置,以正确的服务和正确的价格找到正确的社区,这一切都是免费的。

    什么是记忆力?记忆护理的基础知识

    阿尔茨海默氏症和痴呆症是记忆护理涵盖的两种常见的记忆丧失情况。这种专门护理根据个人表现出的症状的严重程度,包括一系列服务——从提示到需要安全的环境来防止私奔。

    记忆保健超出了传统上提供的辅助生活环境。提供家政,洗衣和膳食准备服务,但日常生活活动的援助水平增加。通常,日常活动是专门设计的,使个人能够重新连接最喜欢的爱好或兴趣。

    认识到阿尔茨海默氏症和痴呆症带来的独特护理挑战,社区可能只提供记忆护理,或者在持续护理社区的情况下,有一个专门为需要记忆护理的居民提供的社区。研究表明,这些社区经常融入设计元素,以降低阿尔茨海默氏症或痴呆症患者的压力。这些元素包括增加自然光,房间外的记忆盒和圆形社区设计,允许安全的漫步。因为据估计每10个老年痴呆症患者中就有6个会漫步无论是在门上安装安全警报器,还是更频繁地进行安全检查,这些社区都旨在将私奔的风险降至最低。

    记忆护理社区的人口统计资料

    虽然有数据可用于辅助生活和护理之家的人口统计数据,同样不能用于记忆护理社区。阿尔茨海默氏症协会报告称,2014年,估计有520万美国人患有阿尔茨海默氏症。其中有500万人年龄在65岁以上,女性占多数,320万,男性180万。

    社区生活

    记忆护理社区的设施可能不像独立生活社区或辅助生活社区那样光鲜,比如冰淇淋店或室内游泳池,但这是经过设计的,而不是疏忽的。因为研究表明,患有阿尔茨海默氏症和痴呆症的老年人很容易感到压力和雷竞技平台可靠吗迷失方向,社区的设计旨在创造一个放松的环境。

    社区通常有一个安全的庭院,让居民有机会外出或在花园里散步,而不会有私奔的风险。聚集的地方,如电视休息室或图书馆,也是常见的特征。为了给居民创造一个更亲密的环境,记忆护理社区甚至可以围绕社区环境设计,公寓聚集在共享区域周围。走廊可能是色彩鲜艳的,有多种颜色,以帮助居民找到他们的路。

    公寓套房通常可在私人或同伴选择,一些社区提供一间卧室的公寓平面图。这些套房不会有辅助生活公寓的小厨房,设施也非常小——这也是为了减轻压力。为了帮助寻找道路,许多社区会在每个公寓外面放置一个装满居民生活纪念品的记忆盒。男人园艺

    餐厅通常以家庭式用餐为特色,因此居民可以在用餐时间聚在一起。一些记忆护理提供商,如Autumn Leaves,专门设计了菜单,解决阿尔茨海默病和痴呆症可能伴随的食欲不振问题。他们的餐厅有一个热带鱼缸,因为研究表明,看着鱼可以增加食欲,人们的注意力放在创造食物颜色和盘子之间的对比上,这样居民就能更好地看到食物。

