If you were unavailable tomorrow,
could someone else take over?
A free five-page check-in to help your family see where dementia care at home needs clearer arrangements, and decide what to address first.
Free PDF
A lot of the care details
may be in your head.
You explain the same routines each time someone helps.
People want to help, but it is not clear who is taking responsibility.
Updates are spread across messages, conversations and scraps of paper.
Someone else could step in, but you would still need to talk them through the day.
You know something needs to change. You are not sure where to start.
This check-in gives you a place to look at the arrangements you have now. Not the ideal plan, but what actually happens at home.
See what is working.
Notice what needs attention.
Review seven areas of care coordination, from sharing updates to having someone ready to step in. For each one, choose what fits: clear and working, partly in place, or needs attention.
There is no score or pass mark. Your notes help you decide what to address first.
Make the gaps easier to talk about.
Look at how care is shared.
Check whether people know how to give updates, take responsibility and hand care over.
Notice what only one person knows.
Review access to familiar routines, care instructions and essential information.
Consider what happens when care changes.
Look at how concerns are reported and followed up.
Try the tomorrow test.
Consider whether someone has both the information and the ability to step in.
Choose three practical next steps.
Write down what needs attention and who will take the next action.
Five pages. A focused look at care at home.
You do not need to document everything. Use these pages to find the information and arrangements your family needs to make clearer.
Start with your current arrangements
Note who is involved in care and keep one question in mind: what would happen if the usual caregiver were unavailable?
Communication and responsibilities
Review how updates are shared, whether roles are clear, and how information reaches someone taking care over.
Routines and essential information
Look at daily preferences, access to current care information, and the way changes or concerns are reported and followed up.
Backup and continuity
Use the tomorrow test to consider who could step in, what would be hardest to hand over, and one immediate backup action.
Your three priorities
Choose three gaps to address. Note the next step, who will take it, and when you will check in again.
Dementia Home Care Check-In
For families caring for someone with dementia at home.
Download the free check-in
Free PDF
About the Creator
A coordination tool,
not a medical assessment.
The check-in supports a conversation about care arrangements. It does not diagnose symptoms, replace your loved one's care team, or serve as an emergency plan. Follow their care team's instructions for medical questions.
A few things to know.
Who is this check-in for?
Families in the US and Canada caring for someone with dementia at home. You can use it if several people help, or if one person does most of the care and wants clearer backup arrangements.
What will I receive?
One five-page PDF covering seven care-coordination areas, a backup check-in and space to choose three priorities. The image shows a promotional cover concept. The download is the original guide.
How long should I allow?
Allow 10 to 15 minutes for a first check-in. A family discussion may take longer. You can return to it when care needs or arrangements change.
Can I complete it on my phone or computer?
You can read it on either. The PDF does not contain interactive form fields. Print it to write by hand, or use a PDF app with annotation tools to add checkmarks and notes. Save a private copy.
Is this medical advice?
No. It is a family coordination tool, not a medical assessment or emergency plan. For medical questions or new symptoms, contact the appropriate care professional.
How do I get my copy?
Click the download button, enter your email and select your country. Both are required. Country helps us understand where the guide is being requested. Your free PDF will be available on this page. Signing up for updates is optional. The guide is not sent by email yet.
You do not have to fix
everything at once.
Look at how care is working now. Choose three practical next steps, then agree who will take them.
Free PDF
For immediate danger or a medical emergency, call 911 in the US or Canada. Do not delay urgent help to complete this guide.