Parkinson's home care in Salem, OR
Parkinson's affects movement first: tremor, stiffness, slowness, and balance. Over time it can reach sleep, swallowing, mood, and thinking too. In-home Parkinson's care keeps the daily routine safe and on schedule, so your parent can keep living at home.
We accept Medicaid, mostly through the K Plan (Community First Choice). Ways to pay →
What Parkinson's is, and what home care covers.
Parkinson's disease is a disorder of the nervous system that affects movement and gets worse over time, as nerve cells in parts of the brain weaken and die (National Institute of Neurological Disorders and Stroke). Its four main movement symptoms are tremor, stiffness, slowed movement, and poor balance. It is not a form of dementia, though some people develop problems with thinking and memory as it progresses. Pasha's in-home care supports daily life between visits with your parent's neurologist and therapists, who lead treatment.
It covers
- Bathing, dressing, and grooming as fine-motor skills change
- Medication on schedule, nurse-delegated under doctor's orders
- Spotting for walking, transfers, and turns to lower fall risk
- Meals and mealtime help, following the care team's swallowing guidance
- Rides to neurology and therapy appointments
- Household tasks and a steady daily routine
It does not cover
- Physical, occupational, or speech therapy
- Changing medication doses or timing (that's the neurologist)
- Diagnosis or treatment decisions
- Emergency medical care (we call 911 and stay close)
Support that changes as Parkinson's does.
Parkinson's progresses differently in every person, and there's no fixed timeline. Most people are diagnosed in their early to mid 60s. These broad phases are a way to think about care, not a medical staging.
Early on
Symptoms often start with a tremor in one hand or a little stiffness. Medication usually works well, and many people stay independent. Help is light: rides, errands, company for daily exercise, and a hand with buttons and jars on harder days.
The middle years
Balance gets harder and falls become a real risk. Some people have 'off' periods when a dose wears off before the next one, or freeze in doorways and on turns. Care centers on medication timing, safe movement, and help with bathing and dressing.
Advanced Parkinson's
Medication controls symptoms less well. Walking may need a walker or wheelchair, swallowing gets harder, and choking, pneumonia, and falls become the main risks. Care becomes hands-on and often long hours, sometimes alongside hospice.
Six things that matter most in Parkinson's care at home.
Medication on time, every time
The Parkinson's Foundation stresses taking Parkinson's medication on schedule, because late or missed doses can bring symptoms back and raise fall risk. With nurse delegation, the caregiver gives doses at the times the neurologist set.
Fall prevention
Poor balance is one of Parkinson's core symptoms. Caregivers spot for transfers, turns, and bathroom trips, the moments when falls happen.
Patience with freezing
When feet stick in a doorway or mid-turn, the Parkinson's Foundation advises not to rush or push. Wait, stay calm, and try a cue: a line to step over, or a count to step to.
Careful mealtimes
Chewing and swallowing can get harder. Caregivers follow any food and drink guidance from the speech therapist, give meals time, and tell family about coughing or choking at the table.
A safer home
Clear walkways, fewer rugs and cords, good lighting, and a seat in the shower. Small changes at home lower fall risk.
Eyes that notice change
Parkinson's symptoms shift with the day and the dose. A steady caregiver notices new falls, dizziness on standing, mood changes, or confusion, and tells family. We observe and report; the doctor decides.
What families say about Pasha Health
"My experience with Pasha has been very positive. We chose them instead of any of the much larger well known companies because they appeared more responsive and accommodating. They have proven to be just that. Very understanding, always offering to do more than we expected. And flexible. I highly recommend"
Parkinson's home-safety checklist.
A one-page printable for making the house safer for someone with Parkinson's: walkways, bathroom, bedroom, and the medication schedule. Useful whether or not you hire us.
- Clear walking paths with no throw rugs or loose cords
- Grab bars by the toilet and in the shower
- Night lights from the bed to the bathroom
- A written medication schedule with exact times
- Chairs with arms that are easy to stand up from
- ...and 6 more
What families ask first.
Three services Parkinson'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.
Senior Transportation
Pasha TransportationDoor-to-door, never rushed. The driver is also the caregiver. Same person, same trust.
Around-The-Home Help
Pasha Around The HomeThe quiet upkeep that keeps a home livable, without disrupting the day.
Guides from our blog.
We provide Parkinson'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 with Parkinson's, explain how daily care fits around the neurologist and therapists, and tell you honestly whether we're the right fit.