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Home Care vs Memory Care: What Level of Care is Appropriate at Each Alzheimer’s Stage

Every month, nearly 2,000 people search the internet asking if it’s safe for someone with dementia to be left alone. For many, this question arises as they watch a loved one navigate the challenges of dementia, and they wonder when – or if – in-home care is enough. The search usually comes from family caregivers, who are not only the first to notice changes but are also the key decision makers when it comes to care. The choice between in-home care and memory care can feel overwhelming, but understanding dementia’s progression can help clarify what’s best for your loved one.

What Is Dementia and How Does It Progress?

Dementia is a broad term that describes a decline in cognitive function severe enough to interfere with daily life. It’s not just about forgetfulness; it can also affect language, problem-solving abilities and even behavior. Alzheimer’s disease is the most common form.

Dementia is typically categorized into three stages: early, middle and late. Each stage brings a different set of challenges, and the level of care needed increases as the disease progresses.

Early-Stage Dementia: Independent but Needing Support

In the early stage, people with dementia are often still independent. They may forget recent events, have trouble finding words or misplace items, but they can often manage their day-to-day lives with minimal help.

In-home care options

At this stage, in-home care can be an ideal solution. A caregiver might help with medication reminders, housekeeping and meal preparation. The person with Alzheimer’s or other forms of dementia may not need full-time supervision yet, but a few hours of assistance can ease the burden on family members.

Memory care community options

A move to memory care at this stage is less common but can be considered if safety concerns arise early or if the family prefers a structured environment. Montereau’s memory care neighborhood, for example, offers a safe, enriching environment with activities that can keep early-stage dementia residents engaged, like outings to local Tulsa favorites like Society Burger or a visit to a nearby pet shop.

Middle Stage Dementia: Increased Supervision and Support Needed

As dementia progresses to the middle stage, symptoms become more pronounced. Memory loss worsens, and the person may start to experience confusion about time and place. There might be personality changes, mood swings or even wandering behaviors.

In-home care options
In-home care can still work in the middle stage, but it becomes more complex. Caregivers will need to be present more frequently to ensure safety, help with personal care like bathing and dressing and offer emotional support. Modifications to the home, such as installing locks or removing hazards, may also be necessary.

Memory care community options
At this point, many families start considering a memory care community like Montereau’s, where specialized staff can provide 24/7 care. Memory care communities offer tailored care plans, structured routines and an environment designed to work with wandering needs, reducing confusion and agitation. Montereau’s sensory garden and private courtyard allow residents to safely enjoy the outdoors, while structured activities help reduce anxiety and promote a sense of calm.

Late-Stage Dementia: Full-Time Care and Monitoring

In the late stage, people with dementia often lose the ability to communicate, and their physical abilities decline. They may need help with all daily activities, including eating, dressing and moving around. Safety and comfort become the primary concerns.

In-home care options
Providing full-time, in-home care at this stage can be physically and emotionally exhausting for family caregivers. Professional caregivers or nurses can provide the required level of care, but round-the-clock care becomes essential, which can be costly and logistically challenging.

Memory care community options
A memory care community is often the best option in the late stage. With 24-hour supervision, specialized care and medical support on-site, a community like Montereau can ensure that residents receive the attention they need. Additionally, Montereau offers meaningful activities like sensory therapies and compassionate end-of-life care, ensuring your loved one is comfortable and well cared for in their final stage of life.

How Montereau’s Memory Care Community Can Help

Choosing between in-home care and memory care is a deeply personal decision, and every family’s situation is unique. However, Montereau’s memory care neighborhood provides a comprehensive, compassionate environment for individuals at any stage of dementia. With an indoor-outdoor sensory garden, private courtyard and regular outings, residents remain engaged with the world around them in a safe and supportive setting.

By understanding the stages of dementia and the type of care each stage requires, you can make an informed decision that brings peace of mind knowing your loved one is safe, supported and living with dignity.

Contact us today to schedule a tour of our memory care neighborhood.

At Montereau, we’re here to help you navigate this time. For additional information on locating resources, give us a call today at 918-495-1500.