    活动是围绕居住者过去的兴趣而特别设计的,这样居住者可以重新连接他们的记忆;学校通常提供艺术课、音乐和游戏课,还有健身课。一些社区也可能提供陪同外出。

    记忆社区提供的服务

    在记忆保健社区,员工处理生命的所有责任 - 从家务和洗衣服务到膳食准备和运输。援助日常生活活动也是标准的服务。

    除非社区是校园的一部分,否则通常不提供高级医疗服务,例如熟练的护理服务。

    记忆力的成本

    因为阿尔茨海默病和痴呆症需要更高水平的护理,记忆护理的成本高于辅助生活。虽然每个州都计算了辅助生活和护理的费用,但对记忆护理却没有做同样的计算。

    为了帮助你为所爱的人需要加入记忆护理社区做预算,SeniorHomes.com汇编了每个州的价格*。雷竞技app怎么买球雷竞技平台可靠吗

    状态 月平均 每月最低 每月最大
    阿拉巴马州 4101美元 1800美元 5695美元
    阿肯色州 3792美元 2,550美元 5525美元
    亚利桑那 $ 4,160 2845美元 6210美元
    加州 4524美元 $ 2,320 8200美元
    科罗拉多州 4828美元 2020美元 7595美元
    康涅狄格州 5344美元 3000美元 8280美元
    特拉华州 4990美元 3700美元 7410美元
    佛罗里达 3817美元 2000美元 5795美元
    乔治亚州 $ 4,036 $ 2,575 5430美元
    爱荷华州 4620美元 3000美元 6025美元
    爱达荷州 3165美元 2495美元 4,000美元
    伊利诺斯州 4950美元 1265美元 7180美元
    印第安纳州 4610美元 1800美元 8550美元
    堪萨斯 4813美元 3315美元 6685美元
    肯塔基州 4403美元 3750美元 5370美元
    路易斯安那州 3892美元 2825美元 5000美元
    马萨诸塞州 5642美元 $ 3,475 $ 8,750
    马里兰 4822美元 3100美元 6840美元
    缅因州 5800美元 5130美元 6300美元
    密歇根 4265美元 2660美元 6020美元
    明尼苏达州 4511美元 $ 2,304 5700美元
    密苏里州 4760美元 3294美元 5,185美元
    密西西比州 $ 3,233 $ 2,425 $ 4,285
    蒙大拿 4108美元 3900美元 4350美元
    北卡罗莱纳 4,381美元 2950美元 5800美元
    内布拉斯加州 4813美元 $ 4,150 $ 5,195
    新罕布什尔 5208美元 2900美元 $ 6,900
    新泽西 5238美元 3,395美元 7500美元
    新墨西哥 $ 3,440 $ 2,895 4,125美元
    内华达 4391美元 3,200美元 5475美元
    纽约 $ 5,055 2975美元 10099美元
    俄亥俄州 4559美元 1800美元 7665美元
    俄克拉何马州 3862美元 2725美元 5590美元
    俄勒冈州 3854美元 2393美元 5200美元
    宾西法尼亚 4599美元 2095美元 $ 10,447
    罗德岛 5270美元 $ 5,050 5490美元
    南卡罗来纳 3703美元 $ 2,320 5156美元
    田纳西州 3841美元 2360美元 5800美元
    德州 4520美元 1950美元 6300美元
    犹他州 4528美元 3100美元 5850美元
    维吉尼亚州 4100美元 1800美元 6850美元
    佛蒙特州 5575美元 3500美元 7650美元
    华盛顿 3983美元 2600美元 5000美元
    威斯康辛州 4220美元 3600美元 5700美元

    *2015年由老年生活社区提供、由SeniorHomes雷竞技平台可靠吗.com编制的费用数据如有更改,恕不另行通知。雷竞技app怎么买球此数据仅供参考之用,可能有不准确之处。你的实际生活费用可能会根雷竞技平台可靠吗据你的个人情况而有所不同。

    大多数社区的月租费包括租金和服务费;公用事业也可能包括有线电视和电话,通常是额外的。一次性的社区费是标准的,也可能有评估费。医疗费用的计算方式因社区而异。一些社区可能会提供不同的护理包,从最低限度的提示到动手帮助,让家庭选择满足他们所爱的人需要的护理级别。其他社区根据居民需要的支持程度来分配护理点数,除了每月的费用外,每个护理点数还收取固定的费用。

    如何选择一个记忆护理社区,在评估过程中有什么期待

    鉴于与记忆护理相关的高成本,有些家庭可能会寻求辅助生活社区的较便宜的替代方案,以照顾他们所爱的人。好消息是,更多辅助的生活社区为那些不表现出徘徊或需要增强环境的人提供“记忆护理光线”。对于那些表现出徘徊或雷竞技平台可靠吗需要不断关注的那些老年人来说,记忆保健社区是最佳选择。

