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Start from your situation

Most families arrive here because something just happened. Start there.

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What do Oahu families usually face first?

Most Oahu families come to senior care through a specific event: a hospital discharge, a fall, a dementia diagnosis, a caregiver who can no longer cope, savings running low, or a parent living alone while children are on the mainland.

Each guide below walks through the first steps, the options and the local help for that situation.

Who can help right now?

For free help today, call the Elderly Affairs Division at (808) 768-7700 or the Hawaii ADRC at (808) 643-2372; for suspected abuse call Adult Protective Services at (808) 832-5115, or 911 in an emergency.

Hospital social workers can help with discharge planning and Med-QUEST applications.

Situations guides

When a parent is being discharged from an Oahu hospital

What to do in the days before a discharge from Queen's, Kaiser Moanalua, Straub, Pali Momi, Castle or Kuakini: skilled nursing, expanded care homes, foster family homes and Med-QUEST.

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When a parent can no longer live alone

Signs an Oahu kupuna can no longer live alone safely, the first steps, and how to choose between more help at home, a care home, foster family home or assisted living.

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After a dementia diagnosis

What to do after an Alzheimer's or dementia diagnosis on Oahu: legal documents, safety, in-home support, care homes and assisted living that handle dementia, and paying for care.

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When the family caregiver is burning out

Signs of caregiver burnout, respite and adult day care on Oahu, the Elderly Affairs Division's caregiver support, Kupuna Caregivers, and when to consider a care home.

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When the money is running out

What Oahu families can do when savings for senior care are running low: Med-QUEST long-term care, switching settings, VA pension, and what to do before the money is gone.

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Caring for an Oahu parent from the mainland

How adult children on the mainland can help arrange and oversee care for a parent on Oahu: time zones, documents, local help, inspection reports and visits.

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Moving a parent to Oahu for care

What families should know before moving a parent from the mainland or a neighbor island to Oahu for care: Hawaii residency, Med-QUEST, care homes, availability and costs.

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At a glance

These guides doThese guides do not
StepsGive first steps in orderReplace your doctor's advice
Local helpName the Oahu agencies to callSpeak for those agencies
OptionsExplain each setting's limitsPromise a bed is available
MoneyExplain how each payer worksMake an eligibility decision

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