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Choosing Home Care Services for your loved ones, or for yourself can be very difficult. At Escalante, TruCare, takes pride in designing every care plan to meet the individual needs of each client. Below you will find the most commonly asked questions about home care services.

We provided non-nursing care services although we have Registered Nurses that oversees the service to all clients. Hardly ever do assistance and care to an older person involve nursing-related actions.

Yes, we are a service provider to a specific segment in the care industry. We are not a nursing agency that covers all forms of home care. Assistance and care to older persons, ensuring independence to the individual, is our passion and our core service.

From doing the laundry and taking out the garbage to reading out loud or playing cards, professionals in companionship care and home care serves as another body within the home. They’re available to help remind clients when to take their medications, keep up around the house and even drive someone to a hair appointment. Both services differ slightly in how they work.

Definitely. At Escalante, TruCare believes the home environment is the best possible environment for someone suffering from Dementia or Alzheimer’s as it is a known environment. Our unique approach to dementia care where the focus is on management of dignity has proven to be very successful. Happy clients and staff are proof of this.

All our staff are permanently employed, Police cleared and in possession of a valid Care Giver qualification. Our screening process of potential staff is well structured to ensure we employ only the best. The specific care requirement, the clients’ expectation of care and the clients’ personality are all factors considered when a Carer is assigned. The Carer’s experience and personality need to fit into the environment where services will be rendered.

We never had to turn away any potential client because we could not service their need. Having said that, our focus is on long-term, non-nursing care and support services. Specialised nursing intervention that falls outside the scope of practise of a Caregiver is referred to a member of the multi-disciplinary team who then works with TruCare to achieve the expected outcome.

No. Depending on the care option, a notice period of one week to no more than one month is applicable.

After the initial assessment by the Quality Assurance Manager, care can typically start two days later providing that all paperwork is in place and everyone is happy with the care plan.


Alzheimer’s is a medical condition, which generally begins later in life, progressively erodes human memory and experiential knowledge that defines the individual’s cognitive skills, social engagement and sense of self.

Alzheimer’s is the sixth leading cause of death in the United States and, among the top 10 causes of death nationally, the only one that cannot be prevented, cured or even slowed. The accompanying graph illustrates mortality rates for Alzheimer’s versus other leading causes of death in the U.S.

Basic knowledge of this baffling and tragic disease

Alzheimer’s disease is an irreversible, progressive brain disease that slowly destroys memory and thinking skills, and eventually even the ability to carry out the simplest tasks. In most people with Alzheimer’s, symptoms first appear after age 60. Estimates vary, but experts suggest that as many as 5.1 million Americans may have Alzheimer’s disease.

In all likelihood, the threat of Alzheimer’s disease has been lurking in the human DNA for millennia. But until the 19th century, most people did not live much past 60 years of age, so the medical condition which later became defined as Alzheimer’s was probably accorded a more general, age-related term such as “senility” or “hardening of the arteries.”

In 1906, Dr. Alois Alzheimer, a German physician and pathologist, noticed changes in the brain tissue of a woman who had died of an unusual mental illness at age 51. Her symptoms included memory loss, language problems and unpredictable behaviour. After she died, he examined her brain and found two types of abnormal conditions: clumps which we now call amyloid plaques, and tangled bundles of fibres which we now call neurofibrillary tangles. These plaques and tangles are two of the main features of Alzheimer’s disease; the third feature is the loss of connections between nerve cells, or neurons, in the brain.

Today, Alzheimer’s disease is the most common cause of dementia among older people. Dementia is the loss of thinking, remembering, reasoning and behavioural abilities. Many older people may experience some episodic waning of cognitive functioning, but when it interferes with a person’s daily life and activities on a consistent basis, it is time for medical intervention. Dementia ranges in severity from the mildest stage, when it is just beginning to affect a person’s functioning, to the most severe stage, when a person must depend completely on others for basic activities of daily life…as well as personal safety.

Although modern medical science is making inroads into the understanding of this baffling disease, experts still don’t know how Alzheimer’s begins. It is generally believed, however, that damage to the brain starts 10 years or more before problems become evident.

During this preclinical stage of the disease, victims do not exhibit symptoms, but negative biological influences are taking place in the brain. Abnormal deposits of proteins form amyloid plaques and nerve tangles throughout the brain; healthy neuron function slowly breaks down and, over time, neurons lose the ability to function and communicate with each other. Eventually these neurons die and damage spreads to a nearby section of the brain called the hippocampus, a structure that is essential in forming memories. As more neurons die, damage spreads and brain tissue progressively shrinks.

Although some memory loss is typical with age, chronic memory problems are the most prevalent early warning signs of Alzheimer’s. Declines in other common cognitive functions–such as word-finding, vision and spatial judgments, and impaired reasoning or irrational decision-making–may also signal the very early stages of Alzheimer’s. The differences between Alzheimer’s and typical age-related changes in thinking and behaviour may be subtle. A key pattern to look for is the increasing consistency and frequency of the changes.

The following checklists may help you determine the stage of Alzheimer’s that your loved one is experiencing.

Mild Alzheimer’s

  • Loses spark or zest for life; does not start anything new.
  • Loses judgment about money.
  • Exhibits difficulty with new learning and making new memories.
  • Consistently has trouble finding words; may make up words that sound similar or mean something like the forgotten word.
  • May stop talking to avoid making mistakes.
  • Easily loses way going to familiar places.
  • Resists change or new things.
  • Has trouble organizing or thinking logically.
  • Asks repetitive questions.
  • Withdraws, loses interest, is irritable or uncharacteristically angry when frustrated or tired.
  • Won’t make decisions.
  • Takes longer to do routine chores; gets upset if rushed or something unexpected happens.
  • Forgets to pay, pays too much or forgets how to pay (may hand the checkout person a wallet instead of correct amount of cash).
  • Loses or misplaces things by hiding them in odd places.
  • Forgets where things go, such as putting clothes in the dishwasher.
  • Constantly checks, searches or hoards things of no value.

Moderate Alzheimer’s

  • More noticeable changes in behaviour, appearance, hygiene and sleep patterns.
  • Mixes up identity of people: a son is mistaken for a brother, etc.
  • Safety becomes an issue when left alone: stove burner left on, poisoning from ingesting nonedibles, exploitation by strangers, etc.
  • Has trouble recognizing familiar people and own objects.
  • May take things that belong to others.
  • Continuously repeats stories, favourite words or statements.
  • Repeated motions, like tearing tissue paper.
  • Late afternoon or evening exhibits of restless, repetitive movements like pacing, trying doorknobs, fingering draperies.
  • Cannot organize thoughts or follow logical explanations.
  • Trouble following written notes or completing tasks.
  • May be able to read but cannot formulate correct response to a written request.
  • May accuse, threaten, curse, fidget or behave inappropriately, such as kicking, biting, hitting or grabbing.
  • May become sloppy or forget manners.
  • May accuse spouse of an affair or family of stealing.
  • May see, smell, hear or taste things that are not there.
  • Naps too frequently or wakes at night believing it’s time to go to work.
  • May think TV story is happening to her/him.
  • Needs help finding toilet, using shower, dressing appropriately for weather

Escalante is an easy living community that offers assisted living rental accommodation with a range of services and care options. 


1 Emfuleni Street


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