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ContentsGlossary |
MAKING THE RIGHT
CONNECTION
IN MACOMB COUNTY
Dementia Services
Section E
| SITUATION:
A person needs information on dementia |
| Pamphlets, fact sheets, videos,
books, etc. on dementia are available from: |
|
|
| SITUATION:
A caregiver of a person with dementia would like to attend a support
group. |
Support groups for Caregivers of persons with Alzheimer’s Disease
are available free throughout Macomb County at various times and
locations. Support group meeting days and times are subject to
change. For current information, call the Alzheimer’s Association,
(800) 272-3900. TTY: (887) 204-6924. |
|
|
| SITUATION:
A person with early stage Alzheimer's Disease would like to attend a
support group. |
|
Support groups for persons with early stage Alzheimer’s
Disease
are available free in
Oakland
County at various times and locations. Call to confirm the group’s
meeting date and times before attending, for more information call
the Alzheimer’s Association*, (800) 272-3900. |
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[Back to top]
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| SITUATION:
A person with dementia or their family members needs counseling |
Counseling for older adults
experiencing family, social, or emotional problems is available from:
|
| Catholic-Charities
of SE Michigan, Clinton Township |
(586) 416-2300 |
| Alzheimer's Association,
Southfield |
(800) 272-3900
(24 hour for Caregivers) |
|
| SITUATION:
An adult is experiencing a mental health emergency. (A situation
is considered a mental health emergency when an individual is at
direct and immediate risk of seriously harming him/herself or
someone else; if a person's symptoms of mental illness are active
and s/he is unable to care for her/himself; or is unable to
understand the need for treatment and these conditions can be
reasonably expected to result in harm). |
|
In a mental health emergency, adults
should be taken to the emergency room of the nearest hospital with an
inpatient psychiatric unit, or directly to Emergency Psychiatric
Services (EPS) - St. Joseph Mercy Hospital - East, Mt. Clemens, (586)
466-9895. At the hospital, Emergency Psychiatric Service staff will
assess the immediate need and obtain authorization for the appropriate
level of care. Treatment may be provided in an inpatient unit or in an
alternative community setting, according to best practices guidelines,
Macomb County Community Mental Health policy, and the situation.
|
|
For
other emergency situations, or after regular business hours,
contact the Macomb County Crisis Center, (586) 307-9100. (TDD: Tap
the space bar after dialing the number.) |
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Mental Health Assessment Services
are available for persons through Macomb County Community Mental Health* -
outpatient sites. Services include: assessment of the problem, insurance,
and referrals to an appropriate agency, based on needed level of care, type
of insurance and location of service. Macomb County Community
Mental Health* receives referrals through its Access Center*.
|
| CMH* Access Center* |
(586) 948-0222 |
8:30am-5:00pm M-F |
|
| Agencies are asked to contact the CMH Access Center to
discuss service responsibilities prior to referring the
consumer. Provider line to the Access Center*: (586) 948-0206.
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Referrals to physicians trained to
recognize dementia in a given geographic area is available from the
Alzheimer's Association*, (800) 272-3900.
Referral to a doctor (Geriatrician) trained to diagnose dementia is available Mt. Clemens
Regional Medical Center Doctor Connection (877) 627-6248.
|
| SITUATION: A
person with dementia and at risk for a nursing home placement who
wishes to remain in their home but cannot afford in-home care, needs
a coordinated care plan and help in paying for care. |
|
A program of services
(personal care, homemaking, respite, adult daycare, transportation,
home delivered meals, counseling, medical equipment and supplies) for
eligible Medicaid* recipients (18 years and older with a disability, and who
medically qualify for nursing home admission (e.g., personal care,
respite, medical supplies and equipment) to assist frail adults to
remain living independently. (This service may have a waiting list).
For more information about the MI-Choice Program call:
|
| Macomb Oakland Regional Center* |
(800) 236-3202 |
| Area Agency on Aging 1-B* |
(248) 852-7795 |
| Washtenaw Community Health Services |
(734)
544-3050 or (734) 222-3400 |
|
|
|
Free to low cost medical
services including treatment for acute illnesses (colds, ear
infections, bronchitis, rashes, cuts); women's health (gynecological
physicals, family planning, sexually-transmitted-diseases*);
treatment for chronic illnesses (high-blood pressure, diabetes);
employment and school physicals: referrals to other services.
