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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.
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
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My mom got booted out of AL after two weeks - they said her needs were beyond what they could handle - and I'm sure they were right. But my mom had been in IL until "the fall" - the one that was a game changer. Taking my mom from IL to a nursing home would have been to much for her to accept - not without at least being able to say we gave AL a shot.
Once mom finally understood that no matter how wrong she felt the AL administration was - after all there was nothing wrong with her - she really did not have the option of staying where she was.
Still being cognizant enough to realize the outcome would eventually be the same at any AL facility - but not being willing to go into a nursing home - after all there was nothing wrong with her - mom came up with the perfect solution- I was to go find her a lovely apartment. Lovely as it might have been - still, just a regular apartment.
Never mind that mom was pretty much wheelchair bound. Never mind the reason she had to leave AL was that she fell twice in ten days. Never mind she couldn't transfer on her own, go to the bathroom on her own - change her dirty Depends on her own. Not without covering herself and the bathroom in poo. Never mind mom frequently called me in the middle of the night to ask if it was 3:00 am or pm. Never mind.
Yep, an apartment on her own. The perfect solution. I don't know why I hadn't thought of it. Maybe it was the fear of being charged with neglect and elder abuse.
Your mom might need more help that she admits, but think twice (OK, 20 times) about bringing her into your home. Odds are, that is not the best solution. Your health matters, too. Not to mention your sanity.
Many cautionary tales on this site. I urge you to search and read. And yes, almost everyone's story starts with good intentions and a positive attitude. Unfortunately, it usually takes much, much more to get the job done.
And remember, all elders are on a downhill slide. Whether or hot they admit it. Whether or not their heartbroken adult children admit it. The job gets harder as the months and years pass. So. Much. Harder.
It's OK to assemble a team. Outsourcing is not a betrayal.
There's no such thing as a hospital, AL, rehab or long-term-care facility with only one or two employees. Remember that.
Good luck to you. Be good to yourself. These are rough years. (((hugs)))
It is hard to convince a person that they are not able to care for themselves. A person remains the same person inside their mind. Things they do wrong are small to them and will be better if they get a good night's sleep or just sit down and rest a while. When we watch from the outside we know better. It is easier to see things from the outside.
Sometimes they do know that something is wrong and they're not coping well, but they will never admit it to anyone. It's a pride thing and probably a fear of losing independence. No one wants to become a helpless old person.
If she does need help and isn't willing to move somewhere, maybe you can talk her into hiring someone to come in for a few hours a day. Would she be able to afford that?
My mother will not admit she can't live by herself. This is strange because she asked me for years to move home to help her. I've been hear 7.5 years now. When I say I want to take a break, she thinks it's a good idea. But she says she doesn't need anyone to come in. She can take care of herself. I know this isn't true -- it would be a mess. It's her way of making sure she doesn't have to go anywhere and that no one comes in the house.
I'm afraid that Jessie and CDN are right. Clark and Malay, your parents fall into the "waiting for a crisis" category. Until there is a fall that requires ER treatment or they start a kitchen fire (let's hope a small one) or get sick from eating spoiled food, there is little you can do to force the issue. Take full advantage of any crisis. If your parent winds up in the ER or is hospitalized, tell the staff of their impairments, that they are not safe at home alone, and there is no one there to look after them. Depending on the circumstances, that may start the process of requiring them to accept help.
We allowed (tricked) our mother to feel she was helping us out. First we got her to accept in-home help in the form of cleaning/laundry, meals-on-wheels, and visiting nurse. When the social worker suggested a house cleaner, for example, Mother said, "Oh, I don't need that! My daughters take care of that!" a daughter spoke up and said, "We have limited time to spend with you, Ma, and when we are here we want to play scrabble with you, not scrub your toilet!" So she agreed to the help for her daughters' sake. This probably gave her an extra couple of years or more in her apartment. (If only elders would realize that accepting help will give them "independence" longer!)
