Types of Elder Abuse

Types of Elder Abuse

Orchard at Brookhaven is a senior living in Atlanta that’s committed to providing resources and information to our community. One of the topics we hear a lot about is elder abuse, as older adults can be seen as targets for other people to take advantage. We wanted to write this article to discuss the topic in more detail; including what elder abuse is, the laws protecting elders and the different types of elder abuse.

What Is Elder Abuse

 Elder abuse is an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult. An older adult is defined as someone age 60 or older. In general, elder abuse is a term referring to any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.

Laws Protecting Against Elder Abuse

Legislatures in all 50 states have passed some form of elder abuse prevention laws. Laws and definitions of terms vary considerably from one state to another, but in general the categories of, abuse may be:

  • Physical Abuse—inflicting physical pain or injury (slapping, bruising, or restraining by physical or chemical means)
  • Sexual Abuse—non-consensual sexual contact of any kind.
  • Exploitation—the illegal taking, misuse, or concealment of funds, property, or assets of a senior for someone else’s benefit.
  • Abandonmentdesertion of a vulnerable older adult by anyone who has assumed the responsibility for care or custody of that person.
  • Neglect—the failure by those responsible to provide food, shelter, health care, or protection for a vulnerable older adult.
  • Self-neglect—characterized as the failure of a person to perform essential, self-care tasks and that such failure threatens his or her own health or safety
  • Emotional Abuse—inflicting mental pain, anguish, or distress on an elder person through verbal or nonverbal acts.

Financial Abuse On Seniors

A study in 2015 found that American seniors lose $36.48 billion each year to elder financial abuse. There are four attributes that make a senior susceptible to financial abuse.

  • Capacity – this relates to a person’s ability to communicate, understand and appreciate the implications of a decision.
  • Vulnerability – Any condition that puts someone at a disadvantage. Some of these may include: being in a wheelchair, having a cognitive challenge, sensory impairment such as vision or hearing loss, grief, recovering from an illness.
  • Undue Influence – Elder financial abuse if a person is unduly influenced to make or change a financial decision to benefit the influencer.
  • Autonomy – Freedom of external control or influence.

Most Common Types of Elder Abuse

Elder abuse comes in many forms including:

  • Scams – often called fund raisers and are sent by fax, email or letters. These are used to trick recipients into providing personal and or bank information.
  • Fraud – Credit card fraud is the most common form of identity theft.
  • Embezzlement – Elderly employers who entrust funds can often have employees skim funds.
  • Theft – This can look as simple as a child helping themselves to their parent’s assets.
  • Undue Influence – People who are vulnerable, can be susceptible to coercion.

You can learn more about elder abuse on the ACL.gov and HelpGuide.org websites.

senior tips for storm safety

Senior Tips For Storm Safety

Hurricane and Tropical Storm season can be a difficult to manage without the right plan. The most important thing you can do as hurricane season approaches is to get yourself, your family and your home prepared. Once you are in a storm or one is rapidly approaching, you may find it more difficult to remember all the things that help you and your family stay safe. We wrote this article to provide storm safety tips for seniors or caregivers to consider when preparing for a storm.

When To Prepare For A Storm

It’s always recommended to start early on and before the storm season hits. Starting early has many benefits, such as:

  • Gives you time to think about what you need
  • Gives you time to make a plan for loved ones in case you are injured or need help
  • Avoids the rush at stores
  • Provides additional time to ensure you have all the supplies you need
  • Less traffic on the roads

Home Essentials When Preparing For A Storm

Everyone will have individual needs, but below are some of the essential items to consider having available at your home:

  • Water
  • Food that does not need refrigeration
  • First aid supplies
  • Batteries
  • Matches and candles
  • Clothing
  • Extra bedding

Storm Evacuation Planning

In the event you need to evacuate due to a storm, consider taking the following actions ahead of time:

  • Charge your phone and chargers
  • Take in lawn furniture
  • Put items in water-tight containers
  • Put gas in your car
  • Put gas in your generator

Tropical storms and hurricanes bring heavy rain and winds that can create damage, as well as block roads and knock out power. Seniors and people with certain health conditions, like those that require medication, need to have a safety plan in place in case an emergency strikes.

