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Anyone able to keep alzheimer spouse home until death

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  • jhop
    jhop Member Posts: 2
    First Comment
    Member

    This is where I am at…13 years with just me as caregiver and now Hospice...I am baffled....and second guessing myself, feeling guilty. It is actually good to learn this happens..these questions are normal and the guilt is a common thread. Thank you for posting.

  • howhale
    howhale Member Posts: 321
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    Member

    Hospice services were a lifesaver for me to enable me to keep my DW at home through the end. They provided help for about 9 or 10 months. As long as there was some level of continuing decline between each periodic evaluation, she was qualified for continuing hospice. I found that hospice nurses, while adhering to the guidelines carefully, are considerate and willing to help ensure continuing services. It was difficult and I did employ a couple of terrific ladies as caregivers a few hours a day to let me get some relief. Caregiver services proved unacceptable in the quality of people provided so I searched and found people who truly understand AD and the unique aspects of the disease.

  • oubadknees
    oubadknees Member Posts: 1
    First Comment
    Member

    where did you search for people? You mentioned caregiver services were not good. My DW is 72 and only diagnosed a year ago. Currently in MCI.

  • howhale
    howhale Member Posts: 321
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    Member

    I used the local community online networks, referrals from others. Posted on care.com but had to be very, very careful as I got flooded with responses from many who clearly did not fit and were unqualified. Selected one from there and lucked out and others from local online networks after interviewing and screening carefully. I limited my search to those who lived within a narrow distance so that the travel to and from was not an obstacle nor overwhelming expense for them. Found so many claim experience with AD patients but fell horribly short of real experience or knowledge. I found that caregiver services were charging me, at that time, $35/ hour but the individual, after their deductions was only netting less than $16 or $17 per hour. Once I knew these details it made sense why I was getting such poor results. Pay a fair wage, interview yourself and be really hard with questions, try with monitoring. I have cameras installed to see the common rooms and I told them all that I watched them regularly. Some walked away. Some got asked to leave. A few select got hired. Lastly, if you know someone who is truly knowledgeable about AD (I mean really experienced and knowledgeable by experience, not by books and videos) try to recruit them to at least assist with interviewing candidates. I did that and she was terrific at finding good people. My DW was diagnosed with MCI in 2017 and I managed her care myself until her last year or so when it was too much alone. She passed in August 2025. Good luck to you.

  • persevere
    persevere Member Posts: 220
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    Member

    Howhale, I am pretty much following your playbook with my DW. Started with light help but now up to 4 to 5 days a week with a helper and hospice. Question - I mentioned to my helper that maybe we needed to bring in a second helper. I think she got a little spooked. I assured her she’s not going anywhere but it just seems like even the two of us struggle at times. How did you juggle 2 helpers if you don’t mind me asking.

  • persevere
    persevere Member Posts: 220
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    Member

    Thanks Howhale. Very thorough and helpful advice.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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