Armed with a few more pieces of information, you can be more prepared to decide whether your parents should move from their home to assisted care.

The routine that your parents have and their overall health will be important precursors to what level of assisted care they might need and how well they will make the transition. It is important to take an in-depth look at how they accomplish all the tasks required in a day: everything from cooking, to laundry, to driving, to paying bills. Your parents may be able to accomplish the automatic tasks that will reasonably get them through the day; it just might take them longer. However, there may be other signs that suggest that living independently at home might not be possible. Some families discover delinquent bills nestled in sock drawers while check books are in another part of the house. Some begin to notice that their parents clothe themselves in the same outfits each time they visit, yet the laundry detergent goes unopened. Some have even found pots and pans in the washing machine. The extent of the disruption of a regular routine can suggest the need for assisted living versus independent living. It can even suggest the onset of memory impairments that might require some additional assisted living needs.

Now, what about your parents’ health? When was the last time they saw their physician and for what condition? You might not be able to obtain this information from the physician due to privacy laws, but you can certainly get an overall sense of their health by exploring the medicine cabinet. How many medications are in there? What are they for? When are the expiration dates? Can your parents tell you what the medicine is, why they take it, how often, and what they do if they have a reaction to it? You can learn a lot by how specific (or not) the answers are to those questions. The determination of your parents’ health will give you the information to ask better questions about medication administration when visiting an assisted living community.

Finally, consider the type of support system that your parents’ currently have. Do they have friends with whom they visit or who regularly visit them? Are they active in their church? Do they have hobbies or activities that they enjoy? The answers to these questions will give you information to ask about activities, transportation, and social networks in an assisted living community.

So, you now have a wealth of information to begin your quest for an assisted living community that will match your parents’ needs. Now all you have to do is find it! HOW??? That comes next…

You’ve come to the realization that Mom or Dad (or both) are going to need more help – maybe sooner rather than later. Now, it is time for you to become Inspector Clouseau (minus the hat and silly mustache) and determine, objectively, what Mom or Dad can do for themselves. Once you have this information, you can better negotiate the labyrinth of assisted living.

It is as important for your sense of well-being as it is for your parents’ future to focus on what your parents can do, NOT what you think, remember, or wish they could do. So, if you can’t be completely objective, then ask a spouse or a trusted friend to help you. I would recommend looking at four main areas: their environment, their routine, their health, and their support system. These four areas cover the most typical services that you can expect in an assisted living residence.

Let’s start with the environment: the home in which they currently live. Remember to observe everything from the street to the curb, to the driveway, to the stoop, to the entryway, to the floor plan on each level. You should be noting all potential fall or tripping hazards. Find out how many steps it is from the curb to the front door? Are there railings and what condition are they in? Is there a welcome mat, and how thick is it? How many stairs are in the house – especially note the number of stairs, railings, or turns from the master bedroom and the bathroom? How many area rugs are scattered throughout the house (include each bathroom) – As an aside, my mother loved to place what I referred to as “toilet sweaters” in each bathroom. You know what I’m talking about: those chenille or cotton “U” shaped bath mats around the toilet. All of these things, which you and never think about, could be potential risks for your parents. Now, watch your parents as they navigate all of these areas. How steady are they walking? Are they using a cane or walker, and if so, is it helping or hindering their maneuvering? Do they avoid certain entryways because they have difficulty? My father would pull into the garage and enter our house by going up only one step. He said it was more convenient, and it probably was, but the other “truth” was that he was no longer able to climb the porch stairs (there were 5 of them) because he would be out of breath by the time he made it into the hallway. See what I mean, parents are sneaky.

You’ve just finished dinner at your parents’ house but the drive home is disconcerting. Beyond the Beltway traffic, another thought overrides everything. Your parents are aging – it’s OK to say the words – “Mom and Dad are old.” Who will take care of them when they are not able to stay in their home? The thought can stop you faster than a red light camera in your neighborhood. The reality is that unless you plan for your parents care, you may end up making a last minute decision that might not be the best for them. Go ahead and take a deep breath (and slow down around those red-light cameras) because here is where you can find out information that can help you make the right decision for them and for you.

The good news is that there are over 600 assisted living facilities in the Commonwealth of Virginia. The daunting news is that assisted living is defined in just as many ways. However, you can “arm” yourself with the best information. An assisted living residence provides housing for elderly people who can no longer live independently in their own homes. An assisted living residence is NOT a nursing home (more on this later) According to the Consumer Consortium on Assisted Living (www.ccal.org), an Assisted Living residence “provides or coordinates oversight and services to meet the residents’ individualized scheduled needs, based on the residents’ assessment and service plans and their unscheduled needs as they arise.” In other words, assisted living is intended to provide a home that may “coordinate or provide” additional services as needed by your parents. So, your next step is to take an objective assessment at what your parents will need if they cannot stay in their own home.