Be prepared before, during and after a storm

Steps To Take Before A Storm

Before a storm hits your area you should:

  1. Know your evacuation routes
  2. Create a home safety kit which includes;
    • Gallon of water per day per person
    • Three-day supply of non-perishable food
    • Battery-powered radio with extra batteries
    • Flashlight
    • Whistle
    • First Aid Kit
    • Garbage bags
    • Antibacterial wipes
    • Phone chargers
    • Duct tape
    • Wrench or pliers
    • Manual can opener
  3. Set up a safety room (preferably an interior room without windows)
  4. Know your area to listen for warnings
  5. Prepare medications and take all medications with you if you have to evacuate
  6. Take out cash and fill up your gas tank

Storm Safety Tips For Pets

It’s important to also have a safety plan for your pets during a storm. Below we’ve included some items for you to consider when preparing:

  • Make sure your pet is up to date on vaccinations and bring rabies tags to shelter
  • Bring any medications your pet is taking
  • Make sure your pet has identification and a crate or carrier
  • Have a leash
  • Keep your pet near and know which shelters take pets
  • Have a supply of dry food, water and bowls
  • If you live where flood waters may rise, secure a life vest for your pet

You can visit AlleyCat.org‎ for additional pet safety tips.

Senior Safety Tips During A Storm

While the storm is actively hitting your area, seniors should consider the following safety tips:

  • Stay alert and know the updates
  • Go to a safe part of your home  (interior room, under stairs, away from windows)
  • Keep your refrigerator cold by turning it on the coldest setting
  • Keep in contact with your family and let them know your plan to either stay in place or where you will be evacuating.
  • Keep medications close
  • Be aware of possible mold growing in damp places

Steps To Take After A Storm

Below are some safety tips to consider for after the storm has past:

  • Stay at least 15 feet away from generator fumes
  • Contact family as soon as possible
  • Drink bottled water until tap water has been cleared to drink
  • Be careful of where you step
  • Do not drive through standing water
  • Be careful of damaged trees and limbs that may fall

If you or your loved one lives in a Senior Living Community, ask about their safety plan for storms. Each community is required to have a safety plan that they can execute to keep residents and staff secure during a storm. Orchard at Brookhaven has such a plan, and we will review it in more detail in a future blog post. If you have any additional questions about storm safety or our safety plan, please contact us. For additional storm safety tips you can also visit ready.gov‎

Top Assisted Living Facilities in Atlanta

Top 10 Assisted Living Facilities In Atlanta

When looking for Senior Living it is important to be able to compare the different types of communities and options to find one that suits your individual lifestyle and provides the best opportunity to live a happy and supported life. The quality of services and meaningful programming available to residents is what makes certain communities stand apart from others.

Orchard at Brookhaven is a new luxury assisted living and memory care set to open in 2019. Orchard’s founder, Arkadiy Yakubov understands how important it is to find the right environment for each family’s unique situation and he is proud to serve Atlanta families with many professional colleagues. Below you will find a top 10 list of assisted living facilities in Atlanta that he recommends families look into. All of these communities are located in metro Atlanta and provide services to seniors in Fulton or Dekalb County Georgia.

Belmont Village of Buckhead

Belmont Village of Buckhead is named one of 2018 best places to work in aging services by Fortune magazine. The community is known for its specialized dementia care program Circle of Friends. This pioneered therapeutic program focuses on mild cognitive impairment needs for persons with early-stage memory loss. The approach is based on research from Vanderbilt’s University’s Center for Quality Aging.

Benton House of Decatur

Benton House of Decatur is an assisted living and memory care community new to Atlanta in 2017. The community is unique in that it offers an adult day dementia support program for family caregivers who live in their own home.

