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Parkinson's Disease and Assisted Living

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Dr. Maria De Leon, MD

Dr. Maria De Leon, MD is a contributor to Assisted Living Directory. She is the CEO of DefeatParkinsons. Read her article Caring and Coping - from passive to active caregiver for her Grandmother who has Parkinson's.

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Parkinson's Disease Information:

California Institute for Regenerative Medicine - Progress and Promise in Parkinson's:

Movement Disorder Society - " international professional society of clinicians, scientists and other healthcare professionals who are interested in Parkinson's disease, related neurodegenerative and neurodevelopmental disorders, hyperkinetic Movement Disorders and abnormalities in muscle tone and motor control."

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NINDS Parkinson's Disease Information Page

National Parkinson Foundation

The Hidden Face of Parkinson's Disease '...[Jim] fought Parkinson's by participating in clinical trials for a long as he could. Now in his mid-80's, he spends his days in a nursing care facility and can no longer speak, eat, or drink...' Read this touching and important story on PDPlan4Life here: Website

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Parkinson's Disease and Assisted Living
Assisted Living Directory iconSummary:   A discussion about the relationship between Parkinson's Disease and Assisted Living. Assisted Living can offer an important and viable living and housing alternative for individuals affected by Parkinson's - a progressive and debilitating disease. Assisted Living can also provide substantial relief to those who have assumed the role as caregiver. This article is not to be considered as, or used as medical advice.
Written By: - Founder/Editor for Assisted Living Directory
I receive a fair number of daily emails to our site about all aspects of assisted living. Often times, the emails and messages I receive further clarify to me that assisted living is a confusing subject, and industry - and that families faced with the need for long-term care for a loved one may not fully understand what Assisted Living can help those with Parkinson's Diseaseassisted living offers, or can do for them.

Assisted Living seems to have embedded a common perception with many of us that it can only help seniors, or those with memory/dementia disorders. I think this is a natural assumption, since most of the marketing and advertising coming out of the assisted living industry is geared towards seniors, and is usually described in aging/senior terms, or in terms of Alzheimer's or memory care.

Parkinson's Disease, and questions pertaining to Parkinson's, is a common element to many questions and messages I receive - most often generated by a family member looking for help or care for a loved one who has Parkinson's disease. Usually, the family member is a senior, but there are cases with early onset Parkinson's where a younger individual may not be able to live on his/her own - thus needing ongoing, professional care in a long-term care environment.

Here are a few of the questions we have received from families or individuals asking about assisted living and Parkinson's Disease.

One of the messages is from an individual asking about her sister, who has Parkinson's, and is only 49 years old - which helps to dispel the assumption, or myth that assisted living can only help seniors:

"My parents just recently moved to Aston Gardens from their villa in Boca; I'm not sure a large facility is where they will be best cared for. My step-father is getting somewhat forgetful (not overly) and mom has "Parkinson's with dementia." They need to be together and they both need meds administered daily: dad, 2x/day and mom, 3x/day. Mom needs assistance with toileting and getting dressed and undressed . It seems that these smaller places might not handle such hands-on arrangements. Can you please let me know more about how your "home" operates?" - Caron
"I am a 61-year-old male looking for inexpensive living arrangements. I have Parkinson's disease and receive SSI. I prefer the coastal air, as I also have allergy problems, and I am looking for assisted living or congregate housing with space available in the state of California. On the plus side, computers have been my life. I can teach about computers" - Wayne

"Both my mother and my sister live in NH. My mother has Parkinson's; my sister has MS. I was wondering if you accept MedicAid." - Nanci

"My dad has Parkinson's and Lewy Body Dementia and is in need of long term assisted living because he is losing strength in his legs and arms. Do you have the capability of housing someone like my dad?" - Rosemarie

"My father was living at Belmont Village but his care got to be too much for them and he is now in a nursing facility. He would really like to be somewhere with his own room and better food and I am wondering what your facility offers. He has had Parkinson's for 40 years, needs incontinence care, is wheelchair bound. He is most of the time quite mentally competent. He is also a VA patient....I don't know if the VA would apply any money towards the cost of a place like yours, but he does have a decent income as well. Do you think he might fit in there?" - Kathy

"My sister has advancing Parkinson's, yet is only 49. Will you accept her in your assisted living facility and what is the monthly cost? Thank you." - Kathy L

Time Management Tips for Those With Parkinson’s Disease with Dr. Maria De Leon
Video Produced by Assisted Living Directory

We asked our wonderful friend and Contributor, Dr. Maria De Leon (who lives with PD), her tips for time management for someone with Parkinson’s Disease.

