1. “My mother puts the
peanut butter in the
freezer and forgets to
change her clothes”
Changes in a loved one that reveal
a need for extra assistance
and the choices you have
Assisted Living is one of them

2. 05/25/13 Blaire House of Tewksbury Assisted Living
Things you once took for granted
about mom and dad have changed
• Change in
mood/behavior
• An acute health episode
• Loss of a spouse
• Sudden weight Loss
• General forgetfulness
• Late bill payments
• Repeated accidents in
kitchen or bathroom
• Missed medications or
taken incorrectly

3. 05/25/13 Blaire House of Tewksbury Assisted Living
It’s no longer safe
for mom or dad to live alone
• Cannot cook safely or
prepare nutritious meals
• Cannot keep the house
up — inside or out
• Cannot handle finances
• Unable to maintain
personal hygiene or
dress appropriately for
season
• You’re concerned for
her safety when alone

4. 05/25/13 Blaire House of Tewksbury Assisted Living
Is it time to think about alternatives
to keep mom/dad safe?
• Mom moves in with
you/sibling
• Home health aide
comes into the home
• Nursing home
• Adult Day Program
• Assisted Living
Residence

5. 05/25/13 Blaire House of Tewksbury Assisted Living
Mom moves in
• Still needs assistance
with several activities
of daily living
• Worry about safety
while she is alone
when you are at work
• Socially isolated from
peers
• Impacts entire family
• Fill in the blank

6. 05/25/13 Blaire House of Tewksbury Assisted Living
Pay for someone
to come into the home
• While you’re at work ($15/hr. x
8 hrs.= $120/day or $480/work
week or $24,960/yr)
• Family takes on
evening/weekend responsibility
• Some people prefer not to have
a stranger come into their home
• Mom or dad still socially
isolated

7. 05/25/13 Blaire House of Tewksbury Assisted Living
Is a nursing home appropriate?
• Mom or dad really just
needs a little help with
their “ADLs,” not 24-
hour skilled nursing care
• She would benefit from
getting together with
others for activities,
entertainment, outings,
and dining
• Appropriate for skilled
nursing care: IVs,
oxygen therapy, etc.

8. 05/25/13 Blaire House of Tewksbury Assisted Living
An Adult Day Program may meet your needs
• Check the hours of the program — will
drop-off and pick-up work for your
family?
• Is there transportation available?
• Does it have a home-like environment?
• Are recreational activities and games
posted and do they offer a wide variety
that your family member will enjoy?
• Are there nutritional meal plans?
• Is there an exercise program and
intergenerational activities?
• Are skilled nursing services available?
• Can you have a “trial day” to see if your
loved one likes the program?

9. 05/25/13 Blaire House of Tewksbury Assisted Living
The best of all worlds —
Assisted Living
• Assistance with needed ADLs:
– Bathing
– Dressing
– Toileting
– Transferring
• Medication management
• Nutritious meals served
restaurant-style
• Apartment cleaned regularly
• 24-hour Lifeline (or similar)
security for immediate response
from staff
• Low staff turnover

10. 05/25/13 Blaire House of Tewksbury Assisted Living
What else should I look for?
• A 7-day/week activities program,
including evenings and
weekends
• Alzheimer’s-trained CNAs
• Employees who love their work
• Outings, activities,
entertainment, events
• Regular communication with
family
• Residents’ Council
• Contact with Administrator or
Residence Care Director at any
time with concerns

11. 05/25/13 Blaire House of Tewksbury Assisted Living
Is Assisted Living really less expensive
than my loved one living at home?
Your Cost Assisted Living
Monthly mortgage/rent……………………….. Included
Property tax…………………………………….. Included
Property insurance………………………….....Included
Condo maintenance fee……………………....Included
24-hour security services………………….....Included
Three meals/day……………………………….. Included
Monthly utilities
Electricity, gas, oil, water)…………………
Included
Housekeeping services……………………… Included
Health monitoring………………………………
Included
Personal care…………………………………...Included
24-hour emergency call system……………..Included
Lawn care/landscaping………………………..
Included
Snow removal/lawn maintenance…………...
Included
Trash removal…………………………………..Included
Exterior building maintenance……………… Included
Plumbing/appliance repairs…………………. Included
Social, cultural events………………………...Included
Other miscellaneous expenses……………...
Included
WHAT IS YOUR TOTAL MONTHLY COST?

