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Index
Cover
Of Related Interest
Title Page
Copyright
About the authors
Contents
Disclaimer
Acknowledgments
Preface
Introduction
Chapter One: Coming to Terms with Dementia
What is Dementia?
Testing and Diagnosis for Dementia
Understanding Types of Dementia
Stages of Dementia
Stage 1: Mild or Early Stage of Dementia (Lasts Two to Four Years)
Stage 2: Moderate or Middle Stage of Dementia (Lasts Two to Ten Years)
Stage 3: Severe or Late Stage of Dementia (Lasts One to Three-Plus Years)
Treatment Plans for Dementia
Lessons Learned
Chapter Two: Care Facilities: Making the Right Move
Types of Care Facilities
Continuing Care Retirement Communities (CCRCs)
Independent Living
Assisted Living
Adult Family Homes
Skilled Nursing Facilities (SNFs)
Alzheimer’s and Memory Care Facilities
Guidelines for Screening Care Facilities
Making the Choice: Our Concerns in Selecting a Care Facility
Meals and Menus in Care Facilities
Social Activities in Care Facilities: What’s Available to Keep People Interested?
Moving to a Care Facility: Dementia and Disorientation
Dementia and Wandering Outside a Care Facility: A Choice of Safety or Independence
Switching Assisted Living Facilities: Making Sure It’s the Right Move
Conflicts with Assisted Living Staff
Lessons About Choosing a Service Area in a Care Facility
Memory Care: First Impressions
What Happens if You Live in a Different State?
Lessons Learned
Chapter Three: Can we Afford a Care Facility?
Paying for Long-Term Care
Long-Term Care Insurance
Reverse Mortgages
Veterans Benefits
Aid and Attendance Pension Benefit
Life Settlement
PACE Program
Income Tax Deductions
Medicare and Medicaid
Finances: Do You Really Know What’s Happening?
Comparing Costs: Living at Home or in a Care Facility
Facility Fee Structures
Cost Categories in a Long-Term Care Budget
Building a Five-Year Budget
What if a Family Cannot Afford a Care Facility?
Family Conflicts about Money and Caregiving Responsibilities
Lessons Learned
Chapter Four: Care Facility Agreements
Flexibility in Care Facility Agreements
Talking About Terms with Facility Staff
Care Plans
Attachments and Exhibits to Care Facility Agreements
Where to Turn for Help
Lessons Learned
Chapter Five: Advocacy in Medical Care
Unmasking Mom’s Medication Problems
Taking Responsibility for Someone’s Health-Care
Monitoring a Care Facility’s Medication System
Checkpoints for Monitoring Medications
What Happens When the System Breaks Down
Calming Drugs: Are They the Answer in a Care Facility?
Hearing, Vision, Dental Care, and Mobility
Lessons Learned
Chapter Six: Hospice and Palliative care
What Is Hospice Care?
Qualifying for Hospice Care
Role of the Hospice Team
Comfort Care for Dying Patients
The Importance of Educating Families about Dying
Lessons Learned
Chapter Seven: Advance Directives
What are Advance Directives?
Appointing a Health-Care Proxy
Shortfalls of Advance Directives
Five Wishes®: An Alternative to Traditional Advance Directives
Doctor’s Orders: Out-of-Hospital Do Not Resuscitate Orders
POLST: Physician Orders for Life-Sustaining Treatment
When to Take Action on Advance Directives
Lessons Learned
Chapter Eight: The Path Forward
Changing the Way We Look at Care Facilities
Neighborhood Alternatives for the Future
Dementiaville: The Answer to Future Care?
The Alzheimer’s Café
Current and Emerging Technologies
Epilogue
Appendix One: Examples of Cognitive Tests
Mini-Mental Status Exam (MMSE)
St. Louis University Mental Status Exam (SLUMS)
Appendix Two: Care-Plan Costs and Point Systems in Facilities
Appendix Three: Technologies—Now and the Future
In-Home Remote Monitoring Technologies
Tracking Technologies
Home Safety
Assistive Products
Cognitive Fitness Technologies
Education
Resources
General Resources
Chapter One: Coming to Terms with Dementia
Chapter Two: Care Facilities: Making the Right Move
Chapter Three: Can We Afford a Care Facility?
Chapter Four: Care Facility Agreements
Chapter Five: Advocacy in Medical Care
Chapter Six: Hospice and Palliative Care
Chapter Seven: Advance Directives
Chapter Eight: The Path Forward
Endnotes
Bibliography
Index
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