Service is available for persons and families of all ages,
economically disadvantaged, persons with no medical insurance.
Available from Neighbors Caring for Neighbors Clinics* Outreach
Clinic.
|
Neighbors Caring for
Neighbors Clinic at Samaritan House
58737 Van Dyke
Washington, MI
(586) 677-3788 |
Clinic Hours
First,
third and fourth
Mondays only:
9:00 A.M. - 4:00 5:00 P.M.
The second Monday 11:00 - 6:00 P.M.
The clinics are open at varying dates and times, depending on
community need, staffing availability and a number of other options.
For the most up-to-date times, please call the clinic you are
interested in visiting. Appointments are preferred. Walk-ins
are accepted for urgent problems only.
|
St. Joseph Mercy
Neighbors Caring for Neighbors Clinics at Mt. Clemens - Henry Ford
Hospital
13355 E. 10 Mile Rd.
Warren, MI 48089
(586) 756-7005 |
Clinic Hours
Tuesdays: 9:00 A.M. - 2:00 P.M.
Wednesdays: 10:00 A.M. - 3:00 P.M.
Fridays: 9:00 A.M. - 2:00 P.M.
Thursdays: 9:00 A.M. - 5:00 P.M.
Saturdays: 8:00 A.M. - 4:00 P.M.
No Walk-in Appointments
The clinics are open at varying dates and times, depending on
community need, staffing availability and a number of other options.
For the most up-to-date times, please call the clinic you are
interested in visiting. Appointments are preferred. Walk-ins
are accepted for urgent problems only. |
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Assistance with locating programs
which help with prescription drug costs is available from a number of
community resources. For a referral to these programs or eligibility
criteria, contact :
| Senior Citizen Services*, |
(586) 469-6313
|
| Area Agency on Aging* |
(800) 852-7795 |
Assistance in obtaining medications
through the Patient Assistance Programs of major pharmaceutical companies with
the following eligibility criteria: Macomb County residents 19 years of
age and older, with medication prescribed for chronic medical conditions,
with no insurance coverage and unqualified for other program, and who meet
income-based eligibility by the pharmaceutical company (usually less than
$1200/month total household income) is available from Prescription
Resource Network*, (586) 466-5821.
Prescription Assistance website (www.pparx.org)
to help qualifying patients who lack prescription coverage get the
medicines they need through the public or private program that is right
for them. Many will get their prescriptions free or nearly free.
This site offers a single point of access to more than 275 public and
private patient assistance programs, including more than 150 programs
offered by pharmaceutical companies. To access the Partnership for
Prescription Assistance by phone, you can call toll-free, (888) 4PPA-NOW
(888-477-2669).
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Short-term, temporary free loan of
medical equipment such as walkers, commodes, wheelchairs, crutches, canes,
tub seats, etc. to senior citizens age 60 and older. Available
from Macomb County Senior Citizen Services*, (586) 469-6327.
Loans closets
of medical equipment (wheelchairs, canes, crutches) are sometimes
available at fire departments, city offices, and fraternal orders.
Contact those organizations in your community. Also referrals
to loan closets and durable medical equipment suppliers are available from
the Area Agency on Aging 1-B, (800) 852-7795. |
|
|
|
Mass transit for citizens by
SMART* bus services. Exact fare tickets and monthly (unlimited rides)
cards may be purchased through SMART* or at participating banks and select
outlets. Aides on duty with persons with dementia ride FREE.
For more information call Suburban Mobility Authority for Regional
Transportation (SMART), (866) 962-5515
Transportation
for income-eligible residents to essential locations such as hospitals,
doctor's offices, DHS*, etc. Rides must be scheduled in advance.
