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We just got a dementia diagnosis

What to do in the first month, and what can wait longer than you think.

Quick answer

What to do in the first month, and what can wait longer than you think.

HomeBy SituationWe just got a dementia diagnosis

The first month after a diagnosis is mostly about slowing down. Very little has to be decided immediately.

Short answer

What to do in the first month, and what can wait longer than you think.

What to do, in order

  1. Slow down. Very little has to be decided this month.
  2. Get the specific diagnosis. Alzheimer's, vascular dementia, Lewy body and frontotemporal dementia progress differently and respond differently to medication.
  3. Do the legal work now, while capacity is clear. Power of attorney, medical power of attorney, directives.
  4. Call the Area Agency on Aging serving your county. The Council on Aging of Southwestern Ohio covers Hamilton, Butler, Warren and Clermont counties.
  5. Understand what memory care will require later. Ohio certifies memory care specifically for RCFs serving Assisted Living Waiver residents (OAC 173-39-02.16) -- ask what a specific community holds.

Questions families ask

What should I do if a hospital gives my parent a discharge date in 72 hours?

Get the discharge plan in writing, confirm whether your parent was admitted as inpatient or under observation status, ask which facilities have actually accepted the referral, and verify any facility's Ohio license before signing anything.

Does Medicare pay for a nursing home stay after a hospitalization?

Medicare can cover a limited period of skilled nursing facility care after a qualifying inpatient hospital stay, but this is rehabilitation coverage, not payment for long-term custodial nursing care.

What is the difference between inpatient admission and observation status?

Inpatient admission is a formal hospital status that can qualify a patient for Medicare's skilled nursing facility benefit after discharge. Observation status does not count toward that requirement, even if the patient spent multiple nights in a hospital bed.

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