Brighton Gardens of Buckhead

Brighton Gardens of Buckhead is a large community located on Lenox Road offering 14 different floor plans with outdoor grounds and a screened in porch. A Sunrise assisted living, they provide respite care for short-term stays helpful for recovering from a hospital visit or other health circumstance.

Canterbury Court

Canterbury Court is a faith based nonprofit continuing care retirement community. It opened in 1965 as Atlanta’s first life plan community as St. Luke’s Episcopal Home for the Retired. The property is located on 11 acres with 6 acres of outdoor gardens and offers 4 restaurants, fine dining, a café, take out and room service.

Holbrook Decatur

Holbrook Decatur set to open the summer of 2019 is introducing a bold and passionate independent living model. Centrally located so residents can experience a “live, work, play” environment enjoying all Decatur has to offer. An independent luxury senior living, assisted living, and memory care, the community will focus on creating opportunities to maintain a healthy and balanced life.

Kingsbridge Retirement

Kingsbridge Retirement is nestled among the storied neighborhoods of Druid Hills, Emory, and Brookhaven in northeast Atlanta. The community a nonprofit senior living hallmark to neighbors with a reputation for superior service.

Lenbrook Retirement

Lenbrook Retirement is a nonprofit and Atlanta’s only accredited Life Plan community. This credential requires 1,100 measures of excellence and speaks to the company’s efforts to fulfill all seven of the dimensions of wellness: social, emotional, spiritual, intellectual, physical, occupational and environmental. Amenities include a 5,000-square-foot events center, expansive fitness center with a heated indoor pool, bridge and billiards rooms, a movie theater and plaza gardens.

Peachtree Hills Place

Peachtree Hills Place is the infamous Andy Isakson new 55+ continuing care retirement community set to open 2020. The Terraces will provide supportive living including assisted living, memory care, and skilled nursing services. The new development provides an opportunity to develop equity and investment value rarely found in other models of retirement living.

Renaissance on Peachtree

Renaissance on Peachtree is run by The Arbor Company and just celebrated 30 years of service in 2018. This is an Atlanta based company and is a signature to senior care in the metro area and south east. It is one of the most elegant and trusted senior living residences in Buckhead and the high rise building has an established and diverse resident population.

Sunrise of Buckhead

Sunrise of Buckhead is a well-known name in senior living and located in Buckhead, Georgia at the intersection of Lenox park Blvd and Roxboro Road. The corporate company in a recent J. D. Power Senior Living satisfaction study achieved the highest score in five out of six study factors for measuring family satisfaction.

Please contact Orchard at Brookhaven for further information and look at our blog posts Guide to Choosing An Assisted Living Part 1 & Part 2 for more guidance and direction about different types of Senior Living in Atlanta.

Fine Dining Senior Living

Fine Dining in Senior Living

Many senior living communities in Atlanta promote fine dining as one of their amenities. But what does fine dining really mean? If you look up fine dining on most senior living websites, it includes upscale restaurant style dining, along with other options such as a bistro or pub. People looking for dining options in Independent Living seem to have more options than Assisted Living or Memory Care.

When someone is looking at Assisted Living or Dementia Support it is important to think about the dining options that the community provides.

Assisted Living Dining Options

Here are some things to consider when looking at the dining offerings in Assisted Living:

  • Are there a variety of dining options for the residents?
  • Are there a variety of menu options for the residents?
  • Are the dining options on a set schedule?
  • Are residents assisted with finding the dining areas?
  • Is there a policy or procedure to ensure that all residents attend and consume their meals?
  • Are there opportunities for residents to be involved in cooking and baking?
  • Can residents eat in their rooms?
  • Are there options for special dietary needs and preferences?
  • Is there a nutritionist on staff or consulted?

