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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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.
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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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If it is demonstrably in the best interests of the person, yes, broadly speaking.
The medical POA for a person who is legally incompetent is thereby responsible for the welfare of that person. Making decisions on their behalf, in their best interests, is the POA's responsibility.
There is a balance to be struck, though. If going out for a drive or to dinner is enjoyable for the person and actually doesn't disrupt routine or leave him unsettled or expose him to risk, what is the justification for banning these outings? You have to impose reasonable, proportionate conditions and restrictions.
CMPKSB, I would recommend you get a note from your Dad's doctor saying that Dad should not be removed from the facility as this can confuse Dad, and makes it difficult for the Staff to calm him down afterwards. This would make it more official then if you just said "no".
CMPKSB, your question is complex. Last night I asked the floor nurse in my dad's memory care facility this same question (except that I'm his legal guardian) and her answer was that I need to ask the administrative nurse about this, which I plan to do on Monday. But the floor nurse did say that they have it noted in their records that I'm to be notified immediately if anyone should ask them if they can take my dad out of the facility. Having such an "alert" system should be helpful and might also be for the POA agent in your question. Countrymouse and freqflyer had good thoughts and below is an expansion of some of those.
Obviously, anyone who is a health care POA agent or guardian of a person residing in a facility is supposed to make decisions based on what is in the best interest of the resident. If the POA agent or guardian is maintaining close contact with the resident, that person should know better than anyone else what is in the resident's best interest, but this is not always the case, and it just gets more complex from there.
More complexity stems from it being hard to know for sure what's in the best interest of some residents with dementia. Many such residents, who used to greatly enjoy such outings before their dementia progressed, might now be troubled by a change of routine. A "joy ride" might turn out to be anything but that and a nice "dinner" might turn out to be a stressful evening spent cleaning up a mess in the restroom, or worse in the dining room. Worst of all, such an outing undertaken by inexperienced family members or friends could end with a trip to an emergency room due to not being familiar with worsened mobility issues. On the other hand, an outing with experienced and careful family member or friends might be greatly enjoyed or at least not harmful at all.
Another reason the question can be complex is because family members (the agent and/or the others) sometimes let their own personal anger, whims, dysfunctional histories, and/or states of denial cloud their otherwise sound judgments about what's actually best for the facility resident and instead may want to do what makes them feel good about themselves (e.g. I'm a good person because I took dad out to dinner, or I'm a good person because I prevented dad from having to go out with xxxx evil person).
CMPKSB, you asked what might seem to be a simple legal question, but since POA agents are legally supposed to act in the best interest of POA grantors, and given that it's often very hard to know what's in the best interest, and given that judgments about it can be clouded, it is a complex question. Best wishes.
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.
The medical POA for a person who is legally incompetent is thereby responsible for the welfare of that person. Making decisions on their behalf, in their best interests, is the POA's responsibility.
There is a balance to be struck, though. If going out for a drive or to dinner is enjoyable for the person and actually doesn't disrupt routine or leave him unsettled or expose him to risk, what is the justification for banning these outings? You have to impose reasonable, proportionate conditions and restrictions.
Who's telling you that, by the way? If it's anyone on the staff, might be best to call a meeting and iron out the ground rules.
Obviously, anyone who is a health care POA agent or guardian of a person residing in a facility is supposed to make decisions based on what is in the best interest of the resident. If the POA agent or guardian is maintaining close contact with the resident, that person should know better than anyone else what is in the resident's best interest, but this is not always the case, and it just gets more complex from there.
More complexity stems from it being hard to know for sure what's in the best interest of some residents with dementia. Many such residents, who used to greatly enjoy such outings before their dementia progressed, might now be troubled by a change of routine. A "joy ride" might turn out to be anything but that and a nice "dinner" might turn out to be a stressful evening spent cleaning up a mess in the restroom, or worse in the dining room. Worst of all, such an outing undertaken by inexperienced family members or friends could end with a trip to an emergency room due to not being familiar with worsened mobility issues. On the other hand, an outing with experienced and careful family member or friends might be greatly enjoyed or at least not harmful at all.
Another reason the question can be complex is because family members (the agent and/or the others) sometimes let their own personal anger, whims, dysfunctional histories, and/or states of denial cloud their otherwise sound judgments about what's actually best for the facility resident and instead may want to do what makes them feel good about themselves (e.g. I'm a good person because I took dad out to dinner, or I'm a good person because I prevented dad from having to go out with xxxx evil person).
CMPKSB, you asked what might seem to be a simple legal question, but since POA agents are legally supposed to act in the best interest of POA grantors, and given that it's often very hard to know what's in the best interest, and given that judgments about it can be clouded, it is a complex question. Best wishes.