Parkinson's Disease:

Very basically, Parkinson's Disease is a "progressive disorder of the nervous system that affects movement." This disease develops gradually, and gets worse over time. There is no cure, but a number of different medications can treat the symptoms, and help to manage the disease. Some of the most notable symptoms include:

Tremors: This is one of the most common characteristics - and many times begins in the hands.
Slowed Motion: This is also called bradykinesia, and causes difficulty with voluntary movement.
Rigid Muscles
Impaired posture and balance
Speech Changes
Loss of automatic movements

There are a number of suspected causes of Parkinson's Disease, including genetic factors as well as environmental. Changes will occur in the brains of people suffering from Parkinson's, including a lack of the chemical messenger in the brain called dopamine; norepinephrine levels (another chemical messenger in the brain); and the appearance of unusual protein lumps called Lewy Bodies (usually associated with Lewy Body Dementia).

We (Assisted Living Directory) don't want to go too far into the medical end of Parkinson's Disease - as we are not experts, and we are not doctors - so if you wish to read more about Parkinson's Disease from a reliable site, we recommend looking at the Mayo Clinic's description of Parkinson's Disease.

Our goal here is only to offer a basic synopsis, which will lead into how assisted living can help someone with Parkinson's Disease.

10 Signs You Might Have Parkinson's Disease - by Dr. Maria De Leon (Neurologist)

A Powerful Video by Parkinson's Resources "Ordinary Things"

Assisted Living and Parkinson's:

At it's core, Assisted Living exists to help those who are having difficulty living on their own. Assisted Living offers help with day-to-day tasks such as dressing, bathing, housekeeping, medication management, cooking, round-the-clock emergency care, and a social/recreational environment. In addition, some facilities may offer physical therapy, hospice care, and advanced care for different disorders, such as Alzheimer's or Parkinson's. Many facilities also offer transportation to and from medical appointments, therapists or hospitals.

In those same terms, the core areas that Parkinson's patients need help with on a day-to-day basis are very similar: help with day-to-day activities, especially as symptoms get worse; dressing and bathing; avoiding falls (many assisted living facilities have handrails, and ramps); management of medication, physical therapy; help getting to and from doctors appointments and medical services (especially after driving a vehicle becomes impossible).

In addition to providing a viable, alternative living arrangement to someone with Parkinson's, assisted living, in turn, can provide substantial relief to those loved ones who have had so assume the role as caregiver.

Some Of The Important Questions To Ask When Considering An Assisted Living Facility:

Is the facility licensed?
Is the facility in good standing with the health department/state in terms of code or safety violations?
Are the staff adequately trained?
Is there access to physical therapy?
What are the costs of the facility, and do additional/specialized services and amenities incur an additional charge?
Is the facility equipped to handle residents with balance, orientation and memory difficulties?
Is the facility well respected, and receive favorable reviews?
How long has the facility been in operation?
Can the facility handle a progressive disease that will get worse over time?
Can the facility safely and responsibly administer, store, and record the medications you need to take?
Is there 24 hour care on-site care?
What personal care services are provided, such as bathing, dressing, shopping etc.?
Can the facility accommodate a special diet, if necessary?
What is the discharge policy (if there is one)?

Of course, these are only a few of the important considerations. Your personal preferences, such as your social and recreational needs will be considered, as well as location, and size of facility. This is not to mention the cost of the facility - which is something you will need to get in writing - including additional or "hidden" charges.

Assisted Living is here to stay, and the number of facilities, as well as people moving into them, is growing rapidly. The outdated perception that assisted living can only serve seniors, or people with memory disorders is becoming exactly that - outdated....a thing of the past. Facilities are becoming more and more sophisticated, with ever more amenities and services available. Anyone with Parkinson's, regardless of age, may eventually require ongoing, round-the-clock help that is unreasonable to expect from loved ones or family members. This is where assisted living can play a significant and meaningful role in the care, happiness, and well-being to those who need it.

Help Finding A Parkinson's-Appropriate Facility (Nationwide):

Assisted Living Placement help for PD

Help Finding Assisted Living for PD

Assisted Living Directory   has helped 1000's of families (including our own!) to connect with great care facilities! You can read our personal experience here!

