It is normal for our mom, dad, grandma, or grandpa to forget things as they get older. Sometimes they may forget small things like where the two mirrors were or where the keys were. An adult with such a minor memory loss can live alone. Perhaps with a little help from family and friends. However, if this memory loss happens regularly, it is not normal. It may be a symptom of a medical condition like dementia . In that case, they need special, extra attention and care.
When is the best time to seek help?
We all want to keep our beloved elders with memory problems like dementia at home, with us. But it's not easy. We need the time, effort, and training to create a safe and mentally stimulating environment for them.
Over time, they may need more attention than their family can give them. Imagine, your mother finds it difficult to go to the washroom alone, or you may get lost outside the house without her knowing. These things are a big threat to their safety .
Similarly, you need to think about your mental health. Taking care of an older person, especially someone with dementia, is a big commitment. There are care centers that have people who are specially trained for this. But when you do this without that training, you can also experience a lot of stress, frustration, and depression . This is called 'caregiver burnout' . If you are feeling this way, it means it's time to think about another option.
Remember, considering other care options doesn't mean you're abandoning your loved one. It's a decision you make to provide them with the best and safest care they need.
What are the care options for adults with memory loss?
There are different levels of care available to help adults with memory problems. These range from places that provide care for a few hours a day to residential centers that provide 24-hour care. Let's take a look at each type separately.
| Type of care | What happens with this? |
|---|---|
| Adult Day Care | These are places that provide supervision and various activities for a few hours a day for an adult who is at home. It is also a good opportunity for those who care for them to get some rest. There are two main types of these: 1. Social centers: Focus on hobbies (music, art, exercise). 2. Health Centers: Provides health and social support to adults with serious medical conditions. |
| Assisted Living Facilities | These are a good option for those who are no longer able to live alone at home. Here, you can live with some independence, while receiving the necessary support. Usually, services such as small rooms, meals, cleaning, and medication are provided here. It is more important to choose places that have special units (Memory Care Units) dedicated specifically for dementia patients. |
| Full-time nursing care centers (Nursing Homes) | These are suitable for people who require constant care and medical supervision 24 hours a day. These may include units specifically designed for people with dementia, with features that ensure their safety (e.g., locked doors, secure outdoor spaces). |
How to choose a good daycare center?
Choosing the right place for your loved one is a big responsibility. Before choosing a place, research these things carefully.
- Be sure to visit several times: If possible, go without notice at least once. It's also good to visit in the evening.
- Pay attention to cleanliness: Is the place clean and tidy? Does it smell bad? These are important.
- Look at the staff: Observe how the people working there talk to and treat the elderly. Are they patient and kind?
- Ask about security: Ask what security measures are in place to prevent a person with dementia from wandering off. Are doors and gates locked?
- Ask others: If you get a chance to talk to other adults or their families there, ask them if they are satisfied with the place.
- Check the food: Check to see if the food served looks clean and appetizing.
- Staff training: Ask what training the staff has received to care for people with memory problems.
Cost and obtaining financial assistance
There is a cost to these types of care services. This cost varies from center to center and depending on the services provided. This can be a big burden, especially for low-income families. However, there are several ways to get help.
The most important thing is not to give up on providing the care your loved one needs because of financial difficulties. Never be afraid to ask for help and explore alternatives.
Here are some ways to get financial support in Sri Lanka:
1. Ask the Social Services Department: Ask the Social Services Division at your local Divisional Secretariat or the District-level Social Services Department about benefits or assistance programs provided to seniors.
2. Non-Governmental Organizations (NGOs) and Voluntary Organizations: There are many non-governmental and religious organizations in Sri Lanka that are dedicated to elder care. They may provide services at a subsidized rate or for free. Find out about these online or by asking people in the area.
3. Ask the hospital social worker: Meet and talk to the social worker at the hospital where your elder is receiving treatment. They can guide you in this regard.
4. Ask the center directly: Ask the care center you choose if they offer any payment discounts or installment plans.
It is important to talk to your family doctor (GP) for more information and guidance on this. They can advise you on the most appropriate care for your older adult and where to go for it.
Take-Home Message
- It is important to distinguish between normal memory loss that occurs with age and a medical condition such as dementia. If in doubt, seek medical advice .
- If you, the caregiver of your beloved elder, are feeling overwhelmed or are having concerns about the elder's safety, it's time to consider getting outside help.
- Be aware of different options such as day centers, assisted living dormitories, and full-time nursing care centers.
- Before choosing a daycare center, carefully research its cleanliness, staff behavior, and safety.
- Even if you have financial difficulties, be sure to inquire about the assistance available from institutions such as the Department of Social Services and NGOs. Don't give up hope.
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