Dementia Support Dining Options

Here are some things to consider when looking at the dining offerings and programs for Dementia Support:

  • Are there a variety of dining options for the residents?
  • Are there a variety of menu options for the residents?
  • Are the dining options on a set schedule?
  • Are residents assisted with finding the dining areas?
  • Is there a policy and procedure in place to ensure that all residents are consuming their meals?
  • Are families consulted in dietary preferences and restrictions?
  • Is there communication with families if there is a change in intake of food and hydration?
  • Is there communication with families if there is a change in diet?
  • Is there a speech therapist on staff that provides swallow studies when there is a change in ability during eating and drinking
  • Does the community provide modified diets, utensils and dining ware?
  • What do the modifications look like and are they appealing and appetizing?
  • What does food service look like?
  • Is the staff skilled in hands on support that enables someone living with dementia to be independent and successful in eating and drinking?
  • Are there special programs used for dining?

Modified Diet Due to Change in Abilities

Speech Therapist and swallow studies determine when a modified diet is needed due to changes in ability, which may include:

  • Adaptive utensils
  • Adapted service and dining ware
  • Finger foods
  • Modified Chop
  • Puree

Dementia Dining Programs

Here are some dining programs that are specific to dementia support:

Orchard at Brookhaven Senior Living is an intentional community that provides support in Assisted Living and Dementia. Orchard will be using the Grind Dining program to help ensure the optimal in dining experience and dietary health for our residents. Please contact us for more information on this program and how it will be implemented.

Independent vs Assisted Living

Independent vs Assisted Living – What’s the Difference?

There is a variety of options when looking at Senior Living in Atlanta. These include Independent living (IL), Assisted Living (AL), Dementia Support (MC), Skilled Nursing (SNF), and Hospice and Palliative Care. Deciding which option works best for you will include taking an inventory of both what you want and what you need or may need in the future. In a previous article, “Senior Living, Assisted Living, Dementia Care, how do I know which one I need?” reviews some things to consider when looking for a place to live including personal abilities and community amenities and support. Below will be a brief summary of the different kinds of communities to help you make the best possible choice.

Independent Living (IL)

This is a community that will offer many opportunities to be engaged in both the local community and senior living community. It will also provide services that make it more convenient for individuals such as an on-site salon, variety of dining options, housekeeping, transportation, social engagement and exercise options such as a gym, pool, games and or walking paths. An Independent Living community is designed for people who need little or no assistance/support in managing their daily life.

Assisted Living (AL)

This is a community that will support a wide variety of services, and is regulated and licensed by each state to provide in house support. All Assisted Living communities provide support for activities of daily living which include: Bathing, transferring, toileting, eating and dressing. These are the basic activities of daily living. However, an Assisted Living community that has a skilled staff and a mission that puts the resident first, will also assist with other aspects of the day such as engagement, and following a preferred routine. Other ADL’s can include:

  • Laundering
  • Cleaning private living space
  • Managing money
  • Writing letters
  • Shopping
  • Using public transportation
  • Making telephone calls
  • Obtaining appointments
  • Engaging in leisure, recreational or other activities

Memory Care (MC)

This is a community that provides support for people living with dementia. The term Memory Care is the traditional name for many of these communities even though memory is just one aspect of dementia. In our Dementia 101 article, we reviewed the difference between Alzheimers and Dementia. When someone is living with Alzheimers they will begin with memory loss and because Alzheimers has been the most prevalent form of dementia, this type of support has used the term Memory Care.

It will be important for the community that you chose to recognize that memory is only one aspect of dementia and have a skilled and trained staff to support people. Orchard at Brookhaven does not use the term memory care because we are an intentional dementia support community and have one of the leading dementia care trainers as the Executive Director. For more information about Orchard, schedule a time to meet with Leslie and let her help you navigate what you want to look for with dementia support.

