Knowing When to Say When: Dementia Care Placement

One of the most difficult, emotionally trying and even guilt-inducing decisions any geriatric caregiver of a dementia sufferer has to make is deciding when to place that individual in some type of congregate care setting, i.e. assisted living or the dementia area of a skilled nursing center.

Such a decision is never clear-cut as each case is different and has varying circumstances. In some cases it may take months, if not years of emotional wrangling before both the individual with dementia and the caregiver can make the final choice.

Don’t hang your head in despair just yet; there are some generally agreed upon guidelines that exist to help make sense of when to make the decision to place the dementia sufferer outside of the home setting. When reviewing these guidelines, factors such as family finances and family dynamics should also be taken into account.

Dementia Care Placement Triggers

Let’s first review the factors that can often justify placement for someone with dementia:

1. Caregiver burden/burnout

When a spouse, loved one, or other sandwich generation caregiver provides the primary or in some cases sole care for someone with dementia, it can understandably take a huge physical and psychological toll, especially when the care lasts for several years. It is not uncommon for the caregiver to develop his/her own health issues or exacerbate existing health issues as a result of caring for the individual with dementia. Unfortunately, many caregivers act selflessly by ignoring their own health concerns until they push themselves to the brink or a crisis occurs and they can no longer realistically take care of their loved one at home. The goal in avoiding this kind of crisis is for the caregiver to recognize when he/she can no longer care for the person and be honest enough to admit it to him/herself. Unfortunately, many caregivers need others to intercede before they will admit it is time and even then feelings of guilt can delay the decision further. See Recognizing the Signs of Caregiver Burnout

2. Wandering/Elopement

A number of dementia sufferers develop a habit of wandering away from their residence. Despite caregivers best efforts, people with dementia will find a way to elope if they really want to without understanding the risks involved. Once these episodes occur more frequently and are accompanied by the need to have police and other emergency authorities involved to assure the person’s safe return or in worse-case scenario situations where the individual with dementia suffers injuries as a result of the elopement, then it is fairly clear that this person needs to be in a more secure environment to minimize these risks and insure his/her safety.

3. Incontinence

Incontinence of bladder or bowel can often be addressed by family caregivers without significant difficulty, however, once the incontinence reaches a less predictable and manageable state, the burden of constant changes and accidents can weigh heavily on the physical care of the individual for the caregiver. Repeated unpredictable episodes of incontinence can be the basis for added stress on the caregiver and can trigger dramatic moments of desperation and tension in the relationship. These are the type of “breaking points” that can lead a caregiver much further toward making the decision to place his/her loved one in a community setting.

4. Physical/Verbal Abuse

While it is difficult to think about and even more difficult to articulate to others, physical and verbal abuse can occur on both sides of the dementia caregiving relationship. With stress levels being high many times, unintended incidents can occur that one party or the other regrets. In the case of the person with dementia, these behaviors can almost always be attributed to the disease. Nevertheless, they can create an untenable and, in some cases unsafe, situation for the caregiver, especially if these behaviors are repeated and not adequately addressed otherwise.

Possible Solutions for Care Placement Triggers

For each of the four placement trigger factors mentioned above, solutions can be found if the strong desire is to keep the person with dementia at home as long as possible, and in at least the first three cases, resources are available to support that decision:

  • Caregiver burden/burnout: If the financial resources are available, caregivers can find support through various sources including hiring private geriatric case managers to assist in care and also utilizing resources that might be available in the community such as dementia day care services. If possible, family and friends can be included to assist in the caregiving role on a scheduled basis to give the primary caregiver some relief.
  • Wandering/Elopement: Some caregivers have gone to the trouble of changing their home door locks as well as incorporating more recent developments in at-home dementia care including the use of wander guards for their loved ones (that will track their whereabouts) and other GPS-type devices that can pinpoint a person’s whereabouts should he/she get lost. Depending on the family’s financial circumstances, this may be a relatively inexpensive way to address the problem.
  • Incontinence: As is the case with caregiver burden, additional resources though paid geriatric care management or friends and family may be sufficient to help ease the stress of this aspect of the disease for the primary caregiver. This can sometimes make the difference for caregivers who are feeling overwhelmed by their responsibilities.
  • Physical/Verbal abuse: If these types of behaviors are occurring regularly or even more than once, it is unlikely that the home situation can be resolved, even with the addition of support resources. Medications may be added or adjusted by the doctors involved to assist in minimizing these events for the person with dementia. However, the reality is that some dysfunctional family dynamics do continue to occur for various reasons including limited financial resources or lack of knowledge about the disease and also the possibility of qualifying for alternate living arrangements, most often in the form of Medicaid spend-downs.