When it became clear Mother could no longer live alone, she first agreed to move in with my retired sister, but as the date approached she had more and more objections. Finally my youngest sister took her aside and told her this little fib: "Since Sister has retired they are having trouble making their mortgage payments, so they have to rent out some rooms. It would be great if you could move in." And so she did, to help Sister out.
After about a year Mother needed more care than could be provided in a private home. We found a nursing home for her. Mother was with me the weekend of the move, and the other sisters moved her things in and got the room personalized. I was stuck with being the one to tell Ma and I was worried how I would do that. But she said, "I don't like to keep imposing on Sister and BIL. They need their privacy. I've been there a long time." This has come up from time to time and we always reassure her that she is paying rent and she is not imposing and they like to have her, etc. But this time I just assured her that they liked having her there but they realized she was eager to have her own place, so they found a nice place for her and I would be taking her there at the end of the weekend, instead of taking to her to Sister. She was surprised, but she accepted that. It took her a while to adjust to the nursing home, but she never did ask to "go home."
We were able to appeal to our mother's strong sense of being nice to and helpful to her children. We were lucky.
Not all parents are like this! But if there is any way you can present the changes you propose as being for your sake and appeal to their nurturing instincts, go for it!
A lot of the time, it's gonna take a crisis before anything can be done. If it involves a hospital and rehab stay, most doctors and social workers will try to push the whole your family will take your parents into your home and you take care of them. Well, that's a nice idea but it's not possible, most of the time. It will boil down to you to push back and say that you can't take care of them at home and push them to find other solutions. Never be afraid to say no, you are not going to provide hands on care.
Sometimes what an elder needs is not going to be what they want. But that goes for a lot of people at all different stages of life.
First if your parent has been living independently it is a HUGE change to admit that you can no longer care for yourself. If your parent is cognoscente then it is even more difficult. You have not given much info as to why YOU want this change. If there are health reasons the change is understandable but might not be the first best step. There are Independent Living facilities, Assisted Living facilities and Memory Care. Many will move residents from one to the other as the need arises. Many will allow a short stay to "try on" the community. So she/ he can feel what it is like to live in a place where they can get help if they need it or be left alone if that is what they want. Keep in mind that a move is difficult for anyone and particularly for a person that may have spent more than half their life in the very spot you want to uproot them from. Friends and memories are difficult to move. Not to mention familiarity with the house and area. And PLEASE do not think it will be easy for you, your family or your parent to move in with you. Just look at some of the questions and responses that are on this forum and many others. Your parent may be, or seems to be healthy now but what happens when shortly after the move you find that they have early stages or most likely mid stage dementia? What happens when they fall and break a hip and you become more of a caregiver? What happens when your parent has to use a walker or a wheelchair and you find the bathrooms are too small, the halls not wide enough and you have to pull up carpet because it is difficult to navigate? What happens when you find that all your friends stop calling to ask you if you want to go to a movie or to dinner because your answer is "No, because I can't leave Mom (or Dad) alone that long" If you still work hope your boss is understanding because you will be taking more time off to care for your parent. Start pricing Caregivers, they are not cheap and it is hard to find a good honest one. Not easy to read is it? Your parents brought you up to become an independent adult, to get married, move out of their home, raise a family. Your parents would be the first to tell you that they would not want to be a burden and that they would not want to disrupt your life. Help your parent find a good facility with the resources that will fit their need. Independent, Assisted or Memory Care. You know they will be cared for and you can remain the daughter or son that they raised, loving, caring and not resentful or angry at them. Not an easy thought but it is the decision I would make for the sake of my family.
What cdnreader says is right. Sometimes, though, they won't let anyone help. Unless they are declared legally incompetent, no one can force them to accept help. When they refuse help, all we can do is wait to step in when we can to provide what is needed. Sometimes there has to be a crisis before they will accept help. All we can do is hope the crisis is not too bad.
