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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?
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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I'm not sure what support you are expecting. No one is going to come to the house to help unless you hire someone yourself. Most hospitals have a Social Services Department that might help you get started on where to look for the kinds of help you may need. Look for community Senior Services agencies which might have resources or referrals for different kinds of help.
You will gain experience at being something of a "general contractor" finding and arranging for the help you and your husband need. No one is going to swoop in to take over, but don't panic. Address one need at a time. Each problem you solve will give you some encouragement.
There are many programs and services to help. Start with your insurance company and your primary health provider. I learned a long time ago to never count on anyone. I have always planed on ways to take care of myself.
I would contact your local Dept. of Aging - They should be able to help you/ Contact an elder care attorney to get Will and POAs [financial and health care] if you don't already have these. If your husband is still in hospital ask for Social Worker -most hospitals have one and they can be very helpful. You might consider having a counselor for yourself to help deal with your situation. Your husband's doctor[s] would also be able to help direct you on some resources- you need POA for them to really talk with you about your husband's conditions - he can also give written permission. I take it from your note that you do not have children? or relatives able/willing to help. If you do, talking with them can be very helpful
It is really not the job of the hospital to provide support. They are there to take care of sick patients. They are usually short-staffed, so just getting someone to answer the bell or bring you to the bathroom is an ordeal. In my experience in the hospital with both my elderly parents, I had to take charge and request thing be done, otherwise, they do nothing but the basic care. You could ask the doctor if there is anyone to help you, but usually it has to do with transfer to a rehab center, or at home care services. Maybe there is someone in the hospital administration that can offer assistance, you need to ask for help as they do not automatically offer it.
Welcome to the forum! Wow, did your husband have his FIRST ever hospitalization at 86 years old?! That's amazing! What happened that you did not feel any support at the hospital? I myself always felt the need to be there with my parents when they were hospitalized, as their advocate, because it's hard to navigate the system alone. My daughter is an RN and has helped my husband with numerous health issues over the past couple of years and I can honestly say that she saved his life by going to bat for him over a heart catheter procedure his doctor ordered for him but the ER doc did NOT want to do; his 'test numbers simply weren't supporting the need for it'. Meanwhile, he was about a day away from having a massive heart attack and needed triple bypass surgery. So 'support' in the hospital can be non existent these days, that's for sure.
If your husband is still hospitalized, find the nurse in charge or ask if there is an intermediary nurse and talk to them... they will know more about your husband and his condition than all the expert doctors because nurses need to know it ALL whereas doctors usually only concentrate on their area of whatever they are specializing in. Found that out when dad was hospitalized for a month... the intermediary was absolutely wonderful and always took the time to explain things to us (she's the one who told us to always talk to an experienced nurse because they know the big picture).
If it's emotional and/or spiritual support, ask to speak to a minister or counselor. Most hospitals either have them on staff or are open to having outside clergy come and talk to you. You don't need to be religious, either... people called to ministry are by nature good listeners who love people and usually that's what we need most, just someone to listen and comfort us.
And it's never too late to establish community-based 'family'... senior centers, churches, crafting circles, emotional support groups, etc. Making friends is never easy at any age but I think once you find things in common with a group of people- in our case, aging and all the struggles that go with it- it becomes easier to find others in the same boat as you that are willing to share their own experiences. Have you considered Meals on Wheels once a week? They do more than just provide you with a meal, their visit means a wellness check on both you and your husband.
And lastly, I would highly recommend calling your health insurance provider and find out if your coverage will provide for any kind of at-home services and equipment. **Call and speak to an actual person** who can help you navigate your benefit package. I was shocked at how much help my dad was eligible for under his VERY basic Aetna/Medicare plan. The angel at Aetna that I spoke with was on the phone with me for nearly an hour, LISTENED to me, and provided immediate help with arranging home nursing and getting medical appliances. She was the most compassionate person I could have ever hoped for to help me.
Good luck to you, Nell... I know you will find helpful answers on this forum. It's helped me tremendously over the last 5 years with my parents when I was scared and had no idea how to help them. They are both gone now but I still read the forums nearly every day because I'm looking ahead to a time when hubs and I will be asking the same questions for ourselves.