Dementia Support will include:

  • Activities of daily living
  • Engagement
  • Security
  • Lower resident to staff ratio
  • Trainer staff to support abilities
  • Individualized Care Plans

Skilled Nursing

Skilled nursing has a medical model meaning that it has nursing support 24/7 for the residents who live there. One lives in this environment when they have greater medical needs than an Assisted Living or Dementia Support community can give. The nurses that work in Assisted Living communities, while certified nurses, either LPN or RN, are limited in the care they can provide which is determined by Assisted Living regulations.

There are a lot of variables to consider when looking at senior living in Atlanta, levels of care and trying to plan for the future. Orchard at Brookhaven is an intentional community in Atlanta that is being developed to provide the best in assisted living and dementia support. We are also committed to being a community resource and welcome any and all inquiries for assistance and support with your search to find the community that is right for you.

Hospice vs Palliative Care

Aging In Place – Hospice & Palliative Care

If you find a senior living community in Atlanta that meets your needs and you chose to live there, it would hopefully allow you to age in place. As mentioned in our previous Spectrum of Care article, some communities have criteria that residents must meet to be able to live there. However, with aging can come some issues that require additional support and services. Therefore, it is good to know what these additional support services are and look like so that you can ask the community before you make the decision to move in.


Hospice is an additional service that may allow someone to age in place in their new community.

Hospice is a specialized form of medical care that seeks to provide comfort and maintain, to the best possibility, a person’s quality of life. A person requiring hospice would be someone facing a life-limiting illness, disease or terminal condition. Hospice is different than Palliative Care in that Hospice typically occurs when there is a life expectancy of six months or less. When curative treatments no longer work and/or a patient no longer desires to continue them, then hospice becomes the preferred form of care. This doesn’t mean that hospice care will be provided only for six months, however. Hospice care can be provided for as long as the person’s doctor and hospice care team certify that the condition remains life-limiting.

Hospice care focuses on your quality of life near the end of life’s journey. The main goal, for the hospice team, is to surround you and your family with comfort and support and will work with the staff of your senior living community. They work together to provide the person with pain and symptom management so that they are comfortable and able to focus on the people and the things that matter most to them and add an additional layer of support to your loved one.

Hospice Care vs Palliative Care

Hospice care generally focuses on the overall or holistic well-being of a person by addressing:

  • Physical condition
  • Emotional
  • Social
  • Spiritual/religious

Many people receive hospice care, some common areas are for people suffering from:

  • Cancer
  • Heart disease
  • Dementia
  • Kidney failure
  • Chronic obstructive pulmonary disease

In addition, hospice care can provide support, resources, and information to a patient’s family and loved ones.

Palliative Care

Palliative care, on the other hand, can be given at any time during the course of an illness and in conjunction with curative and/or other aggressive treatments.

Palliative care is specialized medical care for people with serious illness. It focuses on providing relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.

Palliative care is provided by a specially-trained team of doctors, nurses, social workers and other specialists who work together with a patient’s doctors to provide an extra layer of support. It is appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment.

Palliative care is whole-person care that relieves symptoms of a disease or disorder, whether or not it can be cured. Hospice is a specific type of palliative care for people who likely have 6 months or less to live. In other words, hospice care is always palliative, but not all palliative care is hospice care. 

Thinking About Hospice

Typically, family members serve as the primary person(s) to help make decisions for their loved ones in hospice care. An Advance Directive is very helpful during this time, as it’s a document that clearly outlines a patient’s wishes regarding medical treatment.

It is good to have open conversations with your loved one before it is necessary to make decisions requiring hospice. These conversations allow everyone to know what the person wants their life to look like and help the person (s) making medical decisions be confident that they are carrying out their loved one’s wishes.

How do I enroll in Hospice?

Enrolling in hospice care early helps patients live better and live longer. Hospice care decreases the burden on the family, decreases the family’s likelihood of having a complicated bereavement and prepares family members for their loved one’s death.

Orchard at Brookhaven understands the benefits of aging in place. Our community has special considerations for residents who require hospice and or palliative care in Atlanta.

