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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.
Share a few details and we will match you to trusted home care in your area:
Your dad likely has some form of dementia starting. He is living in the past, in his own reality, and he is doing something called "confabulation", which I won't try to explain because you can google it. It is a way of making things up to fill in his memory gaps.
BEFORE you run off to a doctor for a diagnosis, be sure that you have his legal paperwork in order. As long as he understands that he wants you and your mom to help him, he will probably be okay to get his signature authorized in front of a notary giving the two of you his medical/health power of attorney (HPOA or MPOA) and his durable financial power of attorney (DPOA) which should undoubtedly be off the immediate type.
If your folks have property, you may want to see an elder certified (NAELA) attorney to draw up Will & Trust documents as well as s Nomination of Conservator. These types of papers generally need to be sign in front of an attorney. An elder attorney can also advise you regarding asset protection if your dad needs to go into a nursing home. It makes a big difference if you can get everything in place 5 years before they have to be admitted to a care facility.
Do not hesitate in looking into that. It should be done ASAP because some memory problems that appear to be dementia are caused by correctable problems. So, you want to also get to the doctor ASAP as your second step following IMMEDIATELY behind and with the utmost of speed.
If your folks have an HMO, they will have to go to their primary doctor to get a referral to a neurologist or a neuro-psychiatrist. After diagnosis, he will need either of those two or a psychiatrist to continually evaluate his medication. Please DO NOT ALLOW a primary care doctor to prescribe psychoactive medication.
From what you say, your father does have an impairment. His memory is not functioning normally and he is not fully sharing the reality we are in.
You might start with a complete examination by a geriatrician. (At this point, a geriatrician is a good choice for primary care provider.) Tell this doctor in advance about Dad's memory issues. He or she may then refer your dad for further testing and perhaps to see a geriatric psychiatrist or a behavioral neurologist.
If he is in beginning stages of dementia or if he has mild cognitive impairment, this is an excellent time for your parents to get their legal paperwork up to date. This includes Power of Attorney, Medical Proxy, Advance Healthcare Directive, and wills. It sounds like your father is competent to handle these kinds of decisions right now. He may lose that capacity in the future. Now is the time for both Mother and Dad to get their ducks in a row.
Meanwhile, don't let his stories upset you. Do you think they might be memories? You could use the stories as stepping stones to discuss the past with him. He might be more comfortable there. And even if he can't remember when you last visited he may be able to remember in detail a time the three or four of you visited some relative, when you were seven. Encourage him to talk about the past.
My parents are married dad is 81 mom 75. She is caring for him right now. They do not have impairments luckily except for dad's memory is going and he keeps asking where we are? It seems like he seems like we are little. We all visit weekly, my youngest sister lives close she is over there 3 times a week. What kind of doctor we need to take him too?
Could you explain your situation a little more? How old are your parents? Do they live together? What impairments do they each have? How often do you visit? How about your sister?
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.
Your dad likely has some form of dementia starting. He is living in the past, in his own reality, and he is doing something called "confabulation", which I won't try to explain because you can google it. It is a way of making things up to fill in his memory gaps.
BEFORE you run off to a doctor for a diagnosis, be sure that you have his legal paperwork in order. As long as he understands that he wants you and your mom to help him, he will probably be okay to get his signature authorized in front of a notary giving the two of you his medical/health power of attorney (HPOA or MPOA) and his durable financial power of attorney (DPOA) which should undoubtedly be off the immediate type.
If your folks have property, you may want to see an elder certified (NAELA) attorney to draw up Will & Trust documents as well as s Nomination of Conservator. These types of papers generally need to be sign in front of an attorney. An elder attorney can also advise you regarding asset protection if your dad needs to go into a nursing home. It makes a big difference if you can get everything in place 5 years before they have to be admitted to a care facility.
Do not hesitate in looking into that. It should be done ASAP because some memory problems that appear to be dementia are caused by correctable problems. So, you want to also get to the doctor ASAP as your second step following IMMEDIATELY behind and with the utmost of speed.
If your folks have an HMO, they will have to go to their primary doctor to get a referral to a neurologist or a neuro-psychiatrist. After diagnosis, he will need either of those two or a psychiatrist to continually evaluate his medication. Please DO NOT ALLOW a primary care doctor to prescribe psychoactive medication.
You might start with a complete examination by a geriatrician. (At this point, a geriatrician is a good choice for primary care provider.) Tell this doctor in advance about Dad's memory issues. He or she may then refer your dad for further testing and perhaps to see a geriatric psychiatrist or a behavioral neurologist.
If he is in beginning stages of dementia or if he has mild cognitive impairment, this is an excellent time for your parents to get their legal paperwork up to date. This includes Power of Attorney, Medical Proxy, Advance Healthcare Directive, and wills. It sounds like your father is competent to handle these kinds of decisions right now. He may lose that capacity in the future. Now is the time for both Mother and Dad to get their ducks in a row.
Meanwhile, don't let his stories upset you. Do you think they might be memories? You could use the stories as stepping stones to discuss the past with him. He might be more comfortable there. And even if he can't remember when you last visited he may be able to remember in detail a time the three or four of you visited some relative, when you were seven. Encourage him to talk about the past.