I had to get over the idea that I could make my mom happy, and instead focus on getting her the care that she needs in the best possible way for both of us. She has dementia, probably Alzheimer's, and has progressed from IL to AL to Memory Care. She complained about all of them. She refuses to participate in most of the activities offered and spends most of her time sitting in her recliner in her room. She continues to complain and demand that I move her back to her house (not sure which house she is referring to), find her an apartment where she can take care of herself or take her to my house. None of these is even a remote possibility. My response is that I am working on making arrangements for whatever she is requesting. With her 30-second memory she never remembers the conversation. For a long time I felt guilty that she was not happy, but I have realized that my responsibility is to make sure that she is safe, properly medicated and well cared for, not to make her happy. I wish that she was as understanding and cooperative as Jeanne's mom was, but that is not, and never has been, her personality.
This is so hard. As the adult children as much as we want to go along with our parent's wishes, sometimes we have to take control. I hope a firm and loving conversation will do the trick. Or if all else fails getting the doctor, social services or family therapist involved in their care. Maybe your parents don't want to live with adult children, try to give them more options. Maybe they would like to tour assisted living facilities or nursing homes instead. No matter how they protest, we as the adult children must try and put their safety and comfort first. I tried and still feel like I failed since my dad's passing.
Ask them to come stay with you to 'help YOU'. You need someone at home because Pick one or two: expecting a lot of deliveries dog/cat can't be alone kids/teens can't be alone need them to help with a project (it can be as simple as sorting through boxes of old photos to make albums) Do they have a skill or hobby that you 'need' them to do for you, pets to supervise? If someone has the luxury of time, they can start by bringing them for weekend or weekly visits that get extended each time. Otherwise, find a way to put the best possible light on the situation to make them feel needed, wanted and helpful and welcomed.
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.
Once mom finally understood that no matter how wrong she felt the AL administration was - after all there was nothing wrong with her - she really did not have the option of staying where she was.
Still being cognizant enough to realize the outcome would eventually be the same at any AL facility - but not being willing to go into a nursing home - after all there was nothing wrong with her - mom came up with the perfect solution- I was to go find her a lovely apartment. Lovely as it might have been - still, just a regular apartment.
Never mind that mom was pretty much wheelchair bound. Never mind the reason she had to leave AL was that she fell twice in ten days. Never mind she couldn't transfer on her own, go to the bathroom on her own - change her dirty Depends on her own. Not without covering herself and the bathroom in poo. Never mind mom frequently called me in the middle of the night to ask if it was 3:00 am or pm. Never mind.
Yep, an apartment on her own. The perfect solution. I don't know why I hadn't thought of it. Maybe it was the fear of being charged with neglect and elder abuse.
Many cautionary tales on this site. I urge you to search and read. And yes, almost everyone's story starts with good intentions and a positive attitude. Unfortunately, it usually takes much, much more to get the job done.
And remember, all elders are on a downhill slide. Whether or hot they admit it. Whether or not their heartbroken adult children admit it. The job gets harder as the months and years pass. So. Much. Harder.
It's OK to assemble a team. Outsourcing is not a betrayal.
There's no such thing as a hospital, AL, rehab or long-term-care facility with only one or two employees. Remember that.
Good luck to you. Be good to yourself. These are rough years. (((hugs)))
Sometimes they do know that something is wrong and they're not coping well, but they will never admit it to anyone. It's a pride thing and probably a fear of losing independence. No one wants to become a helpless old person.
If she does need help and isn't willing to move somewhere, maybe you can talk her into hiring someone to come in for a few hours a day. Would she be able to afford that?
My mother will not admit she can't live by herself. This is strange because she asked me for years to move home to help her. I've been hear 7.5 years now. When I say I want to take a break, she thinks it's a good idea. But she says she doesn't need anyone to come in. She can take care of herself. I know this isn't true -- it would be a mess. It's her way of making sure she doesn't have to go anywhere and that no one comes in the house.
