Personal Care

Hygiene and personal care assistance

We offer hygiene assistance including help with bathing, transferring in and out of the shower, dressing, denture care, and bathroom assistance. Our staff is conscientious about maintaining your loved one’s dignity and privacy.

Medication reminders

Taking medication on time can be crucial to your loved one’s health and well-being. It’s not always easy to keep track of when medications are due. Our staff can provide medication reminders and assistance with self-administered meds to keep your loved one on schedule.

Meal Assistance

Getting the proper nutrition is important for seniors to maintain energy, fight infection and retain muscle mass. Caregivers can provide help with grocery shopping meal prep and feeding.


Whether it’s a game of cards, reading together or just spending time talking, we offer companionship with a friendly and caring attitude.

Respite Care

If you are a caregiver to a loved one, you also need to take care of yourself. Everyone needs a break to recharge. We provide respite care to give you the time you need. You will know you are leaving your loved one in good hands with our competent caregivers.

Mobility Assistance

Our team of trained caregivers will provide assistance with transferring, positioning, ambulation and other range of motion activities. We want to help you or your loved one stay as active as possible.


Got laundry that you need assistance with?  We have got you covered. Our care providers can help sort, wash, fold and put clothes away.

Light Housekeeping

Keeping your home environment neat and tidy makes it more comfortable and safe. Our caregivers provide help with light housekeeping tasks, such as vacuuming, dusting and bed changes.


We are happy to provide assistance driving clients to appointments or running errands.

Your Needs

Alamo Companion Services accepts some long term care polices for reimbursement. Some or all services may be covered depending on your individual policy. Medicare and Medicaid does not cover our services. Please contact us for more information on what your plan covers.

Our team at Alamo Companion Services will complete an initial assessment to help you determine your needs. Below is a sampling of the variety of in-home services we provide. If you need something not listed below, please contact us for more information.

Alzheimer’s/Dementia Care

Alzheimer_logoIn the United States, there are about 15 million people caring for someone with dementia, and millions of others around the world. Caring for someone with Alzheimer’s disease or dementia can be a long, stressful, and intensely emotional journey.

However, caregiving can also become all consuming. As your loved one’s cognitive, physical, and functional abilities diminish over a period of years, it’s easy to become overwhelmed and neglect your own health and well-being. The burden of caregiving can put you at increased risk for significant health problems and an estimated 30 to 40 percent of dementia caregivers will experience depression, high levels of stress, or burnout. Nearly all Alzheimer’s or dementia caregivers will at some time experience sadness, anxiety, loneliness, and exhaustion. Seeking help and support along the way is not a luxury for caregivers; it’s a necessity.

As Alzheimer’s and other dementias progress, behaviors change — as does your role as caregiver. In the early stages of Alzheimer’s, a person may function independently. He or she may still drive, work, and be part of social activities. Your role as care partner is an important one: to provide support and companionship, and help plan for the future.

During the middle stages of Alzheimer’s, damage to the brain can make it difficult to express thoughts and perform routine tasks. You may notice the person with Alzheimer’s jumbling words, having trouble dressing, getting frustrated or angry, or acting in unexpected ways.

As the disease advances, the needs of the person living with Alzheimer’s will change and deepen. A person with late-stage Alzheimer’s may have difficulty eating and swallowing, need assistance walking and eventually may be unable to walk, need help with personal care, and be vulnerable to infections, especially pneumonia. They may also lose the ability to communicate with words.

Our caregivers receive specialized training through the Institute for Professional Care with courses designed to meet the activities of daily living needs of Alzheimer’s patients, and are also taught how to communicate through the dementia, how to create a sense of calm when necessary, and the importance of consistency with routines. These areas along with activities to stimulate memories and interaction are regular in-services for all of our caregivers on a routine basis.


Screen Shot 2015-12-18 at 10.46.36 AMParkinson’s disease (PD) is a neurodegenerative progressive brain disorder with a rate of progression that varies tremendously from one person to another; however, most people’s symptoms take years to develop, and they live for years with the disease.

In short, a person’s brain slowly stops producing a neurotransmitter called dopamine. With less and less dopamine, a person has less and less ability to regulate their movements, body and emotions.

The Center for Disease Control rated complications from PD as the 14th top cause of death in the United States.