Available from Macomb County Community Action Centers*:t
|
|
Central Community Action Center* |
Mt. Clemens |
(586) 469-6964 |
|
North Community Action Center* |
New Haven |
(586) 749-5146 |
|
South Community Action Center* |
Warren |
(586) 759-9150 |
|
Information and referrals to
transportation resource in SE Michigan is available from the Area
Agency on Aging* 1-B, (800) 852-7795. |
|
| SITUATION:
A person with dementia is wandering. |
Enrollment of persons who
wander in a national search database to
provide quick and easy reporting and identification to local police
departments of persons who have wandered away. For more
information about the "Safe Return" program, call the Alzheimer's
Association,
(800) 272-3900 or “MedicAlert Safe Return” (888) 572-8566.. |
|
|
|
SITUATION:
A person with dementia needs an emergency response system. |
|
|
|
An
emergency response system for persons who may fall or need emergency
assistance in their home
involving the installation of a system to the telephone. The client
wears a neck pendant or wrist band with a button that can be pushed
if they fall or have another in-home emergency. When the
button is depressed, a
network operator speaks to the client over a loud speaker attached
to the telephone. If there is no response, their contact person is
immediately notified. “Life Line” is available to all persons
from |
|
|
|
Beaumont Home Medical |
(248) 549-9715 |
$50.00/installation; $39.95/month |
|
Henry Ford |
(248) 743-9100 or 800-626-9631 |
$123.00/installation; $48.00/month |
|
Philip's Life Line |
(800) 543-3546 |
$102.00/activation fee and $41/month |
|
This service is a covered benefit under the
Medicaid waiver program. |
|
|
|
| SITUATION:
A person with dementia needs adult day
care. |
Adult day care and activity
services for Macomb County residents aged 55 and older with
physical, mental/emotional impairments or social isolation are
available from the following Macomb County centers:
|
A Friend's House
Clinton Township: (586) 412-8494
Warren: (586) 759-8700
Eligibility: Adults who are:
- confused or forgetful
- reasonably continent of bowel and bladder
- able to get around with (canes, walkers,
wheelchairs) or without assistance
- able to take care of personal hygiene needs with
or without assistance
- in need of companionship during the day
- able to participate in individual or group activities
without disruptive behavior
Services offered: Nursing services, medication
administration, toileting assistance, lunch, morning and
afternoon snacks, exercise, group discussions, crafts,
recreational activities, cooking activities,
inter-generational activities, pet therapy, occupational
therapy consultation services, home safety and independent
functioning assessments, field trips, monthly caregiver and
Alzheimer's support groups, social work services, individual
and family counseling.
Cost: Services provided based on ability to pay.
Hours: Monday - Friday, 8:00 A.M. - 6:00 P.M.
Earlier and later hours upon request. Periodic Saturday
services.
|
Macomb County Adult Day Care Centers
Clinton Township: (586) 469-5579Eligibility: Persons 55 years of age or order with:
- physical impairments: such as stroke
(CVA), Parkinson's
Disease, Cardiac rehab, loss or weakness of physical
strength, fractures, Muscular sclerosis or Muscular
dystrophy OR
- mental/emotional impairments
such as Alzheimer's
Disease, Pick's Disease, Head Trauma, Multi Infract,
Alcohol and Drug Abuse, depression due to multiple losses
or anxiety related to dementia OR
- persons affected by social isolation
and are in need of
a safe environment and structured activities.
Services offered: Morning and afternoon snacks, full
lunch, activities, exercise, field trips.
Cost: FULL DAY: $28* (4.5 or more hours of
service per day)
HALF
DAY: $17*
*Fees may be adjusted based on ability to pay.
|
|
| FOR
A LIST OF ADULT CARE CENTERS IN COMMUNITIES SURROUNDING MACOMB
COUNTY, CALL MACOMB COUNTY SENIOR CITIZEN SERVICES, (586)
469-6313, THE ALZHEIMER’S ASSOCIATION AT (248) 272-3900 OR
THE AREA AGENCY ON AGING 1-B, (800) 852-7795. |
|
| SITUATION:
A person with dementia needs in-home personal
care. |
A program of services (personal
care, homemaking, respite, adult day care, transportation,
home-delivered meals, counseling, medical equipment and supplies)
for eligible Medicaid* recipients (18
years and older with a disability, and who medically qualify for
nursing home admission. e.g., personal care, respite, medical
supplies and equipment) to assist frail adults to remain living
independently. (This service may have a waiting list.) For
more information about the
MI-Choice Program, call:
|
|
Macomb Oakland Regional Center* |
(800) 236-3202 |
|
Area Agency on Aging 1-B* |
(800) 852-7795 |
|
Washtenaw Community Health
Services |
(734) 971-6180 |
|
|
Immediate short-term homemaking and personal
care assistance for persons 60 years or older following a
hospitalization. Available from the
Area Agency on Aging, 1-B (800) 852-7795 - ask to speak to the
Community Living Program.