    然而,如果很难找到一个社区,特别是在农村地区,提供记忆护理。在提供记忆护理雷竞技平台可靠吗服务的老年服务提供者中2012年,全国长期护理提供者研究研究发现,只有26%的社区为痴呆症患者提供服务,或指定社区的一部分为痴呆症患者提供护理。一些公司,如Silverado或Autumn Leaves,只在他们的社区提供记忆护理,而其他公司则提供这种护理和辅助生活。

    图1所示。按社区床位大小划分的社区护理选择特征:美国,2012年

    记忆护理社区的特点

    美国国家卫生统计中心数据简报2014年11月第170号。按社区床位规模划分的养老社区经营特点:美国,2012

    随着更大的社区主要提供记忆护理,你可能不愿意让你所爱的人加入,因为他/她可能不会接受一对一的护理,或者被许多人包围而不知所措。然而,许多记忆护理社区是围绕社区风格设计的,社区内的公共区域是重复的。这使得居民在一个更大的环境中有一个家一样的氛围。

    一旦你确定了一个社区,你所爱的人将被评估,以确定他们是否适合这个社区,也就是说,这个社区是否能提供他们需要的护理类型。根据社区的评估政策,护士可能会去你家评估你所爱的人。重要的是要诚实地对待你所爱的人的行为,无论他/她是否在散步或行走困难,这样护士才能制定一个护理计划,彻底解决他/她的所有护理需求。

    寻找记忆护理社区的检查记录

    除非药物管理和日常生活援助等服务是由第三方家庭护理机构提供的,否则大多数记忆护理社区都是由负责记忆护理的州机构批准和检查的微笑的夫妇监督长期护理设施。这些检验记录可从每个州提供,无论是在线还是通过公共记录请求。如果记忆护理社区是较大校园的一部分,则社区可能会在目录搜索中列出其名称而不是校园名称。例如,如果社区称为松树,则记忆护理社区可能会被称为松树的梯田。

    大多数国家还要求社区邮寄或根据要求提供最新的检查结果。通过查看几年的记录,您可以看出是否有未能遵循程序的模式,以及违规是危及生命还是未成年人。

    巡回记忆保健社区

    去社区看看是否适合你所爱的人也是很重要的。建议在不同的时间游览一个社区,因为这样你可以在一天中查看居民和工作人员,而不仅仅是在午餐或活动期间。因为巡演一开始会让人不知所措,所以带上检查表让你注意到某些特征。同时,确保运用你所有的感官去研究这个社区。如果你闻到尿味或看到大楼需要维修,这可能是一个危险信号。

    一定要询问员工是否经过认证或接受过记忆护理培训,因为这确保了你的亲人将由了解阿尔茨海默病或痴呆症如何影响身心的员工来护理。还要询问一下社区是否有专门的记忆护理项目。由于阿尔茨海默氏症和痴呆症带来的独特的护理挑战,一些社区开发了独特的记忆护理程序,如布鲁克代尔的克莱尔桥项目或Atria的生活指导,该指南指导居民如何得到照顾,以确保他们生活的各个方面都得到妥善处理——从身体健康到精神滋养。

    搬进后,将你所爱的人移动到社区和生活中

    一旦您选择了一个社区,您可能会害怕过渡将导致的创伤。但是,有一些步骤您可以采取更少创伤的移动过程。这些步骤,建立和坚持故事是最重要的。这可能像告诉你的母亲一样简单,“你的父亲正在参观一个家庭朋友。”拥有你所爱的人房间已经装饰也将有助于过渡并减轻移动的压力。一些社区还可以帮助护送你所爱的人。

    搬家后,你所爱的人可能无法适应社区生活并要求离开。在这些情况下,你要准备好一个关于他/她为什么不能回家的故事,比如房子正在修理。最终,你所爱的人会适应一种日常生活,接受社区为家。

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