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Arranging nursing home admission: when living at home is no longer feasible
Planning care for the future

Arranging nursing home admission

When living at home is no longer feasible.

Mantelzorg Zoetermeer editorial team

This article helps caregivers understand when it is no longer responsible to live at home and how to arrange a move to a care facility.

For caregivers, it can be a significant step to acknowledge that living at home is no longer possible for their loved one. It is important to recognize signals, have conversations, and take the right steps for a move to a nursing home. This article provides insight into the various aspects of this transition.

What are the signals that living at home is no longer responsible?

There are several signals that may indicate that living at home is no longer responsible. It may be that your loved one is becoming increasingly vulnerable, for example, due to:

  • Decreased mobility: This can lead to falls and accidents.
  • Forgetfulness: This can be dangerous, especially regarding medication or forgetting important daily tasks.
  • Decreased appetite: This can lead to health problems due to malnutrition.
  • Loneliness: This can severely affect your loved one's well-being.

If you notice that the care is becoming too burdensome, it is important to seek help in a timely manner. This may also mean that you need to consider admission to a nursing home. Start by applying for a Wlz indication at the CIZ. This process can take several weeks, and there may be a waiting list. During this waiting period, the care office can arrange bridging care so that your loved one continues to receive the necessary care.

It is important to carefully assess the situation and take action in a timely manner. How do you feel about your loved one's situation?

How do I have the conversation about moving to a care facility?

The conversation about moving to a care facility can be difficult, but it is important to address it in a timely manner. Start by sharing your concerns. Clearly explain which tasks you can no longer manage and when you think an alternative solution is needed. This can help clarify the situation for your loved one.

Steps for the conversation:

  • Choose a calm moment: Ensure that you are in a relaxed environment.
  • Be honest and open: Share what you feel and why you think admission to a nursing home is necessary.
  • Involve professionals: Optionally invite a district nurse or another professional to join the conversation. They can help clarify the situation and discuss options.
  • Discuss the possibilities: Talk about the different care facilities and what they offer. This can also help in choosing the right place.
  • Plan for the future: Discuss what needs to happen if there is a waiting list for the nursing home. This can reduce stress.

It is important to continue communicating and work together to find solutions. How do you feel about the idea of moving?

What is a Wlz indication and how do I apply for it?

A Wlz indication is necessary to arrange admission to a nursing home. You apply for this at the CIZ (Center for Care Indication). Here are the steps you can follow:

  • Check the care needs: Determine if the care needs are permanent and if there is a need for day and night care or constant supervision.
  • Gather information: This may include recent letters from caregivers and an overview of daily assistance.
  • Submit the application: This can be done through the CIZ website. Your loved one can authorize someone to assist with the application.
  • Answer questions: The CIZ may ask additional questions. Prepare for the conversation.
  • Read the decision carefully: After the application, you will receive a decision and care profile stating what Wlz care your loved one will receive.

The application is free. If you need help with the application or understanding the decision, you can contact client support.

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What if there is a waiting list for the nursing home?

If there is a waiting list for the nursing home, it is important to be well-prepared. The first step is to apply for a Wlz indication at the CIZ. This can be done through their website. The CIZ will contact you and decide within six weeks. If there is a waiting list, you will receive a waiting status. This status can vary from 'urgent placement' to 'waiting as a precaution'.

During the waiting period, the care office can arrange bridging care. This ensures that your loved one continues to receive the necessary care at home or elsewhere. It is good to know that after admission, the care team will take over daily care. This means you do not have to do everything yourself and can again fulfill the role of partner, child, or friend.

When choosing a care facility, it is important to look at the options and the quality of care. Stay involved in the care and the arrangements, even though a lot is changing for you as a caregiver.

What would help you the most in this situation right now?

How do I choose the right care location for my loved one?

If your loved one can no longer stay at home, it is important to think carefully about the right care location. Here are some steps to arrange admission to a nursing home.

Apply for a Wlz indication Start by applying for a Wlz indication at the CIZ. This can be done through their website. The CIZ will contact you and decide within six weeks whether your loved one qualifies for care.

Waiting list and bridging care If there is a waiting list, you will receive a waiting status. This status can vary from 'urgent placement' to 'waiting as a precaution'. While waiting, the care office can arrange bridging care so that your loved one continues to receive the necessary care.

Stay involved After admission, the care team will take over daily care. You are still welcome and can remain involved in the care and arrangements. This is important for both you and your loved one.

Choosing the right care location is a process. Take the time to research what best fits your loved one's needs. What are the most important things you consider when choosing a care location?

What are the emotions and the role of the caregiver after the move?

After the move to a care facility, many emotions can arise, both for the person moving and for you as a caregiver. It can be difficult to accept that living at home is no longer possible. Your mother cannot stay at home, which can evoke feelings of sadness, guilt, or even relief. It is normal to experience these emotions, and it is important to acknowledge them.

As a caregiver, your role changes after admission to the nursing home. You no longer have to bear the daily care alone, but you remain involved. You can again fulfill the role of partner, child, or friend. This can be a relief, but also a challenge, as you may feel you have less control over the care of your loved one.

It is important to establish agreements in the care (living) plan of the care facility. This plan contains information about the required care and your role in it. It should be completed within six weeks after admission and discussed regularly. This conversation is an opportunity to share your concerns and wishes.

How do you feel now about the move?

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