Sometimes, you have to ask for help...a Social Worker, a Patient Advocate, a Clergy, homegoing assistance ...hospitals are not always the caring place you think they should be. Fill out that homegoing survey when you get it in the mail, and be honest. God Bless.
Please tell your Dr, social worker, a nurse your clergy…whoever you see in a position of authority and tell them you need help finding resources to assist you. Try and be clear what you are wanting…caregiver support for yourself or help for your husband (assistance w/his showering, feeding etc).
if you are online (and you got on this forum, so I assume you have access to internet), go to Alzheimers.org. You will see links for support. Google your state and then caregiver support, you should see links for what’s in your area.
Support and help is out there. However they won’t come to you…you have to initiate it.
Keep us posted if you can. That way others in your same situation can see what you did and what was helpful (or unhelpful) for you.
Contact your local Church. Also your husband's primary care doc can write orders for home care--VNA, physical therapy, speech therapy, home blood draw and if you quality some health insurance offer meals for one week or so upon discharge. A "male" CNA can be requested for showering.
It's a new way of looking at things and a lot of new vocabulary--safe discharge, ambulatory, co-pay, etc. A hospital social worker can set up a home visit by your local VNA who will have a nurse come out and do an assessment.
Tell the Social Worker your story and bring on the troops--do not bring hubby home until everything is in place...also check out your local medical supply store. Your PCP can write orders for railings around the toilet, shower chair, shower nozzle and handicap railings in the shower. Depending on your insurance, a lot of this will be covered.
If your husband was a Veteran--this will be of some help. As there is Aid & Attendance.
Usually I have found the nurses who work for the Primary Care Doctor (for your husband) are knowledgeable. They will spend more time with you discussing resources.
You need to find out what resources are available. Have everything delivered.
Start with the hospital Social Worker and Visiting Nurses Association.
When things settle down, once you know what your husband's "baseline" is--looking into one morning a week respite care. Some places provide transportation. Your PCP can write the order and some have an RN on duty--speech and physical therapy can be provided (along with a co-pay) through health insurance.
Some of the respite facilities are on a sliding scale. Some are better than others. Some of the newer ones have--short-term rehab, respite, long-term care, assisted living, nursing home, palliative and hospice care.
There is help out there. You are not alone in all of this. I hope this helped.
I had a BUNCH of tests this week on my heart. After I was done, (and I felt awful, just awful) the nurse walked me to the door and wished me a good day. (Too late for THAT!) but there was no offer of help or support going forward. They didn't even ask if I had anyone at home to 'watch me'.
If I had been having chemo or something, I would have established my own home care if necessary, but it would have been up to me. Yes, I have a DH at home, but he doesn't 'do' sick people and cannot handle it when I am sick.
Perhaps you need to hire some CG's? Someone to help you out in your general day to day. You don't indicate if you have family, but frankly, my family is so busy with THEIR own families, I don't bother them.
We recently moved and don't have that close a relationship with anyone yet, and may never have it. We lived in the same neighborhood for 43 years--and moving has been hard.
I am fully aware if I require anything 'surgical' for my heart, I will need to reach out and get some help, whether from family or close friends. Hospitals just cannot provide any care after they release you. I'm sorry you had a hard time.
I'm very active in my church and my 'church family' is fabulous--I just don't know them well yet.
I wish you luck. If I lived by you, I would have happily helped you out--and I think that is the case a lot of the time--we assume neighbors won't want to help, when the truth is far from that! It takes a VILLAGE to raise a family and a VILLAGE to care for us as we age.
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.
You will gain experience at being something of a "general contractor" finding and arranging for the help you and your husband need. No one is going to swoop in to take over, but don't panic. Address one need at a time. Each problem you solve will give you some encouragement.
I learned a long time ago to never count on anyone. I have always planed on ways to take care of myself.
Tell us what happened, if you feel so inclined.
If your husband is still hospitalized, find the nurse in charge or ask if there is an intermediary nurse and talk to them... they will know more about your husband and his condition than all the expert doctors because nurses need to know it ALL whereas doctors usually only concentrate on their area of whatever they are specializing in. Found that out when dad was hospitalized for a month... the intermediary was absolutely wonderful and always took the time to explain things to us (she's the one who told us to always talk to an experienced nurse because they know the big picture).
