On 10/6/23, she rolled out of bed and broke her hip. Her hip was replaced on 10/7/23 - she spent 2 weeks in the hospital and 30 days in a rehab facility. She came home on 11/20/23 and we currently navigating our new reality. The family is providing this care right now. The desired starting schedule would be something like - 2 days at week, for 16 hours a shift. Perhaps, (8 p.m. - 12 p.m. the next day). The days can be spaced out and may increase as time goes on. A parking space will be provided for you while you work (if you car can fit in the garage available). The job would include companionship, assurance, encouragement, light meal prep, light kitchen clean up after meals, processing garbage. Help her with moving around the apartment, toileting and hygiene. MOST IMPORTANTLY, her days and nights are reversed for several years. She wants to sleep all day and she is up at night. We are doing what we can to shift her schedule but this symptom, "sundowning", is a part of Dementia. My grandmother has mid level dementia. Her symptoms have spiked in severity since she came home from the hospital (likely due the trauma of the injury and begin in an unfamiliar place for 90 days). Her symptoms include: repetitive questions, low level confusion, agitation at times, anxiety much of the time and compulsive behaviors (like checking doors and windows multiple times in the middle of the night to be sure they are locked). She is however, very charming and sweet much of the time, yet, she can switch quickly to suspicion or anger. You must be calm, consistent, encouraging and kind. A person that can handle whatever comes up including a potential emergency is what we need. She has just begun a medication that might help with her symptoms. As I write today, you would expect to be up at night until such time that she can settle down to sleep, typically at 5 a.m. The medication can take up to two weeks to be effective.
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