Assistance with all activities of family
living for elderly or disabled adults who are eligible for Medicaid*.
Available from the Department of Human Services* Home Help program:
|
|
Department of Human Services*,
Mt. Clemens
serving Chesterfield, Clinton Twp., Harrison
Township, Mt. Clemens, New Baltimore, St. Clair Shores |
(586) 469-7233 |
|
Department of Human Services*,
Sterling Hgts.
serving Armada, Chesterfield (not 48051), Lenox,
Macomb, Memphis, New Haven, Ray, Richmond, Rochester (48306), Romeo,
Shelby, Sterling Heights, Utica and Washington |
(586) 254-8006 |
|
Department of Human Services*,
Warren
serving Capetown Housing Unit -
SANG Base, Center Line, Eastpointe, Fraser, Warren, Mt. Clemens,
Harrison Twp., Roseville, St. Clair Shores and New Baltimore |
(586) 573-2352 |
|
Referral of self-employed individuals
is available from Senior Citizen Services*, (586) 469-6317.
|
|
| SITUATION:
A person with dementia needs homemaker
services. |
Homemaking services are
available from:
|
|
Macomb Family Services*
(serves Macomb residents who live north of 16 Mile Road
only) |
(586) 752-9696
ext. 213
|
|
Senior Citizen Services* referral of self-employed
individuals |
(586) 469-6313 |
|
Senior Companion Program - Catholic-Charities of SE
Michigan* |
(586) 416-2300 |
|
Macomb County Interfaith Volunteer Caregivers* |
(586) 757-5551 |
|
Area Agency on Aging 1-B* |
(800) 852-7795 |
|
Alzheimer’s Association* |
(800) 27-3900 |
|
| SITUATION:
A person with dementia needs legal
advice. |
Legal Hotline for Older Michiganians: (800) 347-5297
Michigan Law for
Everyone by Sherry A. Wells, J.D. is a book which provides
information on landlord-tenant, contracts, real estate, divorce,
juvenile law, guardianships, insurance, accidents, unemployment,
small claims courts, wills and probate, business law, workers
compensation, how to find an attorney, attorney fees, examples of
laws and legal forms. Available at bookstores.
Free or minimal cost legal
advice by telephone for persons 59 and younger
provides legal advice except for traffic violations or misdemeanors.
Available from Legal Aid and Defender Association in Wayne County,
with an office in Macomb County. Toll-free number: (877)
964-4700.
Free or minimal cost legal
advice by telephone for persons 59 and older provides
legal advice except for traffic violations or misdemeanors.
Available from the Seniors’ Legal Assistance Program*, (586)
469-6406.
Referral to area legal
resources including elder law attorneys is available from the
Alzheimer’s Association*, (800) 272-3900.
Referrals to attorneys who practice elder law is available
from Macomb County Bar Association* (586) 468-8300.
Referrals for legal assistance for older adults is available
from the Area Agency on Aging* 1-B, (800) 852-7795.
|
| SITUATION:
A person with dementia needs food or nutritional
supports. |
|
Free in-home or small group instruction on basic
nutrition, food buying and preparation skills, meal planning and
budgeting
. Available from the MSU
Extension* - Expanded Food Nutrition Educational Program* (EFNEP*),
(888) 678-3464.
Emergency Food
is available through various food pantries in Macomb County.
Eligibility is determined by first calling the Macomb County
Community Services Agency*, (586) 469-6004 (Monday - Friday).
Congregate Meal sites are available around Macomb County, for
more information, call, (586) 469-5228.