12. 05/25/13 Blaire House of Tewksbury Assisted Living
Assisted Living Resident Profile 2006
• Average age of residents
was 85
• More than ¾ of residents
are female; 24% male
• Typical resident is an 86-
year-old woman who is
mobile, but needs
assistance with
approximately two ADL
• Nearly 1 million people
across the country reside in
an assisted living setting

13. 05/25/13 Blaire House of Tewksbury Assisted Living
Why consider Blaire House of Tewksbury
Assisted Living
Our beautiful grounds are professionally landscaped, including patios,Our beautiful grounds are professionally landscaped, including patios,
koi ponds, courtyards and gazebos, creating a home-like atmospherekoi ponds, courtyards and gazebos, creating a home-like atmosphere
for our residents to enjoy. We invite you to visit us to see for yourselffor our residents to enjoy. We invite you to visit us to see for yourself
that Blaire House is where your loved one will receive the best care inthat Blaire House is where your loved one will receive the best care in
an environ-ment that will maintain his/her dignity and independence.an environ-ment that will maintain his/her dignity and independence.
• Voted #1 Retirement Residence (2002,Voted #1 Retirement Residence (2002,
2005, 2006) is for seniors, who want2005, 2006) is for seniors, who want
independence, yet may require aindependence, yet may require a
helping hand with personal care andhelping hand with personal care and
other needs.other needs.
• Our household offers quiet lounges, aOur household offers quiet lounges, a
library, a roof terrace, and a sunnylibrary, a roof terrace, and a sunny
dining solarium.dining solarium.
• We offer a schedule of outings andWe offer a schedule of outings and
activities of many interests. Blaireactivities of many interests. Blaire
House provides the same kind of feelingHouse provides the same kind of feeling
of comfort and security you experienceof comfort and security you experience
in your own home.in your own home.

14. 05/25/13 Blaire House of Tewksbury Assisted Living
Be sure you know what services
are included in monthly fee
BLAIRE HOUSE OF TEWKSBURY “INCLUDED”SERVICES
• Self Administered Medication
Management (SAMM), provides
resident with reminders and
assistance in taking medications
• Personal Care (available to help
with showers, etc.)
• Flat Linen Laundry Service
• Housekeeping Services
• Scheduled Transportation (if you
do not drive)
• Wellness and ISP Plan
• Entertainment and activities
(Happy hour, floral design,
exercise, etc.)
• Studio & 1-Bedroom Apartments
• All Utilities, including Cable,
except Telephone/Internet
• 24-Hour Security and
Emergency Call System
• Lifeline beepers for Staff for
immediate response
• Fine Restaurant-style dining:
Breakfast, Lunch, and Dinner
• Room Service is Available
• Maintenance of the Property
(beautiful gardens)
• Social and Recreational
Programs

15. 05/25/13 Blaire House of Tewksbury Assisted Living
Meals Become Important
• Assisted living residences provide
up to three meals daily for
residents. In addition to regular
meals, snack foods are usually
offered.
• Assisted living residences offer
basic dietary plans (ex: sodium
restricted, sugar restricted, low fat)
and a variety of food choices.
• Dietitians are available to work
with residents who choose to
receive counseling about dietary
plans.

16. 05/25/13 Blaire House of Tewksbury Assisted Living
Assisted Living Activities
• Activities director should meet with
new residents to determine hobbies,
interests, activities they like or
participated in
• Programs, crafts, entertainment, and
outings should meet the needs of all
residents.
• Residents with dementia should have
a different activities program to meet
their special needs.
• Is residence connected with
community with intergenerational
activities and activities outside the
Residence.

17. 05/25/13 Blaire House of Tewksbury Assisted Living
What to look for in a specialized
program for someone with dementia?
• A structured routine for residents.
• Caring, compassionate staff who have
time to interact with residents in a
positive and relaxed manner.
• Alzheimer-trained staff with the ability to
deal with difficult behaviors and
situations.
• Clean, comfortable, safe and secure surroundings.
• Activities that reflect the preferences and routines that each
individual resident has established over a lifetime.
• Policies providing clear guidance re: medication management
and safety concerns (wandering, behavior management).

18. 05/25/13 Blaire House of Tewksbury Assisted Living
What you can do next
• Check www.massalfa.org for
Assisted Livings near you.
• Check facility Website.
• Call for a tour with or without
loved one
• Know which reasons you are
looking at AL and how each
facility can meet your needs
• How does the residence
“feel?”
• Ensure what is “included” in
monthly fee.

19. 05/25/13 Blaire House of Tewksbury Assisted Living
For more information
Blaire House of Tewksbury
Assisted Living
• Go to our Website,
www.elderservices.com for more info.
• Call Annette Kurman, Administrator,
of Blaire House Assisted Living at
(978) 851-3121 to arrange a tour or to
discuss your situation.
We are Your Guide to Senior Care!