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I worry it will be too confusing for him. He has been known to wander and it’s terrifying when I can’t find him.

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If he’s wandering, it’s time for 24/7 care.
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I'm not sure how long your husband has had vascular dementia, but as you know, it is the most aggressive of all the dementias with a life expectancy of only 5 years, so I'm not sure that going through all the trouble of putting your house up for sale, and finding another would be worth it in the long run, right now anyway. Perhaps after he dies and you want something smaller for yourself, then it would make more sense.
So until then is there a way to block off your upper level so your husband can't get up there? That might be a temporary fix.
But if he is wandering especially outside, that is a sure sign that he may have to live out his days in a locked memory care facility, where he will be kept safe, and you won't have to worry about him getting lost.
It's tough, I know, but you now have to do what is best for the both of you.
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When wandering starts, his safety will be a problem unless he’s in a care facility with 24/7 caregivers. One-story, two-story, no matter. You will be challenged all day and all night to keep him from getting into something he shouldn’t. If I were you, I’d concentrate on finding a placement suited to his needs.
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IMHO, You are right but could it be your daughter is concerned about your ability to maintain the current living situation? Do get help in the home and take care of yourself and don’t look to your daughter to provide help you could hire. It isn’t fair to her.
What is your daughter’s concern as it relates to the stairs? It doesn’t sound like he has problems with mobility.
As Souternwaver suggested, what about a bedroom on the first floor?
I could name many reasons to not move but what is her reason for wanting you to?
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DeeLouise Jan 21, 2024
He has fallen on our very steep driveway and does shuffle as he walks. I was going to hire a person to care for him a few hours a week but my daughter insisted she wanted to do it.
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If this is spiraling down to this extent the next step is not a complicated sale of a home and a move and another home. The answer would soon enough be another move for him into long term care, almost certainly.
Your daughter and you know more about your living circumstances and safety than I can know, but this sounds to me like a whole lot of complicated travail in an already horribly complicated life. I can't know what your home is like, but it may be making more sense at this point to simply close off the upper story and move into the lower completely.
I sure wish you good luck in future decisions that are tough to make.
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What about making him a bedroom on the first floor?
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I would place him in a facility, it is time. If need be sell the house to finance the cost of placing him in MC.

Believe me, he will figure out how to get out of the house 1st or 2nd floor.

His safety and your peace of mind must come first.
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I agree, moving him to another home would be confusing. If he is wandering out of the home, you need to make it so he can't get out. If round knobs on the outside doors, use child safety covers. You can get out, he can't. They just go around and around. If not round, get a deadbolt that key locks from the inside. Yes, they be a fire violation but if your with him 24/7 that should not be a problem. Keep the key nearby. Don't let him see where u put it. They can't remember from minute to minute but that they will remember.
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Your situation is certainly concerning. My mom started wondering and trying to escape during the night. Her doctor prescribed Seroquel and Ativan and the wondering stopped.

Please don’t hesitate to look into facility care if you feel like it is no longer safe for your husband to be at home.

I certainly understand that your daughter is concerned about her dad living in a two story home. It would be awful if your husband tumbled down the stairs.

Wishing you peace as you continue on this difficult journey of caregiving.
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If your husband is 80, you are probably getting on for 80 yourself. Perhaps your daughter is thinking that a single story house would be good for you too. A house sale and move to benefit your DH in a fast -moving condition is one thing, getting you set up for your own old age may have much more going for it.

I’d suggest that you talk some more to your daughter. She may be finding it difficult to say that you need this, too.
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