Question 1

WakeMed Cary Hospital wants to discharge my mother straight home with home health — how do we make sure that's actually set up before she leaves?

Accepted Answer

Before your mother leaves WakeMed Cary, ask the case manager for the name and phone number of the specific home health agency assigned to her case and confirm the first visit date in writing, since a referral alone does not guarantee same-day or next-day service. Also confirm what equipment (walker, hospital bed, oxygen) has been ordered and whether it will arrive before or after she gets home. If there's a gap between discharge and the first home health visit, ask whether a short rehab stay is a safer bridge instead.

Question 2

My father in Chapel Hill was just diagnosed with dementia — what should our family do in the first month?

Accepted Answer

Start by asking his diagnosing physician (often through UNC Health's geriatrics or memory program) for a written care plan and a referral to legal and financial planning, since powers of attorney and advance directives need to be signed while he still has capacity to do so. Contact the Central Pines/Triangle J Area Agency on Aging (1-800-310-9777) for local caregiver support resources, adult day programs, and options counseling covering Orange County. Avoid rushing into a move; a dementia diagnosis alone doesn't mean immediate relocation to a facility, but you should start researching Special Care Unit (memory care) options now so you're not deciding under crisis conditions later.

Question 3

My mother fell at home in Apex and is being sent to rehab — what happens if she can't go back home afterward?

Accepted Answer

If your mother's rehab stay ends and she still needs help with daily activities beyond what home care can safely provide, the rehab facility's social worker can help evaluate options ranging from an adult care home (assisted living) to continued skilled nursing on a long-term basis. If she is running low on funds, ask the facility's social worker about applying for long-term-care Medicaid through Wake County DSS and, if she needs nursing-facility-level care but wants to try staying home instead, ask about the CAP/DA Medicaid waiver. Start these conversations early in the rehab stay rather than waiting for discharge day, since Medicaid applications take time to process.

Question 4

I'm exhausted from caring for my husband with Parkinson's in Durham — what respite options exist before I burn out completely?

Accepted Answer

Adult day programs in the Durham area provide structured daytime supervision so you can work, rest, or run errands, and the Central Pines/Triangle J Area Agency on Aging (1-800-310-9777) maintains referral information on local options. If your husband qualifies for the CAP/DA Medicaid waiver, respite care is one of its covered in-home services, allowing a paid aide to step in for scheduled breaks. Short-term respite stays at licensed adult care homes are another option for a multi-day break; ask Duke Health's care coordination team or the Area Agency on Aging for current openings.

Provider	Based in	Address	County
Springmoor	Raleigh	1500 Sawmill Road, 27615	Wake
The Cardinal at North Hills	Raleigh	4030 Cardinal at North Hills Street, 27609	Wake
PruittHealth - Raleigh	Raleigh	2420 Lake Wheeler Road, 27603	Wake
Bloomsbury at Hayes Barton Place	Raleigh	2750 Oberlin Road, 27608	Wake
Perry Creek Health and Rehabilitation Center	Raleigh	5201 Clarks Fork Drive NW, 27616	Wake
Glenaire	Cary	4000 Glenaire Circle, 27511	Wake

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