Spectrum of Care

Spectrum of Care – Senior Living Options

When considering a new place to live, it is important to ask whether the new community provides the services and support needed to age in place. This is especially important for someone living with dementia because changing environments and having to move into new communities can be very challenging and disruptive.  So, what is “aging in place”? If a person is able to age in place, that a person is able to live in the residence of their choice for as long as they are able, including being able to have the services and support that they need over time as their needs change.

Some communities have specific qualifications that a person must meet in order to be able to live it that community.  When looking at senior living in Atlanta, make sure to ask what admissions criteria they have and what the extent of services and support they provide in order to help people age in place.

Understand Your Needs

Some abilities that may determine whether you or your loved one can remain in a community include:

  • The physical ability to move independently, is the person ambulatory?
  • Can the staff assist the resident in transferring from a sitting or reclining position?
  • Is the person capable of self-preservation with minimal assistance?
  • Does the person need continuous medical care?
  • What are the limitations of the medical services of the community and is it permitted to bring additional private care?
  • Does the staff support activities of daily living?

Daily Living Activities

Examples of daily living activities include:

  • Bathing
  • Shaving
  • Brushing teeth
  • Combing hair
  • Toileting
  • Dressing
  • Eating
  • Laundering
  • Cleaning private living space
  • Managing money
  • Writing letters
  • Shopping
  • Using public transportation
  • Making telephone calls
  • Grooming
  • Obtaining appointments
  • Engaging in leisure, recreational or other activities

If you or your loved one requires additional support in any of these activities of daily living, it will be important to determine what the priority and goal is that you have.

Different Types of Senior Living Options

There are a variety of senior living options that are based on the type of support that someone requires:

  • Health promotion
  • Curative
  • Restorative
  • Maintenance
  • Compensatory
  • Palliative

Additional Support Considerations

A community that provides the support required to help someone regain some degree of function or ability may include:

  • Rehab
  • Special equipment
  • May be a temporary stay

Senior Living & Maintaining Your Current Abilities

If you are looking for senior living in Atlanta that provides the ability to maintain your current abilities you will want to ask how the staff provides the following:

  • Specialized staff
  • Staff training
  • Consistency in staff
  • Services and how they support current abilities
  • What happens if my abilities change?

Senior Living & Support For Limited Abilities

Perhaps you need a community that supports limited abilities, in that case you would want to ask how the staff provides and supports:

  • A consistent environment
  • A consistent routine
  • What support is provided
  • How the staff is trained
  • What is the communication process of staff with family?
  • What happens when abilities change and more support is needed?
  • How assesses these changes?
  • How often are abilities checked?

When someone is at end of life, palliative or hospice care might be an option. One of your next articles will address the differences between palliative care and hospice. Orchard at Brookhaven is a new senior living community in Atlanta that is focused on providing the best option for you. Our staff is highly trained and will work with you to provide the support you need.

Senior Living vs Assisted Living

Senior Living vs Assisted Living – Which Do I Need?

There are many options when looking for senior living in Atlanta. Before you start to look at all the options, take an inventory of the reasons why you started looking in the first place. This will help narrow your focus and provide you a list of things that you need or are looking for. For example, if you come from a single family home, a large apartment style community may not be the best setting. Orchard at Brookhaven is a senior living facility in Atlanta designed to provide smaller neighborhoods, which we call groves, to create a smaller community feel.

There are a variety of reasons why someone looks for senior living, below are some to consider.

Social Support

If you are looking for social support, look for a community that provides a variety of ways to become and stay engaged in both the local and living community. Here are some things to consider when searching for a community:

  • Does the senior living community provide transportation to community events and local gatherings?
  • Is the community located in an area that has community events such as a theatre, shopping, concert hall, museums, community center, etc…
  • Does the community bring in entertainment and professionals from the local community?
  • Does the community provide opportunities for the residents to provide outreach for local charities?
  • Does it provide a variety of options to meet and socialize with other residents? These options should be more than leisure activities, they also need to include, education, support, social, cultural, and opportunities for the residents to create groups and clubs themselves.

