Home care service
Dementia & Alzheimer’s care
Dementia and Alzheimer’s care is patient, familiar support for someone living with memory loss — keeping to a steady routine, reducing confusion and anxiety, and staying safe in the home they know best.
Is this the right kind of help?
You might recognize some of these:
- They’re repeating questions, missing appointments, or losing track of the day
- Meals, medication or bills are being forgotten and it’s starting to have consequences
- They become more confused or agitated in the late afternoon and evening
- They’ve wandered, left the stove on, or let someone in they shouldn’t have
- You’re on constant alert and the caregiving is wearing you down
If a few of those ring true, a conversation with a care coordinator is a good next step — there’s no obligation.
What’s included
- A calm, predictable daily routine for meals, rest, activity and personal care
- Gentle redirection and reassurance instead of correcting or arguing
- Familiar activities — music, photos, folding, gardening, favorite stories
- A watchful eye to prevent wandering, falls and kitchen or bathroom hazards
- Prompts and structure around meals and fluids, which are easily forgotten
- Notes for the family on changes in mood, sleep, appetite or ability
The exact tasks are set in a written care plan you approve, and adjusted as needs change.
How Selectives delivers it
Our approach is to meet the person where they are. If your father believes it’s 1975 and he needs to get to work, arguing only causes distress — a caregiver trained in dementia care redirects gently and moves the moment on.
Consistency does a lot of the work: the same caregivers, the same rhythm to the day, the same cues. We also help you adjust the home — better lighting, fewer trip hazards, clearer signage — without making it feel like a hospital.
Who it’s for
This care suits people at any stage of Alzheimer’s, vascular dementia, Lewy body dementia or frontotemporal dementia who are living at home, and the families supporting them — from a few hours of supervision to full daily care.
Typical schedules
- Cover during “sundowning” hours in the late afternoon and evening
- Daytime care while the family caregiver works
- Full daily care, including longer and overnight shifts as needs increase
Care agreements run for a minimum of three months, with two weeks’ notice required to cancel the agreement. Visits have a five-hour minimum and no weekly minimum. Please give 24 hours’ notice to change or cancel a visit; there is no late cancellation fee.
What it costs and how to pay
Pricing is provided after a nurse evaluates your needs. Visits have a five-hour minimum, with no minimum weekly hours. There is currently no additional rate for evening, overnight or live-in care.
Invoices are issued weekly or every two weeks, as agreed. We accept checks and bank transfers. No deposit or card on file is required.
Private pay is our primary focus, and we also work with long-term care insurance and Veterans benefits. Selectives also participates as a Maryland Medicaid provider under the Community Options Program; Medicaid services are subject to eligibility, authorization, program requirements, service availability and other applicable requirements. Contact our care team to discuss your needs and available options.
Dementia & Alzheimer’s care: common questions
Are your caregivers trained in dementia care specifically?
Yes. Caregivers assigned to memory-care clients receive dementia-specific training in communication, redirection, managing agitation and sundowning, and wandering prevention, in addition to their general training.
My husband gets very agitated in the evening. Can that be helped?
Often, yes. Late-day agitation usually has triggers — tiredness, hunger, too much noise, a shadowy room. Caregivers learn your husband’s patterns and adjust the environment and routine to head off the distress before it builds.
Is it better to keep someone with dementia at home?
For many people, familiar surroundings and routines reduce confusion and anxiety, and home care lets that continue safely for longer. Whether it remains the right setting depends on safety, needs and family support; we’ll give you an honest view.
Can care increase as the dementia progresses?
Yes. We review the care plan regularly and adjust hours and support as needs change, so you’re not renegotiating everything each time things shift.
Talk to someone today
A free, no-pressure conversation about what your family needs — call us, or start online and we’ll call you back.