Home-delivered meals are available for seniors unable to
leave their home. For more information, call (586) 469-5228.
|
| SITUATION:
A family caring for a person with dementia needs short-term
respite care. |
Immediate short-term homemaking
and personal care assistance for persons 60 years or older following
a hospitalization. Available from the
Area Agency on Aging, 1-B (800) 852-7795 - ask to speak to the
Community Living Program.
Relief breaks for full-time family
caregivers of elderly or disabled adults, excluding personal
care from volunteers matched with families throughout Macomb County
is available from Macomb County Interfaith Volunteer Caregivers,
(586) 757-5551. Twenty four hour
caregiver in a licensed foster care home twice a year for up to two
weeks per reservation is available for persons who caring for
someone age 60 or older. Available from the Area Agency on
Aging 1-B Out-of-home Respite (OHR) Program, (800) 852-7795.
|
| SITUATION:
A family needs information on nursing homes or assisted living
facilities for a person with dementia |
|
A database of all 450 Michigan licensed nursing
homes is available by calling (517) 627-1561 or
www.hcam.org.
Information on housing options, caregiver support and long-term care
services is available in the brochure "Staying At
Home." Available from the American Association of Retired
Persons (Publication D-14986). To order, call (202) 434-2277.
Information on nursing homes, including formal complaints is
available from Alzheimer’s Association, (800) 273-3900
Information on nursing homes, including formal complaints is
available from Citizens for Better Care* (800) 833-9548.
Information and lists of nursing facilities and private and
licensed assisted living facilities in SE Michigan are available
from the Area Agency on Aging* 1-B, (800) 852-7795.
|
| SITUATION:
A person has a complaint about a long-term care
facility. |
Information and possible
mediation between families/ residents or Family/ Resident Councils
and nursing home staff is available from the Long-term Care
Ombudsman at Citizens for Better Care*, (800) 833-9548. If a family
wishes to proceed to a formal complaint, formal complaints of abuse
or neglect in nursing homes, homes for the aged, hospitals, home
help agencies and hospice are reported to the Michigan Department of
Consumer and Industry*, (800) 882-6006.
|
| SITUATION:
A senior with dementia is being physically
abused. |
Investigation of complaints of
abuse and/or neglect of persons (aged). Available from the
Department of Human Services* - Adult Protective Services* Division: |
|
Regular business hours |
Department of Human Services* - Adult Protective
Services Centralized Intake*: (855) 444-3911 (Toll Free Number,
available 24/7) |
|
Emergency Situation |
Call your local police
department. |
|
| SITUATION:
A person with dementia needs hospice
care. |
Hospice services are
available from:
|
|
Great Lakes Caring - Clinton
Township |
(586) 468-8580 |
|
Henry Ford Macomb, Clinton Twp. |
(586) 263-2840 |
|
Hospice of Michigan |
(800) 247-5701 |
|
McLaren Home Care Group-Sterling
Heights Office |
(586) 323-6290 |
|
St. John Hospice, Roseville |
(800) 248-2298 |
|
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CHECKLIST TO EVALUATE IF MOM AND DAD CAN STILL
LIVE AT HOME
As people age, they
can develop difficulties performing everyday activities. This
checklist can help families determine what resources might be
appropriate now and help prepare for the future. For further help,
consult a physician, geriatric-care manager, county social service
department or other professionals. For each task below, check the
one description that best fits the situation of the person you are
concerned about. Add the numbers to get a score, then find the
recommendation for that score on the next page.
