When to Place in a Facility

When to Place in a Facility

January 3rd, 2012: Bill Beckwith, PhD

Placement - Part 1

Placement - Part 2

Placement - Part 3: Signs of Caregiver Stress

Placed Too Ealry

The Phases of Care and How they instruct the issue of Placement



Stage 1: Senior Moments / Normal Aging

Stage 2: Forgetfulness

Stil functioning. Memory loss is hard to discern.
Self-awareness of a problem. Others likely will not notice.

Stage 3: Early Confusional State

No serious problems. Taking longer to think. Stil functioning well.

Stage 4: Late Confusional State

Problems with the checkbook. Deficits picked up on memory screenings.
Not classified as dementia yet.

Stage 5: Early Dementia

Failing to remember one's location in place and time. Can last 5 years or more.
Usually not ready for placement, but likely unable to live alone.
Speech starting to be affected. Poor concentration and judgement.
Delusional thinking. Personality changes.

Stage 6: Middle Dementia

Language is breaking down. More hands-on care is needed.
Placement is common at this stage.

Stage 7: Late Stage

Most people do not live to this state.
Hospice is extremely helpful at this point.