Geriatric Care ManagementIn most cases the strong preference among families is to keep their loved one at home for as long as possible. However, once the dementia reaches a certain point or stage of the disease, the advantages of keeping someone at home can begin to lessen and the advantages of placing him/her in an appropriate congregate care community that specializes in dementia care increase.

In the next installment of this blog topic, we will outline and discuss the steps and aspects involved once the decision is made for placement. For many, these steps place them in “uncharted waters” that can be made easier with some basic information about how the process works.

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Authored by Scott Tolan, Care Manager & Guardian Representative

Scott works with clients on a one-on-one basis to meet their needs and help them maintain a level of independence and dignity appropriate to them. His primary area of expertise is dementia and dealing with individuals with memory impairment. He has worked with clients and family members in various settings, including assisted living, skilled nursing, home care, and hospice.

Scott has completed advanced training and certification for special care/dementia unit directors that focuses on an activity-based approach in working with dementia residents. He has also facilitated several support groups for family members of those with memory impairment.

5 Geriatric Care Management Tips for the Sandwich Generation

The Sandwich Generation refers to a generation of people who are caring for their aging parents while supporting their own children. If you’re a caregiver in this generation you might liken the associated financial and emotional stress with the feeling of being “sandwiched” between the two responsibilities that are taking up most of your time.

Sandwich generation providers can create a care management sandwich that meets their needs and the needs of their aging parent(s) through effective planning, support, and advocacy.

5 crucial ingredients for a balanced care management sandwich:

  • Emotional well-being
  • Financial Planning
  • Healthcare
  • Career
  • Family

1. Emotional Well-being

For those taking on the greatest time commitment for providing care for an aging parent or parents and also trying to fulfill their own parenting obligations, finding time for self is an important part of maintaining balance in life. Caregiver burnout can seriously impact your quality of life and your ability to continue caring for your loved ones. It is essential that you carve out some time for yourself every day to do something for yourself. It might be a session at the gym, coffee with a friend, reading a book, or any activity that recharges your emotional batteries.

2. Financial Planning

Perhaps one of the biggest contributors to sandwich generation caregiver stress is managing the costs associated with raising children and maintaining the health of aging parents.

To help ease the financial burden talk to your family members and involve them in the financial planning process. Assess all of your financial resources and create separate accounts with allocated budgets for long-term care management and day-to-day expenses for the whole family. If this task seems too overwhelming, seek the help of a Certified Financial Planner that deals with long term care planning. Contact us to help find a specialist that meets your needs.

3. Healthcare

As your parents age, medical issues are likely to arise. Advance planning for possible physical and mental healthcare issues is key to effectively managing them. It is helpful for caregivers to visit and evaluate several long-term care facilities well ahead of the need for placement. Understand that institutionalization may be a normal progression in the process. Encourage the completion of a Durable Power of Attorney for Health Care form or an Advance Health Directive for Dementia in the event of your aging parent(s) being unable to make healthcare decisions for themselves at a later stage. Also see: Practical Advice on Caring For a Parent with Dementia5-step Geriatric Care Management Plan for Dementia Patients and the Families Caring for Them

Part of your planning should also include ways of keeping your aging parent(s) active. Involve them, as far as possible, in the day-to-day chores in the household and plan simple mental and physical activities like reading to the children, doing a crossword, going for a walk, joining a senior activity group etc.

4. Family

Multiple generations living together in one household can be stressful. There are so many voices that need to be heard, and often not enough time for everyone to have their say. Open, honest family communication is so very important for maintaining household balance. Try and set aside a time, perhaps around the dinner table, for each family member to talk about their day or share a personal experience. Plan a monthly family outing, even it’s in the back yard with a ball. Laugh together as often as you can and learn to sweat the small stuff.

5. Career

Juggling work-life balance is an art that requires a lot of planning and support – from your family and your employers. Don’t be afraid to ask your family members and colleagues for help if you need it, and you probably will. A geriatric care manager can also help you find the care management support and resources you need.

5-Step Geriatric Care Management Plan for Dementia Patients and The Families Caring For Them

Caring for a loved one with dementia comes with a unique set of challenges that often require professional support to effectively manage long-term care. Because dementia is a deteriorating condition, a physician/caregiver/patient relationship is the recommended approach for meeting the needs of elderly patients with dementia.