Fall Prevention Tips and Awareness for Parkinson's Disease (by our contributor Dr. De Leon, who lives with Parkinson's Disease)

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References & Other Important Sites that Discuss Parkinson's Disease and Assisted Living:
I did do a basic search using the term "assisted living Parkinson's Disease" and a number of important and helpful sites came up. Here are just a few: - A reliable source for detailed information about Parkinson's Disease - Parkinson's and Assisted Living - a WebMD article discussing the relationship between the two. - Information for caregivers as it relates to Parkinson's Disease - California Institute for Regenerative Medicine - Video credit (used in article)

- Article by the staff at Assisted Living Directory

Responses to this article:

Francine Wrote
I am trying to locate assisted living facilities for a friend of mime in the Thornton or Northglenn Colorado area that specializes with Parkinson's Diease. Francine

27 January 2017 11:27 am

Karen Wrote
Like so many previous comments, my brother just made the decision he will investigate assisted living facilities in San Diego. He is 60 years old and was originally diagnosed with PD 10 years ago. Any recommendations for facilities with a younger population? While accepting of the general concept of assisted living, the idea of fellow residents in their 80's and 90's is unsettling and depressing from where my brother sits. Looking for some possibilities that will offer the care, expertise and positive environment and hoping you can help to get us started. Karen
24 October 2016 at 8:17 am

Shelly Wrote
We need help with my mother in law who has had Parkinson's for 10 years. She is now unable to live alone as it is not safe anymore. She has been leaving the stove on and has fallen a few times. She has no assets. Receives not very much a month from social security. Family cannot help with expenses so we are asking for help in finding a program that has resources in obtaining a place for her to stay. Any information would be greatly appreciated!
6 October 2016 at 11:15 am

Patricia Wrote
I need help finding an assisted living facility in San Diego county for my widowed 54 1/2 year old niece. She is in an assisted living facility in Florida, but needs to be closer so I can make sure she is being taken care of properly. She was diagnosed last year with Parkinson's and uses a walker. She gets about $800 monthly social security, Medicare, and Medicaid that goes directly to the assisted living facility (ALF).

I am trying to find an ALF that will accept her social security and MediCal (Medicaid) in full. I can't risk moving her to California without first having her approved for a place to go, because then she won't be able to go back to the ALF in Florida if she leaves. Anyone have any ideas on "reasonable" ALF's in these areas and contact numbers or lists?

6 June 2016 at 2:11 pm

David Wrote
hopefully I will live well into my eighties, but now I am 66 and soon I will need help with assisted living. Would you please send me some information about PD assisted living in the Portland area. Thank you David

31 December 2015 at 3:19 pm

Evelyn Wrote
I am 59 and I was diagnosed with PD in 2009. I need to live in an assisted living situation with people near my own age in Northern Virginia. Any suggestions? Evelyn
23 October 2015 at 9:21 am

Sally Wrote
looking for a long term care Parkinson facility in Arizona could you help me?
4 October 2015 at 7:31 pm

Maria Wrote
David, thank you for addressing this important topic...there are so many people with Parkinson's disease and unfortunately sometimes both the caregiver and patient are elderly and require outside assistance ...they need to know they have options and will be well taken care off...
Thank you for supporting Parkinson's and spreading the word!!!
As you know I just published a book on the topic which addresses some of these issues ..for those that are interested can can more info
Have terrific day ! And for all those living with Parkinson's on daily basis there is hope and many resources available like this wonderful site!
1 October 2015 at 9:22 am

Lori Wrote
I have had P.D. for 15 years and am 58 yrs. young. I, like many others, am in search of an assisted living environment where the residents are between 50 and 70. I currently live in a place where the average age of the residents is 88. I feel isolated and very depressed. Is there ANY assisted living for a person like myself. I haven't any family. Thanks, Lori @ (408) 476-6013
3 August 2015 at 11:22 am

Assisted Living Directory Wrote
Hi Elizabeth
I do recommend maybe reaching out to Dr. Maria De Leon - she’s a PD expert, and I work with her a lot on my site, and I am sure she might have a good answer for you - her site is
22 July 2015 at 10:41 am

Elizabeth Wrote
How do you convince your older brother of 69 that he needs assisted living care. The man has had Parkinson's for approximately 6 years and had the bilateral brain surgeries to help with the tremors. He is still driving and is not of rational mind. 9083426081 elizabeth
22 July 2015 at 10:40 am

Daniel Wrote
While somewhat informative though known throughout the majority, this article did not answer directly the concerns regarding whether or not the majority of assisted living environments address the numerous symptoms of those effected with Parkinson's disease.
7 May 2015 at 11:42 pm