Physical Support

If you are looking for support physically, look for a community that has staff that specialize in rehabilitation, Physical Therapy and exercise as well as an adaptive environment that promotes as much independence as possible. Additionally, there needs to be opportunities for exercise indoors and out as well as a multiple modalities for staying active.

Daily Living Support

If you are looking for support with daily living, ask about the ratio of staff to residents and the level of training and continuing education that they receive. Find out if they have 24 hour nursing services, and a medical director? Ask if one can age in place at the community. Aging in place means that the community has the capability to support someone through end of life. This will ensure that once you find a community that suits your needs, you will be able to continue to live there and your life will not become disrupted if your health status changes.


What kind of amenities are important to you in senior living?  Many communities have the following amenities:

  • Salon
  • Bistro
  • Fine Dining
  • Exercise rooms
  • Therapy services
  • Transportation

Looking for senior living options can be over whelming and many of the communities have similar services and options. Before you begin, take a moment to make a list of the reasons why you are considering moving to a new community and a list of the most important things for you to have in this new community. Orchard at Brookhaven has staff that can help support you when looking for the right senior living community in Atlanta.

Different Types of Dementia

Different Types Of Dementia

What is Dementia?

The changes that happen in the brain with dementia affect the way someone experiences life and affects the way someone is able to interact with the world around them. Orchard at Brookhaven is a dedicated assisted living community that specializes in dementia care in Atlanta. The staff will be specifically trained and prepared to support someone living with dementia.

Dementia is a neurocognitive disorder that encompasses over 100 types of brain change. This article will touch on the four main categories of dementia including:

  1. Alzheimers
  2. Lewy Body
  3. Vascular
  4. Frontal Temporal


Alzheimers begins with damage to the hippocampus and the person usually begins to have difficulty with learning new information and forming new memories. People living with Alzheimers may also have difficulty with directions and can get lost easily as well as have difficulty with time. Difficulty with time could involve being accurate about how much time has passed, time of day, and also being accurate about the time of life. Someone living with Alzehimers may, for instance, think that they are in a different time of their life and become confused about the people in their life. For example, someone may think that their grandson is their husband. This can be a very difficult thing for families.

Alzheimers can include:

  • Loss of new information
  • Decline of recent memory
  • Problems finding words
  • Getting lost
  • Becoming indecisive

For more information please visit www.mayoclinic.org

Vascular Dementia

In vascular dementia, the brain is affected by events such as TIA, or what is commonly called a mini stroke. This can be caused by cardiovascular issues that affect the blood and oxygen flow to the brain. Vascular dementia varies depending on where the event has occurred.

Vascular Dementia is a result of cardiovascular issues and can include:

  • Sudden changes in abilities
  • Emotional and energy shifts
  • Change in judgement

For more information please visit www.strokeassociation.org.

Frontal Temporal Dementia

Frontal Temporal Dementia affects the prefrontal cortex that controls judgement, impulse control, self- awareness, decision making and being able to start and complete a task. People living with FTD may lose their initiative to take part in past hobbies or tasks. The Temporal lobe controls language and people may have non fluent aphasia or fluent aphasia. A person with non- fluent aphasia has difficulty forming words.  A person with fluent aphasia has difficulty with comprehension, they make errors such as pointing to their mouth when asked to point to their foot.

Frontal Temporal Dementia can include:

  • Loss of Impulse control
  • Saying mean or rude things to others
  • Change in behavior
  • Dis-inhibition with food, sex, emotions, actions
  • Difficulty with finding words
  • Difficulty with understanding the meaning of words
  • Difficulty saying words
  • Forms words that we cannot understand

For more information please visit www.alz.org/dementia/fronto-temporal-dementia and www.caregiver.org/frontotemporal-dementia.

Lewy Body

Lewy Body can resemble Parkinson’s disease. It affects the ability to move and use fine motor skills and can create sleep disturbances such as nightmares and hallucinations. It is important to know if your loved one has Lewy Body because this dementia reacts differently to commonly used medications for dementia and can have a toxic effect.

