Use this quarterly. This is the strategic document — not daily tracking, but a 90-day plan review.
Where is your parent right now? What decisions need to be made in the next 90 days? What does the next 12 months realistically look like?
The families who navigate dementia best are almost always the ones who plan before the crisis forces a decision.
Patient name
Review date
Next review date (3 months)
Family members at this review
CURRENT STAGE — check all that apply to identify where your parent is now
Early Stage (Mild)
- Manages most daily tasks independently
- Memory lapses, word-finding difficulty
- May drive (with monitoring)
- Gets confused in unfamiliar situations
- Benefit from reminders and routines
Middle Stage (Moderate)
- Needs help with personal care
- Communication significantly affected
- Behaviour changes (wandering, agitation)
- Cannot be left alone safely
- Daily professional care usually needed
Later Stage (Severe)
- Full assistance with all daily activities
- Limited verbal communication
- Physical complications emerging
- 24/7 supervision required
- Comfort and dignity are primary goals
CURRENT CARE ARRANGEMENT
| Care component | Currently in place | Hours / frequency | Working well? Changes needed? |
|---|---|---|---|
| Family caregiving | |||
| Private home care agency | |||
| Fraser Health funded support | |||
| Day program attendance | |||
| Specialist / medical team | |||
| Respite for family caregiver |
DECISIONS NEEDED IN THE NEXT 90 DAYS
Review each item — tick if action is needed and assign an owner
☐ Driving assessment / cessation
☐ Power of Attorney — establish or review
☐ Representation Agreement (BC) — establish or review
☐ Increase home care hours
☐ Apply for Fraser Health assessment
☐ Apply for long-term care waitlist
☐ Home safety modifications needed
☐ Medication review with doctor
☐ Specialist referral needed
☐ Financial arrangements review
☐ Respite care for primary caregiver
☐ Family meeting needed
6 AND 12 MONTH HORIZON — what decisions will need to be made?
If current trajectory continues — where will we be in 6 months?
If current trajectory continues — decisions we'll face in 12 months?
FINANCIAL PICTURE
Current monthly care costs
Budget available for care
Funding sources / benefits being used
BC-SPECIFIC RESOURCES BY STAGE
Fraser Health Home Support (all stages)
Entry: family doctor referral or Fraser Health Access Line 1-877-935-5669Alzheimer Society BC — First Link (early/middle)
Free support worker after diagnosis · 1-800-936-6033 · alzheimer.ca/bcBRELLA Community Services (all stages)
Free/low-cost caregiver support, respite · White Rock, South Surrey, Ladner · brellasociety.caDay Programs for Older Adults (middle stage)
Social connection + caregiver respite · Ask Fraser Health case manager for eligibilityLong-Term Care Waitlist (middle/later stage)
Apply through Fraser Health case manager — waitlists can be long, apply earlySpecialist Second Opinion (any stage)
Can't wait 4-6 months? giniehealth.com — geriatric specialists within daysMedicAlert Safely Home (wandering risk)
ID bracelet + registry · 1-800-432-5223 · medicalert.caRoadSafetyBC (driving concerns)
Report a medically at-risk driver · 1-800-950-1498 · gov.bc.ca/roadsafetybc
Want help thinking through this review? A care plan consultation is 60 minutes focused on your specific situation — where your parent is, what the realistic picture looks like over the next year, and what decisions need to be made in what order. Not a sales call. Structured thinking time. gurjotnarwal.com/how-i-can-help