Apr 21, 2015 - 05:56 PM
I believe the answer to this question varies with the individual, what their needs are and how well all their needs are currently being met and by whom, and their finances.
If an individual is being cared for in their home, all their personal care needs to include all activities of daily living are being met and their social needs are met by family, friends and or professional providers and the home environment is safe for them 24 hours/day 7 days per week. Then there may not be a reason to make a change.
Many times a memory care facility is advantageous when the individual is demonstrating at risk behaviors that are difficult to control in their current environment. Behaviors such as wondering outside the home especially at night, aggressiveness, trying to drive and resume other activities they believe they can perform when clearly they cannot.
Or when their personal care needs to include medication management, meal preparation, incontinent care, inability to walk, difficult to transfer from bed to chair become to difficult for the family caregiver to manage.
Usually long term care for needs described are private pay or paid through a long term care insurance policy so if the individual can afford professional personal care, it often times is needed as the dementia progresses whether it is delivered in home or in a memory care facility.