Lewy Body Dementia can include:

  • Sleep disturbances and nightmares
  • Movement problems
  • Fine motor problems with hands and swallowing
  • Episodes of syncope and rigidity
  • Hallucinations
  • Drug interactions can be extreme with Lewy Body

For more information on Lewy Body please visit www.lbda.org

If you have any questions, please go to the links shared in this article. For those looking for an assisted living facility in Atlanta, you can contact Orchard at Brookhaven and someone will be able to share more information with you and guide you to the appropriate support.

Questions to Ask Assisted Living Facility

Guide To Choosing An Assisted Living Facility – Part 2

There are many things to consider when choosing an assisted living facility in Atlanta.  This article will focus on three key things to explore:

  1. Physical space
  2. Dining
  3. Engagement

As you enter this process think about the things that you like, want and need and try to match these with the environment that can best support both your preferences and your needs. Before we proceed, make sure you also read the Part 1 article we have on our blog.

Physical Environment

When making decisions about a new living environment, it is important to take a look at and ask questions about the physical environment to see if it meets what you like, what you want and ultimately what you need to be comfortable and feel at home.

  • Does indoor space allow for freedom of movement and independence?
  • Are both indoor and outdoor areas are safe and secure?
  • Is the facility is easy to navigate?
  • Are there directional signs and visual cues to help the resident navigate their living space?
  • Is there a designated family visiting area?
  • Is there a private area to have conversation with the staff?
  • Are the resident rooms clean and set up to be most the functional for the resident?
  • What are the items that residents are encouraged to bring with them for their room?

It is also very important to look at the culture of the environment when deciding on a new place to live. When touring a community, notice how the employees and residents look and relate to one another.

  • Do the residents appear to be relaxed, engaged and happy?
  • Does the staff seem stressed and pressed for time?
  • Do the residents and staff relate to one another in a positive way and treat one another with respect.
  • Are the families engaged and connected with the staff?


Dining and meals are an important part of our day because eating well balanced diets support healthy living and a change in someone’s eating habits can also signify a change in health. Dining also gives us the opportunity to connect with one another by sharing a meal. Take a look at the dining space and process in the community. Notice whether there areas for different size table settings and areas for people who need a quieter setting for their meals and whether the meals prepared in such a way that the aromas of the meal can be enjoyed by the residents. Aromas can ignite memories, help individuals connect with one another about shared experiences and can help stimulate the desire to eat.

Dining at Orchard at Brookhaven is very important and therefore we have different programs and opportunities to promote healthy diet as well as encouraging the use of meals as a way to connect with residents and staff.  We’ll be using Grind Dining as one of our programs.

  • Are there regular meals and snack/hydration times?
  • Is the food appetizing?
  • Is the dining environment is pleasant?
  • Are family and friends are welcome at meal time?
  • Does staff have a plan for monitoring nutrition?
  • Is the family notified when there are any changes noticed or made regarding nutrition?
  • Are special dietary needs met?
  • Is the family and resident asked about food and dining preferences?


Your new community may not be able to provide everything but it is important to find one that has a staff and culture that is committed to finding ways to partner with you in what works for you. Make sure to think about how you like to spend your day, or how your loved one likes to or liked to spend their day.

  • Does the community have a designated staff to help design and facilitate and flow of day that makes sense to and works for the residents?
  • Are personal preferences supported by the staff and schedule?
  • Are there choices for residents?
  • Are activities adapted to meet the varying needs of all residents?
  • Does engagement mean more than leisure activities for the residents?

At Orchard at Brookhaven, the Executive Director is not only a dementia specialist but has also traveled the country teaching staff how to connect with their residents and provide meaningful ways of engagement.

Take a moment to call, review the website or stop by and speak to Leslie Finkley the Executive Director for more information about the specials programs of Orchard.