Follow these 5 steps to plan ahead and find the Geriatric Care Management support you need:

  1. Making sure physicians who are overseeing medical care for your loved one understand your needs as a family caregiver and the challenges you face are essential aspects of caring for the person with dementia. The physician can help caregivers anticipate changes, plan for role transitions, and arrange for education and support that is needed to provide care.
  2. In the earliest stages of the disease, it is helpful for caregivers to identify a health care proxy for the person with dementia. Encourage the completion of a Durable Power of Attorney for Health Care form (your physician should have copies available in their office.) The copy of completed forms becomes part of the patient’s record. (See What is a Health Directive for Dementia? for a downloadable dementia-specific health care form.)
  3. Caregivers need to maintain their personal health and vitality to provide continuing care for the demented patient. Taking the time for self-care will help reduce the chances of Caregiver Burnout (Also see Dementia and Caregiving Challenges).
  4. Caregivers should become familiar early in the illness with adult day-care services and in-home or in-facility respite services.
  5. It is helpful for caregivers to visit and evaluate several long-term care facilities well ahead of the need for placement. Understand that institutionalization may be a normal progression in the process.

Contact us if you need helping finding Geriatric Care Management support and resources.

Food for Thought: Why Switching to Veganism Can Be an Invaluable Health Choice for Seniors With Disabilities

Advancing in age also means becoming more vulnerable to a long list of diseases and disabilities. But much like other population groups, the elderly may also enjoy the health benefits of switching to a vegan diet. The topic of aging and veganism is not widely studied but here are some of the ways that senior citizens can be assisted with a balanced diet of vegetables, fruits, grains, legumes, seeds, and nuts.

Improves mobility

The most common issue for seniors is mobility, more so for disabled ones. The latest accurate US Census data showed that two-thirds of the population reported having difficulty in walking or climbing. There are several reasons for this, such as declining bone health, because aging signals a loss of minerals and calcium in the bones.

While there is no guarantee that brittle bones will be reversed by a vegan diet, Harvard School of Public Health notes that calcium, which is important for improving bone density, is better sourced from plants instead of dairy. The latter has been associated with other illnesses that can also affect the ability of seniors to move around such as diabetes, heart conditions, and cancer. A diet rich with a variety of beans, dark leafy vegetables, grains, and fruits will help seniors reach their daily calcium requirements and might even improve their mobility.

Improves eyesight

Improves Eyesight

There are numerous age-related eye health problems that can cause the diminishing or total loss of vision in the elderly such as macular degeneration, cataracts, glaucoma, or diabetic retinopathy. However, BBC News reported that a change in diet can reverse vision impairment that is consistent with aging. Aside from carrots, other types of food to look out for are those that contain three essential chemicals: lutein, zeaxanthin, and meso-zeaxanthin. These macular pigments can be found naturally in plants such as kiwi, bell peppers, kale, spinach, collard greens, corn, and saffron.

Improves hearing

Improves Hearing

Although little evidence can be found between the relationship of food and hearing, there are several claims that suggest a vegan diet can boost hearing among the elderly. Loss of hearing is another disability that plagues the older generation due to wear and tear of the nerve cells around the ears. Eating more potassium-rich foods such as bananas, melons, and apricots can induce cell interaction in the inner ear as well as protect damage to the cells, nerves, and blood vessels. A similar effect can be experienced with a healthy intake of vitamins C, E, and D which can be found in papaya, red bell peppers, kiwi, and broccoli as well as supplements. Additionally, flax and chia seeds, walnuts, olive and coconut oil, and beans will provide the essential omega-3 fatty acids that reduce inflammation in the ears.

Improves brain health

Improves Brain Health

Another topic that merits a deeper investigation is the relationship of food with brain-related illnesses such as Alzheimer’s and dementia, although some evidence of a positive link have been found. Health IQ cited the preliminary findings of a study that examined adults who eat meat and those who don’t. Careful observation led researchers to conclude that those who follow an omnivorous diet are twice as likely to experience the onset of dementia. Living Life With Dignity recognizes that dealing with the condition is equally difficult for the afflicted elderly and those who care for them, which is why finding ways to delay or completely prevent it is a priority.

Seniors and caregivers alike should get informed and consult with a physician before making a decision. The aforementioned benefits still depend on many factors such as the accessibility of plant-based food for the seniors or the intensity of their disability. However, it is never too late for the elderly to take charge of their life by converting to a healthier alternative when it comes to food choices.