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|
Maintains Home/Lawn
- Without assistance (1)
- With some assistance (2)
- Needs total assistance (3)
- Lives in apartment or other maintained housing (1)
Does Housekeeping/Laundry
- Without help (1)
- With some help or reminding (2)
- Needs total assistance (3)
- Hires outside agency (1)
Recognizes Strangers
- Able to recognize strangers
and seek help (1)
- Unable to recognize strangers or seek help (3)
Handling Emergencies
- Independently able to get emergency help (1)
- Needs guidance and instruction (2)
- Unable to get emergency help (3)
Driving
- Drives or is able to use public transportation (1)
- Doesn’t drive or needs help with transportation (2)
- Needs special van for transport (3)
Social Activities
- Independently arranges and attends social activities (1)
- Needs help making social arrangements and getting
transportation (2)
- Unable to participate in social activities without
direct help (3)
Managing Finances
- Independently manages finances (1)
- Needs some help (reminding, writing out checks,
reviewing mail) (2)
- Unable to manage finances (3)
Getting Groceries
- Able to get or arrange for groceries (1)
- Needs help (2)
- Unable to get groceries (3)
Preparing Meals
- Prepares meals without assistance (1)
- Needs help (2)
- Unable to prepare meals (3)
Eating
- Feeds self without help (1)
- Needs supervision or reminders (2)
- Unable to feed self (3)
Recognizing Surroundings
- Always alert and oriented to date, time, and place (1)
- Intermittently confused about time and place (2)
- Consistently confused about time and place (3)
|
Keeping Appointments
- Able to set and keep appointments (1)
- Needs reminding (2)
- Needs help to set appointments (3)
Following Directions
- Able to understand and follow directions (1)
- Needs to check directions several times before
understanding (2)
- Unable to follow directions even with supervision (3)
Wandering
- Does not wander (1)
- Wanders or has gotten lost (3)
Personal Care
- Independently manages hygiene, brushing teeth, nail
care, shaving, hair care (1)
- Needs reminders to maintain grooming and appearance (2)
- Needs help to complete grooming (3)
Dressing
- Gets dressed independently (1)
- Needs reminders to choose clothing and dress (2)
- Needs help to dress (3)
Bathing
- Independently bathes or showers (1)
- Needs standby help or supervision (2)
- Needs help to bathe (3)
Continence
- Continent of bowl and bladder, or uses incontinence
products independently (1)
- Needs reminding to use toilet, or help using
incontinence products (2)
- Unable to use toilet independently (3)
Gait
- Walks or moves independently (with or without cane,
walker or wheelchair) with no falling (1)
- Has unsteady gait and has fallen in past 6 months (2)
- Needs help to walk or maneuver wheelchair (3)
Transferring
- Independently transfers to bed, chair or toilet (1)
- Needs help to transfer (3)
Medical/Rehabilitation Therapy
- No need for medical or rehabilitative therapy (1)
- Has medical needs or therapies and manages them
independently (1)
- Needs intermittent help managing medical needs (2)
- Needs medical monitoring (3)
Medications
- Needs no help identifying and taking medications (1)
- Needs help or reminders to take medications (2)
- Unable to manage medications (3)
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|
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Scoring the Evaluation - What kind of help is
needed?
SCORE 21-30
People with this score function independently.
There may be no need for services now, but start exploring options.
Make sure that legal and financial plans are in place. Consider
which level of care family members would be able or willing to give,
as needs change.
Tips:
- Talk as a family with your older relatives about medical,
financial and legal arrangements and personal preferences.
Encourage them to fill out a health-care directive (living will)
and to write a will, or to review existing documents.
- Help older adults do as much as possible for themselves, and
recognize your own limitations. That can help them remain more
vigorous and alert and help you avoid caregiver burnout.
- Find out about community resources. Keep a file of articles
and advertisements for services. Tour senior housing and
assisted-living apartments in the area.
- Complete a home-safety evaluation to minimize the risk of
falls and to improve safety.
- Review this assessment regularly to track changes.
SCORE 31-50
People with this score may be unable to complete
some important daily activities without help. Consider several
options:
- Community-based services include a broad spectrum of help.
Evaluate whether some of them are practical and affordable. Some
seniors qualify for economic assistance through a county social
service office. For safety, it may be more difficult for people
with memory loss to continue to live at home.
- As needs increase, cost of services may exceed similar
services in residential care homes or assisted-living
apartments.
- Adult day care provides structured activities and meal. Some
offer health services and transportation. Most can be attended
full or part-time.
- Companion programs provide in-home visitors who can help with
shopping, meals, housekeeping and companionship. They do not
provide medical care and usually do not give personal care such
as bathing or dressing. Twenty-four-hour care can run upwards of
$175 a day.
