Older Hispanic couple relaxing on the sofa together home care for dementia

Home Care for Dementia: How to Choose the Best Option


When someone you love begins to experience the effects of dementia, the world can feel overwhelming. You’re juggling their doctor’s appointments, memory changes, emotional conversations, and the growing realization that they may need more help than you can provide by yourself. If you’re reading this, you likely already know that the home care for dementia journey requires both heart and help. 

Choosing a care home for dementia is one of the most important decisions your family can make. And it’s okay to feel unsure. You’re not just looking for a place; you’re searching for peace of mind, safety, and dignity for someone you deeply care about. This guide will walk you through how to assess when it’s time to consider care, what your options are, and how to confidently choose the best care plan for your loved one.

When Is It Time to Consider Dementia Care?

There’s no one-size-fits-all answer, but there are signs that it may be time to consider professional help: 

  • Increased safety concerns: They’re frequently wandering, forgetting to turn off appliances, or falling
  • Declining physical health: They’re missing medications or experiencing poor hygiene or unintentional weight loss
  • Caregiver burnout: You’re exhausted, overwhelmed, or struggling to keep up emotionally and physically 
  • Social withdrawal or isolation: They’re no longer engaging in conversations or activities they once loved 

If any of these feel familiar, a care home for dementia may offer the structure, support, and specialized care your loved one needs and give you a chance to transition from full-time caregiver to loving family member again.

What’s the Difference in Dementia Care Options?

Understanding the types of care available can help you make the best choice for your loved one’s needs now and in the future. 

Memory Care Units

Memory care units are designed specifically for individuals with dementia or Alzheimer’s. These facilities provide: 

  • 24/7 supervision in a safe and secure environment
  • Staff who are trained in the needs of dementia care 
  • Activities that promote cognitive function
  • Structured routines to reduce anxiety 

If your loved one is in mid-to-late stages of dementia and needs close monitoring and a higher level of cognitive and behavioral support, then a memory care unit may be ideal. 

Assisted Living with Dementia Support 

Assisted living facilities can offer your loved one a more independent lifestyle and may also include special dementia care programs. These facilities work well for a loved one when:

  • They thrive on social interaction, but may need occasional redirection 
  • They’re in early-stage dementia and still want to maintain some independence
  • They need help with daily tasks like bathing and meal prep 

Nursing Homes

Nursing homes (also called skilled nursing facilities) can be appropriate for your loved one if they also have advanced medical needs. These facilities offer: 

  • Medical staff onsite 24/7
  • Advanced care for coexisting health concerns 
  • Support for all daily living activities

At-Home Dementia Care

It’s natural to want your loved one to stay home for as long as possible. And it’s okay as their devoted caregiver to seek support in the form of at-home nursing services. This type of care ensures your loved one has:

If this type of care best suits your loved one’s needs, make sure their home nurse is trained specifically in dementia care. At Alliance Homecare, we understand that memory care doesn’t make life at home impossible. Our expert nurse care managers assess your loved one’s home, health, and symptoms before creating a tailored comprehensive memory care plan that fits their unique needs.

What Should I Ask When Considering Care Options?

When you visit a potential care home for dementia or interview a home care agency, don’t be afraid to ask specific questions. You’re not just buying a service; you’re entrusting someone with the heart of your family. 

Here are 5 key questions to ask: 

  • How do you manage plan changes if my loved one’s health declines or more care is needed?
  • How are your providers trained in dementia care? 
  • How do you handle behaviors like wandering and agitation? 
  • What activities will my loved one get to do to stimulate their memory? 
  • How do you communicate with family members about health updates and incidents? 

Final Thoughts: Leaning In

Choosing dementia care is not about giving up. It’s about stepping up in a different way. It’s about recognizing your loved one’s evolving needs and meeting those needs with compassion, safety, and expert care. 

You don’t have to make this decision alone. At Alliance Homecare, we understand how heavy this moment can feel, and we’re here to lift some of that weight from your shoulders. Our professionals are here to provide you with trusted guidance, support group connections, and someone to listen to you. 


Caregiving isn’t about doing it all yourself; it’s about connection. Let’s connect to take the next step together.

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