Dementia and Guardianship

Dementia

1 in 3 seniors die with Alzheimer’s or some form of dementia. Of the 5.4 million Americans with Alzheimer’s, an estimated 5.2 million people are age 65 and older, and approximately 200,000 individuals are under age 65 (younger-onset Alzheimer’s). One in nine people age 65 and older has Alzheimer’s disease. By mid-century, someone in the United States will develop the disease every 33 seconds. Guardianship of adults suffering from Dementia can become necessary when the adult becomes incapable of making decisions for themselves and they don’t have a Power of Attorney in place. See What is the Difference between Guardianship and Power of Attorney?

Caring for a loved one with dementia comes with a unique set of challenges, including issues such as harm to self. For example, an individual might set a fire while cooking or become a wander risk or begin to think someone is going to harm them or is breaking into their home. See Practical Advice on Caring for a Parent with Dementia

Typically, as the disease progresses, it becomes more emotionally and physically draining for the caregiver who often reaches a breaking point. When focusing on the negative, it can become exhausting and overwhelming. See Recognizing the Signs of Caregiver Burnout

It’s important to find supportive services such as those offered by Living Life with Dignity before this point is reached. The volatility of the disease can make situations dangerous and upsetting. Depending on the progression or type of dementia, needs can change rapidly. For many, it is a full time commitment. See Dementia and Caregiving Challenges and What is a Health Directive for Dementia?

Case Study

Living Life with Dignity was appointed Guardian of and Advocate for an 83-year-old female suffering from Dementia.

Background

She was a retired nurse living alone, estranged from her adopted son and raising her deceased daughter’s son. The female, having lived in her current home for 60 years, had her neighbors all rally to help. Her phonecalls to the neighbors started to become erratic and she became acutely paranoid that someone was trying to break into her home. She refused having a caregiver and expressed her desire to fire her attorney and Power of Attorney. Upon contacting a new attorney, it became obvious to the attorney that the client needed intervention and guardianship.

Services

Living Life with Dignity was called in and we provided the following services for the client:

Also see: This Job Sucks! Choosing the right Power of Attorney is imperative

Depression: Top Mental Health Threat to Seniors

Depression - Top Mental Health Risk to SeniorsDepression is NOT an inevitable part of aging. Changes that accompany later life – retirement, the death of loved ones, increased isolation, medical problems – can sometimes lead to mental health issues like depression. Depression prevents elderly loved ones from enjoying life. Aside from mood, depression impacts energy, sleep, appetite, and physical health.

Depression in later life frequently coexists with other medical illnesses and disabilities. Because of changes in an elderly person’s circumstances and the fact that elderly people are expected to slow down, doctors and family members may miss the signs of depression. Depression tends to last longer in elderly adults. It doubles their risk of cardiac diseases and increases their risk of death from illness. At the same time, depression reduces an elderly person’s ability to rehabilitate. Also see Late Life Depression, Late-onset Depression and Dementia

In order to pro-actively provide support it helps to be able to recognize the signs of depression in an elderly person, such as expressing feelings of hopelessness or sadness that don’t go away and loss of interest in activities they previously enjoyed.

Causes and risk factors that contribute to depression in the elderly include:

  • Loneliness and isolation – Living alone; a dwindling social circle due to deaths or relocation; decreased mobility due to illness or loss of driving privileges.
  • Diminished sense of purpose – Feelings of purposelessness or loss of identity due to retirement or physical limitations on activities.
  • Health problems – Illness and disability; chronic or severe pain; cognitive decline (dementia/alzheimer’s); damage to body image due to surgery or disease.
  • Medications – Many prescription medications can trigger or exacerbate depression.
  • Fears – Fear of death or dying; anxiety over financial problems or health issues.
  • Recent bereavement – The death of friends, family members, and pets; the loss of a spouse or partner.