- Home health care provides medical care in the home. Services
may be provided by a nurse, occupational, speech or physical
therapist, or home aide
- Assisted-living apartments provide some supervision, 24-hour
security and on-site staff. Residents can buy care as needed.
Many units have kitchenettes, but residents may choose to eat in
a common dining room.
- Residential care/memory-loss homes are similar to assisted
living, and are designed for people with Alzheimer’s or other
memory-impairing illnesses.
SCORE 51-66
People with this score are unable to care for
themselves and have health problems. Some may need rehabilitation
and may be able to return home.
- Nursing homes provide complete personal and medical care for
people who are unable to manage independently. That can include
short-term rehabilitative services as well as long-term care for
very frail people.
- Residential care/memory-loss homes are designed for people
with Alzheimer’s or other memory-loss conditions. They can
work well for people who need supervision but do not need
intensive medical care.
- 24-hour home health services are available to very frail people
who prefer to remain at home and receive 24-hour care from a home
health agency. This will cost much more than nursing-home care.
Hospice services include medical and social programs for terminally
ill people and their families.
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DAILY
LIVING ALTERNATIVES |
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A
L
E
R
T
N
E
S
S |
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Consistently
alert, oriented, making logical decisions |
l |
|
|
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| Mild
confusion daily. Forgetfulness |
l |
l |
l |
l |
|
Moderately confused, fearful, poor judgment |
|
l |
l |
l |
|
Severely confused, little recognition of family, poor short
term memory, agitated at times. |
|
|
|
l |
|
A
M
B
U
L
A
T
I
O
N |
|
Totally independent |
l |
l |
l |
l |
|
Independent with use of walker, cane, or wheelchair,
Transfer independently |
l |
l |
l |
l |
|
Assistance in transfer, ambulation is limited or poor |
|
|
l |
l |
|
Unable to transfer, bed bound |
|
|
|
l |
| M
E
A
L
S |
|
Self
preparation |
l |
|
|
|
| Needs
meal preparation |
|
l |
l |
l |
|
Needs meals prepared & assistance/encouragement to eat |
|
l |
l |
l |
|
Assistance with feeding/special dietary needs |
|
|
|
l |
|
Tube feeding |
|
|
|
l |
|
G
R
O
O
M
I
N
G |
|
Self
bathing, grooming, dressing |
l |
|
|
|
| Standby
supervision with bathing, grooming and dressing |
|
l |
l |
l |
|
Partial or total care of daily grooming |
|
|
|
l |
|
B
O
W
E
L
&
|
B
L
A
D
D
E
R |
Totally independent |
l |
l |
l |
l |
|
Occasional incontinency, self managed |
|
l |
l |
l |
|
Frequent incontinency requiring assistance |
|
|
|
l |
|
Totally incontinent |
|
|
|
l |
| M
E
D
S |
|
Self
administration daily |
l |
l |
l |
|
| Daily
reminders to take medications |
|
l |
l |
|
| Daily
supervision & administration |
|
|
|
l |
|
P
h
y
s
i
c
a
l |
&
S
o
c
i
a
l |
Active in groups, clubs, or hobbies |
l |
|
|
|
| Needs
planned activity for stimulation & exercise |
l |
l |
|
l |
|
Needs daily physical therapy for strengthening |
|
|
|
l |
|
Social Worker and Psychologist available |
|
|
|
l |
|
M
E
D
I
C
A
L
|
S
T
A
F
F |
Weekly or monthly blood pressure check or health screening |
l |
l |
|
|
| Transportation
provided to medical appointments |
l |
|
|
|
| Doctor
available/on call 24 hours a day |
|
|
|
l |
|
Onsite attendants |
|
l |
l |
|
| Physical,
occupational, speech therapies on site |
|
|
|
l |
|
24 hour licensed nursing care |
|
|
|
l |
|
1 = Congregate Care Community, Full Service Retirement
Community, or Independent Apartment Living
2 = Assisted Living Apartment
3 = Home for the Aged, Adult Foster Care Home
4 = Nursing Home/Rehab Facility, Long-term Care Facility or
Extended Care Facility
|
1 |
2 |
3 |
4 |
|
|