There is currently no cure for Parkinson’s. Your doctor’s goal will be to treat your symptoms to keep your quality of life as high as possible.

Our caregivers understand that Parkinson’s disease impacts people in many different ways. Not everyone will experience all of the symptoms of Parkinson’s, and if they do, they won’t necessarily experience them in quite the same order, or at the same level of intensity.

We educate our caregivers in that the incidence and severity of PD symptoms vary from day to day, and even from one time of day to another. It takes skill and patience to know when to assist with a task and when to simply allow the person more time to do the task independently.

Parkinson’s signs and symptoms may include:

  • Tremor. A tremor, or shaking, usually begins in a limb, often your hand or fingers. You may notice a back-and-forth rubbing of your thumb and forefinger, known as a pill-rolling tremor. One characteristic of Parkinson’s disease is a tremor of your hand when it is relaxed (at rest).
  • Slowed movement (bradykinesia). Over time, Parkinson’s disease may reduce your ability to move and slow your movement, making simple tasks difficult and time-consuming. Your steps may become shorter when you walk, or you may find it difficult to get out of a chair. Also, you may drag your feet as you try to walk, making it difficult to move.
  • Rigid muscles. Muscle stiffness may occur in any part of your body. The stiff muscles can limit your range of motion and cause pain.
  • Impaired posture and balance. Your posture may become stooped, or you may have balance problems as a result of Parkinson’s disease.
  • Speech changes. You may have speech problems as a result of Parkinson’s disease. You may speak softly, quickly, slur or hesitate before talking. Your speech may be more of a monotone rather than with the usual inflections.
  • Writing changes. It may become hard to write, and your writing may appear small.

As the disease progresses, you may notice changes in speech, difficulty swallowing, frequent falling, difficulty initiating movements, increased anxiety and mood changes, and some development of cognitive changes.

Parkinson’s Disease requires knowledge of the disease and its progression. Our caregivers are trained on how to deal with these needs through training and in-services by Alamo Rehab Team’s Physical, Occupational and Speech Therapy Department along with Parkinson’s Disease specific Training through the Institute for Professional Care, with some of our caregivers earning the Parkinson’s Care Certification.


Screen Shot 2015-12-18 at 10.46.23 AMStroke is a disease that affects the arteries leading to and within the brain. It is the fifth leading cause of death and a leading cause of disability in the United States. 

A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures). When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it and brain cells die.

Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke). A TIA (transient ischemic attack), or “mini stroke,” is caused by a temporary clot. 

Caring for someone who has had a stoke presents in own unique issues and challenges and every individual who has suffered a stoke is different, which again is why Alamo Companion Services individualizes each person and family’s needs. Post stoke complications can vary depending on a number of factors including age, what part of the brain was affected, how long before treatment was administered, and severity of the stroke.

Our caregivers are trained to understand that the stroke victim not only has  specific physical challenges, but many have other complications including:

  • Communication difficulty whether if be a comprehension issue due to receptive aphasia, or difficulty with verbalizing due to expressive aphasia, or in some cases both.
  • Swallowing difficulties and may require special diets, increased time to eat, or verbal cueing to chew, clear their mouth, take small bites, and when to swallow.
  • Emotional and behavior changes depending on where the stroke occurred along with possible cognitive changes. Many may experience anxiety, anger, or depression and it is important caregivers know how to respond to these behaviors. Many post stroke victims may have poor safety awareness, be impulsive, and be in denial about their physical limitations.

Our caregivers receive training on dealing with these unique complications specific to stroke through in-services given throughout the year by physical, occupational, and speech therapists, webinars, and ongoing specialized training programs thru the Institute for Professional Care.

Examples of a few courses given by the Institute for Professional Care are:

  • Promoting Independence in Daily Living
  • How to Communicate with Someone Who Has Aphasia
  • Communication Techniques
  • Challenging Behaviors: A Framework for Action
  • Understanding Stroke
  • Swallowing Disorders
  • Fall Precaustions
  • Fall Prevention in and around the Home
  • Transfers
  • Range of Motion
  • Positioning
  • Eating Assistance
  • Dressing Assistance
  • Commode Assistance
  • Bathing and Perineal Care
  • Ambulation Assistance with Medical Equipment