Here are some steps recommended by HelpGuide.org that can help your loved one overcome the symptoms, no matter the challenges they face:

  • Encourage them to learn new skills, try new activities, or make fresh lifestyle changes. The human brain never stops changing, so older adults are just as capable as younger people of learning new things and adapting to new ideas.
  • Exercise. Physical activity has powerful mood-boosting effects. In fact, research suggests it may be just as effective as antidepressants in relieving depression. Even if they are ill, frail, or disabled, there are many safe exercises they can do to build strength and boost their mood—even from a chair or wheelchair.
  • Facilitate opportunities to connect with others, face to face whenever possible. Getting the support they need plays a big role in lifting the fog of depression and keeping it away. If you cannot get them out to socialize, invite loved ones to visit them or keep in touch over the phone or email.
  • Maintain a healthy diet. Avoid eating too much sugar and junk food. Encourage healthy foods that provide nourishment and energy, as well as taking a daily multivitamin.
  • Foster participation in activities they enjoy. Pursue whatever hobbies or pastimes that bring or used to bring them joy.
  • Encourage them to Volunteer. Helping others is one of the best ways to feel better and expand their social network.
  • Create opportunities to laugh. Laughter provides a mood boost, so swap humorous stories and jokes with your loved ones, watch a comedy, or read a funny book.

Make sure they get a checkup with their doctor and talk to their pharmacist regarding drug side effects and/or interactions, as symptoms of depression can also occur as part of medical problems such as dementia or as a side effect of prescription drugs.  Watch for suicide warning signs. Seek immediate professional help if you suspect that your loved one is thinking about suicide.

There is help for seniors who are dealing with depression. Be open about asking for professional help. There are experts who deal with these issues and know how to help. For more information visit Helpguide.org

Also see:

For other helpful caregiving resources visit AlongComesGrandpa.com

Written by Author and Keynote Speaker Sue Salach-Cutler. Sue has a Master’s degree in Gerontology and has worked in the healthcare field for over 25 years.  She is the Author of “Along Comes Grandpa”, a caregiving resource guide, and the novel “If I Walked in Her Shoes”. Her programs and books provide the vital resources needed to help family caregivers as they maneuver through the caregiving journey. Find out more about her books and programs here: CaregiverLife.com.  Adapted from: https://theworkingcaregiver.org

10 ways to Maintain Your Brain© from The National Alzheimer’s Association

  1. Head first: Good health starts with your brain. It’s one of the most vital body organs, 10 ways to keep your brain healthyand it needs care and maintenance.
  2. Take brain health to heart: Heart disease, high blood pressure, diabetes and stroke can increase your risk of Alzheimer’s.
  3. Your numbers count: Keep your body weight, blood pressure, and cholesterol and blood sugar levels within recommended ranges.
  4. Feed your brain: Eat a low-fat, low-cholesterol diet that features dark-skinned vegetables and fruits; foods rich in antioxidants; vitamins E, C and B-12; foliate; and omega-3 fatty acids.
  5. Work your body: Physical exercise keeps the blood flowing and encourages new brain cells. It doesn’t have to be a strenuous activity. Do what you can – like walking 30 minutes a day – to keep both body and mind active.
  6. Jog your mind: Keeping your brain active and engaged increases its vitality and builds reserves of brain cells and connections.  Read, write, play games, do crossword puzzles.
  7. Connect with others: Leisure activities that combine physical, mental and social elements may be most likely to prevent dementia.  Be social, converse, volunteer, join.
  8. Heads up! Protect your brain: Take precautions against injuries. Use your car seat belts; un-clutter your house to avoid falls; and wear a helmet when cycling.
  9. Use your head: Avoid unhealthy habits. Don’t smoke, drink excessive alcohol or use street drugs.
  10. Think ahead – start today! You can do something today to protect your tomorrow.

For more information and tips visit: http://www.alz.org

Dementia and Caregiving Challenges

You probably know that caring for a loved one with dementia won’t be easy, but these sometimes embarrassing and unfamiliar behaviors might drive you nuts.

Dementia and Caregiving Challenges

  • Dementia Sleep disorderSleep problems and caregiver exhaustion are two of the most common reasons persons with dementia are placed in nursing homes. Causes of sleeplessness in dementia patients include pain, lack of exercise and activities, anxiety, agitation, or too much fluid or caffeine late in the day.
  • Urinary incontinence is the second leading reason that families institutionalize their loved ones with dementia. Urinary incontinence in persons with dementia should be evaluated for treatable causes, including urinary tract infections, electrolyte and calcium abnormalities, prostatic hypertrophy, and estrogen deficiency. A regular toileting schedule at two to three-hour intervals or verbal prompting may also alleviate this symptom.
  • Agitation and aggressive behavior have been reported in 65 percent of community-dwelling persons with dementia. Reasons for agitation or aggression include overstimulation, physical discomfort, unfamiliar surroundings or persons, complicated tasks, and frustrating interaction, as well as more serious reasons as paranoia, delusions, or hallucinations.
  • Caregivers may be embarrassed or ambivalent about discussing inappropriate sexual behaviors exhibited by persons with dementia.
  • Persons with dementia are often reluctant to stop driving when safety is at issue.
  • Repetitious questions may be due to short-term memory loss and an under-stimulating/over-stimulating environment leading to anxiety, feeling out of control, or fear.