Kenneth Wrote
My sister has Parkinsons Disease. She is 68 years young and in great health except for the Parkinsons. She is presently in a nursing / rehab center in Long Beach NY. She needs more care than what they are able to give her.
Can you give me the name of other faciities in NY or NJ that can help her with long term care

6 May 2015 at 12:50 pm

Janice Wrote
Looking for assisted living for someone who been dianosed with parkinson for 15,years Janice
15 January 2015 at 1:28 pm

Kelly Wrote
My sister is 59 and has Parkinsons. She is in assited living now, she lives with 85 year olds and up. Do you have any suggestions on any facitlies around Orland Park, Illinois that have younger people. kelly

14 October 2014 at 2:33 pm

Pam Wrote
I am looking for an Assisted Living Facility for a 64 yo with Parkinsons in NE Fl. Can you help? Pam
8 October 2014 at 6.21 am

Assisted Living Directory Wrote
Henry, something tells me that you are a) really lucky or b) full of it. I hope it is a, but I imagine it is b.
10 October 2012

Henry Wrote
hello everybody. parkinsons disease is curable!!! in 45 days of natural treatment, you can be ok!!! henry
10 October 2012

Sandra Wrote
I have a close friend that has an abdominal aortic aneurysm that needs to be repaired very soon.The problem is that her husband has PD and the start of dementia.He cannot take care of himself and she cannot take care of herself and him after surgery so she keeps putting her surgery off.Are there places where PD people can stay for a while under these circumstances? There is no famiy and most of their friends have died of cancer. I have the care of my 95 year old mom-in-law so I cannot help. In Spokane, WA. Thank you for your help. sandra
29 August 2012

Assisted Living Directory Wrote
Hi Monica, thank you for writing. I would recommend getting in touch with a pro about this - I actually used the senior care advisors I have listed on my site for my own mother-in-law, and it was a lifesaver. You can read about the experience in my blog, but I recommend calling them at 866-967-9270. They are great to work with, and they'll do a lot of the research and legwork for you. - David
21 August 2012

Monica Wrote
Help! My 90-year-old mother, who has Parkinson's disease and some dementia, is in a nice assisted-living facility and is paying for level 3 care; HOWEVER, the staff find her to be too demanding. Mom is very stiff, cannot bear her own weight (requires a two-person transfer), and needs help with everything. She was in a nursing home for rehab after surgery and was MISERABLE there(and, frankly, she was not getting any more care or attention than she is now getting--she was just "warehoused" there). I am looking for an assisted-living facility in the Baltimore, MD, area that would give her the appropriate level of care. She is running out of long-term care insurance benefits and money, so it would need to accept Medicaid. Can you help me find such a place??? Monica

21 August 2012

Eric Wrote
Looking for assisted living for my sister a 60 year old parkinson patient in Florida - Broward County (or nearby). Not average age of 80-any suggestions? Eric

17 February 2012

David Wrote
Would anyone reading this by chance from Northeastern Pa.??? My name is Dave,,I am 48 yrs.old with Young Onset Parkinsons. Assisted living facilities for people my age??? HELP David
28 December 2011 at 7:45 pm

Mindy Wrote
Do most adult day-care places accept people with PD - to provide a break for their caregivers - regardless of age?
10 November 2011 at 9:16 am

Laura Wrote
Can someone provide a list or even names of a couple of assisted living places suitable for PD persons ages 50-70? I can no longer live independently, but all the assisted living places I have checked out have an average age of 80+
25 September 2011

Assisted Living Directory Wrote
Sherri, thank you so much for your wonderful comment - Your is such a candid, helpful and honest site for great information, support, and inspiration (I love one of your little gems of inspiration on your blog: "I am blessed and I am smiling. What are you smiling about today?"). Thank you again Sherri!
6 February 2011

Sherri Wrote
Awesome, informative site - great page for Parkinson's disease patients and their family/caregivers. Sherri
6 February 2011

Dan Wrote
My mother finally went into assisted living after many years of dealing with Parkinson's, and it has been such a relief for her, and our family.
27 January 2011

Maya Wrote
Do CNA's or caregivers at assisted living facilities get any sort of standard training with Parkinson's, or how to the staff and caregivers at a facility become trained to handle a Parkinson's resident? Is it even necessary to be trained specifically for this condition to work as a nurse in a facility?
25 January 2011

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