Alzheimer’s and Other Dementias

Alzheimer’s and Other Dementias

We understand the range of dementias and memory issues. 

Our clients, their spouses, their adult children, and other family members often come to us because of signs of dementia and memory issues. The client may have difficulty with word retrieval, remembering important details, managing their personal care, managing mail and bill paying, driving, housekeeping, laundry, home maintenance, and business decisions.

They are concerned and need help to get a diagnosis, to find the right support, and to talk to their loved one about the problems they are seeing.

Sometimes the initial symptoms of dementia and memory issues are inconsistent and confusing. It takes a while for the pattern of cognitive issues to clearly emerge.

Individuals and families are changed forever when someone develops Alzheimer’s Disease or some other dementia. Strokes and vascular dementia impair physical and cognitive function.

These conditions are even more challenging for those who are senior “orphans” without family and friends to provide care and concern. Many businesses have been destroyed and financial stability eroded because someone lost their executive function (reasoning, problem-solving, planning, decision making, self-control) from frontal temporal lobe dementia.

Cognitive decline can be masked by great social skills, self-confidence, and a lack of awareness and therefore not obvious until it is too late.

We help you know where to start and the steps to follow.

When adult children want to help, they often don’t know where to start. They have full-time jobs and family responsibilities. Intergenerational history may not have prepared the family for the children to be involved in the intimate details of their parents’ lives.

As certified care managers, we are professionals that clients often welcome as their advocate when clients have hidden their problems and avoided asking for or accepting help from their children. We learn about every aspect related to the client’s well-being, determine their needs, consider their preferences, and create a plan.

We develop a customized plan.

Alzheimer's and Other DementiasWe take into consideration the short term needs and plan with an eye to the long-term. We start with the client’s immediate concerns and provide comprehensive recommendations. We develop trust, provide decision support, initiate access to services and senior care communities based on experience, provide navigation within the healthcare system and insurances, and provide continuity and customized care.

Once there is a plan for managing dementia and other memory issues, some people implement it themselves and have regular check-up calls. Others want their care manager to accompany them to medical appointments, manage their medications, coordinate the in-home care or senior living community care, recognize emerging needs to prevent a crisis, and meet them at the emergency room when needed.

Each situation that involves dementia and memory care is different. That is why we customize your care, identify solutions, deal with new needs as they emerge, and offer peace of mind.


Examples of Alzheimer’s Disease and other Dementias

A lovely, retired career woman with Alzheimer’s Disease lived several states away from her family. After many years apart, she visited her sister to celebrate her birthday and they became aware she was cognitively compromised.

She wandered out of her sister’s apartment in her night clothes and got lost. It took hours to find her.

A subsequent tour of her condo revealed she had diminished abilities for a long period of time: flat surfaces stacked high with mail going back four years, sticky notes all over the desk and kitchen cabinets to remind her what to do, and damage evident on her car and on the garage from driving mishaps.

Each room of her house was overflowing with many items, paper records, clothing, and shopping bags and her bathroom counter was covered with empty personal care products.

A gentleman owned a CPA business, a home in town, a lake house, boats, and cars. Due to cognitive changes resulting from Huntington’s Disease, he lost his ability to make good decisions.

When his Huntington’s Disease and associated dementia was recognized it was too late to salvage the company and he lost everything. He and his wife moved in with one of their sons, in another state, to stabilize their lives and to get the medical treatment that was needed.

A couple who had been active throughout their lives became isolated at home.

The wife developed advanced dementia including memory loss, failing to bathe for many months, keeping food out on the counter and eating moldy food, and overflowing piles of paper. Her husband, a decorated veteran, had a physical handicap which was so painful he could not get around without help.

Sadly, the wife stopped paying for her long-term care policy that she paid into for 20 years. It had been several years since her last payment, far too long to get it reinstated.

They both needed help. The wife gained a guardian/conservator and moved into a Memory Care Community. The husband received more medical care, wound care and physical therapy and was able to move into an Assisted Living Community a few miles from his wife. They each received the care they needed and many kindnesses.

A charming retired, entrepreneur with frontal temporal lobe dementia started making bad decisions. Initially only those closest to him could recognize his cognitive deficits. One expression of his executive function failure was the fact that he turned his new Range Rover in for a new one once a month (losing a huge amount of money through depreciation and restocking fees) until his wife was able to put a stop to it.

Despite being cited for entering the freeway from the off ramp and going the wrong direction, he was able to pass the DMV driving test. It took an extended period of time for the DMV to revoke his driver’s license. The family lived in fear that he would be injured or harm someone else or make a decision that would mean financial disaster to them.

A team, including his family, care manager, physician, adult day program, care givers, and close friends worked together to support his self-esteem while safeguarding him from disastrous or dangerous activities.

Interpreting symptoms/disease progression and addressing emerging issues and exploring all the options provided his wife with peace of mind as she chose the options that were best for them.


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Golden Pond Elder Care Strategies, LLC


Golden Pond serves the Northern Virginia region, including Arlington, Fairfax, Fauquier, Loudoun, and Prince William Counties including Middleburg, Purcellville, Leesburg, Gainsville, Manassas, Sterling, Ashburn, Broadlands, South Riding, Reston, McLean, Vienna, Oakton, Fairfax, Falls Church, Arlington, & the District of Columbia (Washington DC).