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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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Mom is 93. Sharp mentally.She has thrived in our home with companions helping.She wants to go home and not have companions and I am fearful she will be alone more and fall.Brother and sister are near but not as attentive
A parent wanting to go home is so very common. The trick is to figure out what home she wants to return to.
Curious, when does your Mom ask this? Was wondering if it was late in the afternoon, such as after 4pm. If yes, then it could be that your Mom may have what is called "sundowners" which is part of the dementia family. My Dad is clear minded for someone who is 94 during the day, but once 4pm rolls around, there is a lot of confusion what year he is living in :(
When my Mom [98] was alive, after she had a bad fall that resulted in a serious head injury, she wanted to "go home" from long-term-care... it took us a while to realize it wasn't the home that she had shared with my Dad, but the home she grew up in in another State. The first clue was when Mom asked if the cattle were still out in the field. Say what? The only home that had cattle was her childhood home.
So, unless your Mom is the type of 93 year old who still drives, plays tennis in the morning and plays bridge with the gals in the afternoon, then the answer would be "no".... you do have legit reason to be fearful. Your Mom is not as clear minded as you think if Mom feels she could live on her own in her own house.
Rite after dad had his stroke he was stuck in 1998 in the afternoon i found out it was sundowners at firts i didnt quite understand but after time ibrealize that if i keep him bussy in the after noon it is not so bad. Plenty of lite helps but keeping the mind bussy worked best for pops he also has parkins so it can be a challange good luck it will really work on u as well just remember its not really ur live one ur dealing with
You say your mom is sharp, but if she's 93 and has mobility problems, I would question if she is using good judgment by staying alone. Does it even make sense? She may be able to do math, but is she able to run her household, care for her daily needs, take medications, attend to hygiene, etc.?
You stated that she was living in your home and had companions. Is that no longer an option?
I might have her assessed to see what level of care she needs and then explore how to make that happen, such as staying in a family member's home with outside help coming in, Assisted Living, or nursing homes. You can read a lot about all of them on this site.
I would also read about (see posts above) how many seniors say they want to return home, but it means something different than what we think.
Thank you for this. Mom wants to return to her home. My brother lives there in the basement but will go to work at 4AM. My sister lives in house next door. Mom will be alone until a companion comes at 7:30 on weekdays. I am Incistant they look and alarm and sister can come let the companion in . They need to stay until brother comes or sister relieves, They think I am being too pushy and she will be fine!
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Curious, when does your Mom ask this? Was wondering if it was late in the afternoon, such as after 4pm. If yes, then it could be that your Mom may have what is called "sundowners" which is part of the dementia family. My Dad is clear minded for someone who is 94 during the day, but once 4pm rolls around, there is a lot of confusion what year he is living in :(
When my Mom [98] was alive, after she had a bad fall that resulted in a serious head injury, she wanted to "go home" from long-term-care... it took us a while to realize it wasn't the home that she had shared with my Dad, but the home she grew up in in another State. The first clue was when Mom asked if the cattle were still out in the field. Say what? The only home that had cattle was her childhood home.
So, unless your Mom is the type of 93 year old who still drives, plays tennis in the morning and plays bridge with the gals in the afternoon, then the answer would be "no".... you do have legit reason to be fearful. Your Mom is not as clear minded as you think if Mom feels she could live on her own in her own house.
You stated that she was living in your home and had companions. Is that no longer an option?
I might have her assessed to see what level of care she needs and then explore how to make that happen, such as staying in a family member's home with outside help coming in, Assisted Living, or nursing homes. You can read a lot about all of them on this site.
I would also read about (see posts above) how many seniors say they want to return home, but it means something different than what we think.