06/15/2026
The Little Things; Living with Dementia by Laurie Waters
Episode 23 - Home, Memory Care, and the Hardest Decisions
One of the hardest conversations for any family living with dementia is this question:
"When is it time for memory care?"
The truth is, yes, there may come a time when some of us need 24/7 care. Dementia is progressive, and every journey is different. But for many people, remaining at home for as long as possible can provide something incredibly important: comfort, familiarity, and one-on-one attention.
At home, we are surrounded by the places where we built our lives. The chair where we drank our morning coffee. The kitchen where we cooked family meals. The photos on the walls. The sounds, smells, and routines that tell our brains, "You are safe. You are home."
With the right companion care, home health services, and eventually hospice, many people living with dementia can experience a slower decline, less anxiety, and a greater sense of security.
Please don't get me wrong; I am not saying memory care facilities are all bad. In fact, I know some that are absolutely wonderful, filled with loving staff who genuinely care and treat residents like family. Some are places where I would feel comfortable one day if I reached that stage of my journey.
But I also speak with families who have experienced the opposite. Loved ones left alone, not properly cared for, or treated in ways that no human being should be. There are places where, honestly, I would rather pass away than spend my final years.
This is why choosing memory care is one of the most difficult decisions a family and the person living with dementia will ever make.
My advice? Start early.
While you are still in the early stages, tour facilities. Ask questions. Speak with residents if possible. Talk with current families and families of former residents. Trust your instincts. If something doesn't feel right, move on.
Ask questions such as:
• What does the daily routine look like?
• Is there enough flexibility, or is everything rushed?
• Is there a safe outdoor area for residents to enjoy?
• Do they support the entire family, not just the resident?
• Will they work with families to maintain routines and preferences?
• Are family members welcome at all hours if needed?
• Are they interested in learning what comforts and calms the person?
• Do they encourage residents to maintain their normal routines and preferences?
• Do they allow room monitoring such as nanny cams if desired by the family?
The same applies to home care.
Research your home health aides. Don't simply accept whoever is sent by an agency. We have had terrible caregivers that had to be dismissed immediately, and we have had some of the most amazing, loving, and compassionate aides who went above and beyond.
Think of choosing a caregiver the same way you would choose someone to care for your newborn baby. You want someone who is kind, patient, trustworthy, and genuinely invested in the person's wellbeing.
Because at the end of the day, whether someone remains at home or lives in a memory care community, the most important things are the same:
Love. Dignity. Compassion. Safety.
The right place is not determined by the building.
It's determined by the people who care for you and whether they see the person first and the diagnosis second.
Because even with dementia…
We are still us.
❤️ Laurie Waters
"The little things: love, compassion, and feeling safe are often the biggest things of all."