Alzheimer's home care in Salem, OR
Alzheimer's is the most common cause of dementia, and it moves in one direction: slowly, over years, from forgetfulness to needing help with nearly everything. In-home Alzheimer's care lets the help grow with the disease while your parent stays in the home they know.
Part of our in-home memory care program.
We accept Medicaid, mostly through the K Plan (Community First Choice). Ways to pay →
What Alzheimer's is, and what home care covers.
Alzheimer's disease is a brain disorder that slowly destroys memory and thinking skills, and eventually the ability to carry out simple daily tasks (National Institute on Aging). It causes 60 to 80 percent of dementia cases (Alzheimer's Association). There is no cure yet, so most of the work happens in daily life at home. Pasha's in-home Alzheimer's care handles that daily work, alongside the doctor or memory clinic who lead diagnosis and treatment.
It covers
- Bathing, dressing, toileting, and meals
- Medication administration, nurse-delegated under doctor's orders
- A steady daily routine that eases late-day confusion
- Supervision that keeps wandering in mind
- Calm, patient communication as language fades
- Respite so the family caregiver can rest
It does not cover
- Diagnosis, prescribing, or changes to Alzheimer's medications
- Psychiatric or behavioral treatment
- Emergency medical care (we call 911 and stay close)
Three stages, and what care looks like in each.
The Alzheimer's Association describes three broad stages: early, middle, and late (mild, moderate, and severe in medical terms). They overlap, and every person moves through them at their own pace. On average, people live four to eight years after diagnosis, and some live as long as 20.
Early stage (mild)
Trouble finding words or names, misplacing things, more difficulty planning. Many people still live fairly independently. Care is light: rides, errands, a familiar face a few times a week, and room for the family to make legal and financial plans while your parent can still take part.
Middle stage (moderate)
Usually the longest stage, often lasting years. Confusion about time and place, help needed with dressing and bathing, sleep changes, wandering, and suspicion. Visits get longer, and a consistent caregiver matters most here.
Late stage (severe)
Your parent may no longer hold a conversation or move without help, and swallowing changes. Care becomes full personal care and comfort: gentle touch, familiar music, careful help at meals. Many families bring in hospice, and we work alongside them.
Six Alzheimer's challenges, and how a steady caregiver meets them.
Late-day confusion (sundowning)
Restlessness and confusion that build as daylight fades are common. The National Institute on Aging recommends a steady routine, daylight, less noise, and calm redirection. That is the shape of a good afternoon visit.
Wandering
Wandering and getting lost can begin as early as the mild stage. A caregiver who knows your parent's habits notices restlessness early and keeps the day full enough that leaving isn't the plan.
The same question, answered kindly
The fifth time is answered like the first. Arguing and correcting raise distress. Reassurance lowers it.
Simpler tasks, not fewer
The Alzheimer's Association advises finding what a person can still do and simplifying the rest. Clothes laid out in order, one step at a time, keeps your parent dressing themselves for longer.
Medication, handled
With nurse delegation under the doctor's orders, the caregiver gives medications instead of reminding someone who may not remember the reminder.
Same caregiver, every visit
As recent memory fades, familiar faces carry more weight. We hand-match once and keep that caregiver coming back.
What families say about Pasha Health
"I am very happy with the care Pasha Health provides for my grandmother. They sent amazing caregivers, they really care about understanding her needs. Very punctual, administrative and scheduling always take our calls to schedule transportation, appointments and any changes. I would highly recommend them if you have family that needs caregiving needs."
Is it time for more help? An Alzheimer's checklist.
A one-page printable of the signs that care needs are changing, organized by what to do about each one. Useful for the family conversation, the doctor visit, or the next call with siblings.
- Missed or doubled medications
- Getting lost, or trying to leave at night
- Unopened mail and unpaid bills piling up
- Skipped meals or spoiled food in the fridge
- A family caregiver who isn't sleeping
- ...and 7 more
What families ask first.
Three services Alzheimer's families often combine.
Personal Care
Pasha Personal CareHands-on daily care from the same caregiver each visit, including nurse-delegated medical tasks under doctor's orders. Dementia-specialized since day one.
Companionship
Pasha CompanionshipIsolation is the part of aging nobody books a doctor for. We show up for it.
Respite Care
Pasha RespiteFamily caregivers burn out. Respite care exists so the primary caregiver can sleep, travel, or just sit.
We provide Alzheimer's care across Salem and the mid-Willamette Valley and in the Portland metro.
Just rest and let us take care of you.
Needing help isn't giving up. It's one of the most loving things you can do.
A 15-minute call. No commitment.
We'll listen to where your parent is in the disease, explain what care looks like at that stage, and tell you honestly whether we're the right fit.