If it's emotional and/or spiritual support, ask to speak to a minister or counselor. Most hospitals either have them on staff or are open to having outside clergy come and talk to you. You don't need to be religious, either... people called to ministry are by nature good listeners who love people and usually that's what we need most, just someone to listen and comfort us.
And it's never too late to establish community-based 'family'... senior centers, churches, crafting circles, emotional support groups, etc. Making friends is never easy at any age but I think once you find things in common with a group of people- in our case, aging and all the struggles that go with it- it becomes easier to find others in the same boat as you that are willing to share their own experiences. Have you considered Meals on Wheels once a week? They do more than just provide you with a meal, their visit means a wellness check on both you and your husband.
And lastly, I would highly recommend calling your health insurance provider and find out if your coverage will provide for any kind of at-home services and equipment. **Call and speak to an actual person** who can help you navigate your benefit package. I was shocked at how much help my dad was eligible for under his VERY basic Aetna/Medicare plan. The angel at Aetna that I spoke with was on the phone with me for nearly an hour, LISTENED to me, and provided immediate help with arranging home nursing and getting medical appliances. She was the most compassionate person I could have ever hoped for to help me.
Good luck to you, Nell... I know you will find helpful answers on this forum. It's helped me tremendously over the last 5 years with my parents when I was scared and had no idea how to help them. They are both gone now but I still read the forums nearly every day because I'm looking ahead to a time when hubs and I will be asking the same questions for ourselves.
if you are online (and you got on this forum, so I assume you have access to internet), go to Alzheimers.org. You will see links for support. Google your state and then caregiver support, you should see links for what’s in your area.
Support and help is out there. However they won’t come to you…you have to initiate it.
Keep us posted if you can. That way others in your same situation can see what you did and what was helpful (or unhelpful) for you.
Contact your local Church. Also your husband's primary care doc can write orders for home care--VNA, physical therapy, speech therapy, home blood draw and if you quality some health insurance offer meals for one week or so upon discharge. A "male" CNA can be requested for showering.
It's a new way of looking at things and a lot of new vocabulary--safe discharge, ambulatory, co-pay, etc. A hospital social worker can set up a home visit by your local VNA who will have a nurse come out and do an assessment.
Tell the Social Worker your story and bring on the troops--do not bring hubby home until everything is in place...also check out your local medical supply store. Your PCP can write orders for railings around the toilet, shower chair, shower nozzle and handicap railings in the shower. Depending on your insurance, a lot of this will be covered.
If your husband was a Veteran--this will be of some help. As there is Aid & Attendance.
Usually I have found the nurses who work for the Primary Care Doctor (for your husband) are knowledgeable. They will spend more time with you discussing resources.
You need to find out what resources are available. Have everything delivered.
Start with the hospital Social Worker and Visiting Nurses Association.
When things settle down, once you know what your husband's "baseline" is--looking into one morning a week respite care. Some places provide transportation. Your PCP can write the order and some have an RN on duty--speech and physical therapy can be provided (along with a co-pay) through health insurance.
Some of the respite facilities are on a sliding scale. Some are better than others. Some of the newer ones have--short-term rehab, respite, long-term care, assisted living, nursing home, palliative and hospice care.
There is help out there. You are not alone in all of this.
I hope this helped.
If I had been having chemo or something, I would have established my own home care if necessary, but it would have been up to me. Yes, I have a DH at home, but he doesn't 'do' sick people and cannot handle it when I am sick.
Perhaps you need to hire some CG's? Someone to help you out in your general day to day. You don't indicate if you have family, but frankly, my family is so busy with THEIR own families, I don't bother them.
We recently moved and don't have that close a relationship with anyone yet, and may never have it. We lived in the same neighborhood for 43 years--and moving has been hard.
I am fully aware if I require anything 'surgical' for my heart, I will need to reach out and get some help, whether from family or close friends. Hospitals just cannot provide any care after they release you. I'm sorry you had a hard time.
I'm very active in my church and my 'church family' is fabulous--I just don't know them well yet.
I wish you luck. If I lived by you, I would have happily helped you out--and I think that is the case a lot of the time--we assume neighbors won't want to help, when the truth is far from that! It takes a VILLAGE to raise a family and a VILLAGE to care for us as we age.
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