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He start the noise about 2 months. He was in the Rehab Center 2 weeks from a fall and will be coming home today. My insurance ended. I want to keep him a home. What kind of caregiver help should I get?

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I'm sorry for his health issues. Bless you for caring for him but please remember to also take good care of yourself.

Is he mobile? Is he incontinent? Can he eat and swollow safely/properly?

If you hire through an agency, and your husband still is able to get himself up and out of chairs and bed, this is a tricky situation since he's a fall risk. You definitely will need a caregiver who is trained and experienced in how to assist such people and what to do if they fall in your home. I had this same issue with my Aunt with advanced dementia.

More info would be helpful.
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Reply to Geaton777
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Na, it's pretty typical that there is a decline in mental health after a fall or something traumatic to a demented person.

I'm sure you want him home, but is this going to work for you. You need to take care of your physical and mental health too.

So sorry 😞 🙏
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Reply to Anxietynacy
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My Husband made a lot of noise as well.
He moaned.
Sometimes the moans were very soft, other times loud. It often related to how excited he was or if he wanted to get my attention. (I would be talking on the pone and his noise would get louder, if he was watching a ball game the noise would be louder.)
You do not have to "understand" what he is saying. You can kind of interpret what his needs are and go from there.
Look at facial cues for things like pain, discomfort.
You will figure it out.
Is your husband eligible for Hospice? If so you would have a Nurse come and check on him 1 time a week. More often if it is needed. The Nurse will also order medical supplies.

A CNA will come at least 2 times a week to give him a bath or shower. The CNA will order personal supplies like briefs (aka diapers) and any creams, ointments, bed pads.
You will also have as part of your Hospice Team a Social Worker, Chaplain and you can request a Volunteer that can come and visit with him while you run errands. (A volunteer can also help you with some household chores if you ask)
When and if you need it Hospice will also order any Equipment Hospital bed, Sit to Stand, Hoyer Lift...
All this is covered by Medicare, Medicaid as well as most other Insurance.
And if you need a break Hospice will also cover Respite Stay and this is a benefit that is covered by Medicaid, Medicare and other Insurance.

If your husband is a Veteran you can also contact your local Veterans Assistance Commission and see if he qualifies for any VA benefits. That may provide a caregiver for a few hours a month.
Check with your local Senior Service Center, there may be programs that you and he would qualify for that would provide a caregiver.

Hiring through an agency is the easies way to get a caregiver. You do not need a nurse unless he has a medical condition that would require it. Someone from an agency would evaluate the needs and let you know what type of caregiver would be best.
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Reply to Grandma1954
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I guess my first question to you would be...what kind of caregiver help did you have before his stint in rehab?
Then I would at least double whatever the answer to that question is. If you had 4 hours a help/day I would at least now have 8 hours/day.
You're going to need all the help you can get as he's only going to continue to get worse, and it's important that you take good care of yourself on this very difficult journey as well.
He obviously must have Alzheimer's as most of the other dementias don't go on for that long, whereas Alzheimer's can go on for 20+ years.
So you more than likely still have many more years to care for him, so please take good care of yourself, and do what is not only best for your husband but what is best for you too.
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Reply to funkygrandma59
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