Also see:

Information for this blog cited from the Alzheimer’s Association and the American Medical Association

Written by Author and Keynote Speaker Sue Salach-Cutler. Sue has a Master’s degree in Gerontology and has worked in the healthcare field for over 25 years.  She is the Author of “Along Comes Grandpa”, a caregiving resource guide, and the novel “If I Walked in Her Shoes”. Her programs and books provide the vital resources needed to help family caregivers as they maneuver through the caregiving journey. Find out more about her books and programs here: CaregiverLife.com.  Adapted from: https://theworkingcaregiver.org

What is a Health Directive for Dementia?

People with advancing dementia lose the ability to make decisions for themselves. Their families need to make medical decisions for them. Giving family members guidance about what kind of care you’d want if you were to develop worsening dementia can ease the burden of their decision making and make you feel more secure that you’ll receive the care that you would want.

Following our articles on Late Life Depression, Late-onset Depression and Dementia, and Practical Advice on Caring for an Adult with Dementia, here is a Dementia-specific Advance Directive download that allows you to map out your care and medical intervention plan should you or a loved one become ill with dementia in the future.

Late Life Depression, Late-onset Depression and Dementia

Can you develop depression when you are past some of the most stressful times of life?

LLD is caused by the underlying neurological changes in the brain

So, you’ve raised your children, achieved success in a career and now you’re considering downsizing and finally, retirement. But, you don’t feel quite like yourself. You tell yourself, “I should be happy, but I’m not.” You don’t enjoy things like you used to, you lack energy and engagement with others, and your appetite is poor and you’re not sleeping well. Maybe you’re moving a little slower and not as quick to solve problems or remember things you’re supposed to do. What could be wrong?

You see your physician, who is all too familiar with this condition, and sends you for a neuropsychological evaluation, which reveals that you are suffering from Late Life Depression (LLD). You protest, “I’ve experienced sadness like everyone else, but I’ve never been depressed in my life!” So, what is LLD?

This diagnosis is not to be confused with late-onset depression, which means, more simply, that a typical clinical depression develops later in one’s life. Confused? What differentiates LLD is the underlying neurological changes in the brain. Both are treatable, but LLD has greater implications for more serious, long-term health concerns like dementia.

LLD is defined with an age threshold of 60. Approximately 10 percent of the 60-and-over population is estimated to suffer from LLD in the United States. There is considerable reduction in discrepancy between genders in this population since middle-aged females already suffer from depression at higher rates. If you have chronic illness such as a myocardial infarction or stroke, chances are greater that you will develop LLD.

A key feature of LLD is often the presence of cognitive deficits in meaning, memory, organization, planning, and reasoning, to a degree greater than that expected for your age. Generally, LLD is more difficult to treat than Late-onset Depression, and relapse rates are higher. Furthermore, those with LLD are more likely to age into dementia. See Practical Advice on Caring for an Adult with Dementia.

Differentiating these two types of depression is imperative for accurate diagnosis, prognosis and treatment. If you or a loved one are experiencing these symptoms, a neuropsychological evaluation may be warranted and recommended.

About the Author

Jennifer Wilson-Binotti

Compassionate Neuropsychology, LLC
Neuropsychological Assessment with a Human Touch
Jennifer Wilson-Binotti, Psy.D.
Licensed Clinical Psychologist
Clinical Neuropsychologist
www.compassionateneuropsychology.com

Dr. Wilson-Binotti has worked with older adults since 2012 during her post-doctoral training in Downstate Illinois. She has experience working with those aged 50+ who have increased anxiety or depression, or a decline in functional or cognitive (thinking, memory) abilities. She previously served over 20 nursing/rehab/long-term care facilities and was on staff at six suburban hospitals, remaining on staff at Edward and Linden Oaks Hospitals in Naperville, IL. Currently, she sees patients at nursing facilities and in private residences when seniors are no longer able to physically leave their homes.

Her relaxed and warm demeanor helps patients feel comfortable and perform their best during neuropsychological testing. Many patients have described their experience with Dr. Wilson-Binotti as “fun,” and some even look forward to doing it again!