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Is it better to keep someone with dementia at home?

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That’s a very common and deeply important question. In many cases, dementia care at home is not only preferable but highly beneficial, provided the right support is in place.

Pros of Keeping Someone with Dementia at Home

  1. Familiar Environment
    Staying in their own home means fewer disruptions. Familiar surroundings can reduce confusion, agitation, and anxiety, which are often worsened by changes in environment.

  2. Personalised, One-to-One Support
    Home care allows for tailored routines that suit the person’s habits and preferences. A live-in carer or regular visiting carers can build a real rapport, adapting to the individual’s pace, moods, and daily needs.

  3. Emotional Comfort and Independence
    Remaining at home tends to preserve a sense of dignity and independence. It also keeps family and friends closely involved, making emotional support more natural.

  4. Continuity of Care
    With professional carers coming in or living in, you get consistency, not just in tasks but in relationships,  which is particularly valuable for people with dementia, who rely on predictability.

  5. Safety with Proper Support
    With trained carers, dementia-related risks, like falls, wandering, or medication mismanagement—can be managed more effectively, giving both the person and their loved ones peace of mind.

Challenges and Considerations

  • Cost: Home care, especially live-in care, can be expensive. It’s important to explore funding options or local support schemes.

  • Carer Stress: Family carers may feel overwhelmed. Professional home care helps, but family involvement still requires energy and planning.

  • Complex Needs: As dementia progresses, needs may become more complex (medical, behavioural), which could require more specialised nursing support or joint care strategies.

  • Home Suitability: Not all homes are dementia-friendly by default. You might need to make adaptations (e.g., remove trip hazards, improve lighting, install alarms).

Conclusion

Yes, for many people with dementia, dementia care at home offers a compelling path. It combines emotional comfort, personalised support, and continuity of care in a familiar setting. But it's not a one-size-fits-all solution. The success of home-based dementia care depends on proper planning, skilled carers, and the right environment.

If you’re considering it, start with an assessment from a professional care provider, involve your family, and explore financial support options. That way, you can make a choice that truly suits your loved one’s needs and your family’s capacity.

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