We allowed (tricked) our mother to feel she was helping us out. First we got her to accept in-home help in the form of cleaning/laundry, meals-on-wheels, and visiting nurse. When the social worker suggested a house cleaner, for example, Mother said, "Oh, I don't need that! My daughters take care of that!" a daughter spoke up and said, "We have limited time to spend with you, Ma, and when we are here we want to play scrabble with you, not scrub your toilet!" So she agreed to the help for her daughters' sake. This probably gave her an extra couple of years or more in her apartment. (If only elders would realize that accepting help will give them "independence" longer!)
When it became clear Mother could no longer live alone, she first agreed to move in with my retired sister, but as the date approached she had more and more objections. Finally my youngest sister took her aside and told her this little fib: "Since Sister has retired they are having trouble making their mortgage payments, so they have to rent out some rooms. It would be great if you could move in." And so she did, to help Sister out.
After about a year Mother needed more care than could be provided in a private home. We found a nursing home for her. Mother was with me the weekend of the move, and the other sisters moved her things in and got the room personalized. I was stuck with being the one to tell Ma and I was worried how I would do that. But she said, "I don't like to keep imposing on Sister and BIL. They need their privacy. I've been there a long time." This has come up from time to time and we always reassure her that she is paying rent and she is not imposing and they like to have her, etc. But this time I just assured her that they liked having her there but they realized she was eager to have her own place, so they found a nice place for her and I would be taking her there at the end of the weekend, instead of taking to her to Sister. She was surprised, but she accepted that. It took her a while to adjust to the nursing home, but she never did ask to "go home."
We were able to appeal to our mother's strong sense of being nice to and helpful to her children. We were lucky.
Not all parents are like this! But if there is any way you can present the changes you propose as being for your sake and appeal to their nurturing instincts, go for it!
Sometimes what an elder needs is not going to be what they want. But that goes for a lot of people at all different stages of life.
If your parent is cognoscente then it is even more difficult.
You have not given much info as to why YOU want this change.
If there are health reasons the change is understandable but might not be the first best step.
There are Independent Living facilities, Assisted Living facilities and Memory Care. Many will move residents from one to the other as the need arises.
Many will allow a short stay to "try on" the community. So she/ he can feel what it is like to live in a place where they can get help if they need it or be left alone if that is what they want.
Keep in mind that a move is difficult for anyone and particularly for a person that may have spent more than half their life in the very spot you want to uproot them from. Friends and memories are difficult to move. Not to mention familiarity with the house and area.
And PLEASE do not think it will be easy for you, your family or your parent to move in with you.
Just look at some of the questions and responses that are on this forum and many others.
Your parent may be, or seems to be healthy now but what happens when shortly after the move you find that they have early stages or most likely mid stage dementia? What happens when they fall and break a hip and you become more of a caregiver? What happens when your parent has to use a walker or a wheelchair and you find the bathrooms are too small, the halls not wide enough and you have to pull up carpet because it is difficult to navigate? What happens when you find that all your friends stop calling to ask you if you want to go to a movie or to dinner because your answer is "No, because I can't leave Mom (or Dad) alone that long" If you still work hope your boss is understanding because you will be taking more time off to care for your parent.
Start pricing Caregivers, they are not cheap and it is hard to find a good honest one.
Not easy to read is it?
Your parents brought you up to become an independent adult, to get married, move out of their home, raise a family.
Your parents would be the first to tell you that they would not want to be a burden and that they would not want to disrupt your life.
Help your parent find a good facility with the resources that will fit their need. Independent, Assisted or Memory Care.
You know they will be cared for and you can remain the daughter or son that they raised, loving, caring and not resentful or angry at them.
Not an easy thought but it is the decision I would make for the sake of my family.
You need someone at home because
Pick one or two:
expecting a lot of deliveries
dog/cat can't be alone
kids/teens can't be alone
need them to help with a project (it can be as simple
as sorting through boxes of old photos to make albums)
Do they have a skill or hobby that you 'need' them to do for you,
pets to supervise?
If someone has the luxury of time, they can start by bringing them for weekend or weekly visits that get extended each time.
Otherwise, find a way to put the best possible light on the situation
to make them feel needed, wanted and helpful and welcomed.
See All Answers