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Caregiving for a Baton Rouge parent from a distance

What you can do from far away, and when someone needs to be there.

Quick answer

Build a local team: a neighbor or church member who can check in, the parish council on aging for meals and information, a home care agency for set hours, and a primary care doctor who knows how to reach you.

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How can we help a parent in Baton Rouge from another state?

Build a local team: a neighbor or church member who can check in, the parish council on aging for meals and information, a home care agency for set hours, and a primary care doctor who knows how to reach you.

Get your parent's written permission for doctors and agencies to talk with you, and keep a shared list of medications, appointments and contacts that everyone can see.

What documents should long-distance caregivers have?

A durable power of attorney, a health care power of attorney or proxy, HIPAA releases for each doctor, a list of accounts and insurance policies, and copies of any residency agreement or care plan.

Louisiana documents are usually notarized; have an attorney prepare them if your parent's capacity could be questioned later.

How do we check a Baton Rouge facility from far away?

Look up the license on LDH's monthly report and directory, read CMS data for nursing homes, ask the ARCP to send its posted statement of deficiencies and plan of correction, and ask for the written emergency plan.

Every facility page in our directory shows the license dates, level, capacity and, for nursing homes, CMS ratings, inspection results and staffing.

What should we look for when we visit?

Weight loss, unopened mail, missed medications, unexplained bruises, changes in mood or hygiene, and how staff talk to your parent and to each other.

Visit at different times of day, including a meal, and talk to the regional ombudsman at (800) 833-9883 if something seems wrong in a facility.

When does a long-distance arrangement stop working?

When crises come faster than you can travel, when your local helpers are stretched thin, or when your parent cannot evacuate or summon help, it is time to consider a move, either to a care setting in Baton Rouge or closer to you.

Moving a parent with dementia away from familiar places has costs too; talk it through with the doctor and visit options in both cities before deciding.

Side by side

From a distance you canFrom a distance you cannot
RecordsCheck licenses and CMS data onlineSee daily care
HelpHire and coordinate local helpCover a crisis in an hour
MoneyManage bills with a power of attorneySign for your parent without one
AdvocacyCall the ombudsman and LDHReplace in-person visits

Sources: LAC 48:I.Chapter 68 for adult residential care, Louisiana Department of Health (Health Standards Section and Office of Aging and Adult Services) program pages, the Governor's Office of Elderly Affairs, CareScout and VA rate tables, each cited in the text. Our editorial standards explain how we check them.

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