Senior Home Care Assessment

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Has the time come for you to consider in-home care for your loved one? Simply answer the questions on this survey to the best of your knowledge. Once you have completed it, take a moment to review your answers. Care options are only a phone call away.

Mark the box next to all questions that may apply and fill the form below. Somebody from our team will get back to you shortly.

Is your loved one lacking or refusing to take daily baths or showers?

Does your loved one often refuse to change their clothing daily?

Is your loved one wearing night clothes throughout the day?

Does your loved one lack the desire to comb/style their hair or care for dental hygiene?

Have you noticed unusual bruising and/or skin tearing that may be fall related?

Has your loved one recently failed to recognize you or another significant other?

Does your loved one experience speaking/communicating difficulties?

Is your loved one showing signs of memory loss or confusion e.g. date, place, time?

Has your loved one become less communicative or withdrawn from social activities?

Is your loved one’s housework being neglected or not kept in order as before?

Have you noticed accumulated mail and newspapers that have been placed on piles?

Have you found expired medications or medications your loved one is not taking as prescribed?

Have you noticed prepared, but uneaten foods that have spoiled in the refrigerator or left for an extended period of time causing foul odors in kitchen or home?

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If your loved one is experiencing a combination of the symptoms you have checked off, it may be an indication they are suffering from Alzheimer’s disease, Dementia, or a wide variety of other health issues. Contact your loved ones Primary Care Physician to schedule an evaluation as soon as possible.

At All Hands Home Care, we are dedicated to assist with all your in-home care needs. We offer several different plans to accommodate each individual’s unique needs. Please feel free to contact one of our staff members with any questions or concerns you may have.

For additional information on Alzheimer’s and Dementia disease, please refer to the following links.