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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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My mom has had some small 'mini' strokes that have caused her to slow down and now she has been diapnosed with Parkisons Disease. There can be lots of causes. If she has had a change in medications, there may need to be an adjustment of amount or when she takes them. Talk to her doctor and to her pharmasist. Also, talk with her. Is she depressed? Has she lost some of her confidence and why?
My vote would be to look for parkinsonism too. My Dad had it real bad, the bradykinesia (slow movement) was the worst symptom but he also got swallowing problems. His was part due to frontotemporal dementia and part to to medication reactions. Mom used to yell at him all the time for being so slow, which is not actually a recommended treatment. :-) Now Mom has it, also associated with stroke and vascular dementia, and when her tremor got bad enough to interfere with feeding herself, the right dose of Sinemet found via trial and error was a big help (too much made her agitated and irritable).
Also, my experience was that some family docs and PAs do not pick up on this; my mom's nurses and aides even thought she was purposely resisting them and being "uncooperative" because she had another common symptom called "retropulsion" (pushing backwards into extension when trying to do other movements). I actually had to get her to a neurologist to get the diagnosis made and a geriatrician to get it treated. Psychomotor retardation (another fancy term for slow movement and thought) due to depression is another possibility, of course, but have any decently neurologically oriented doc (i.e. someone who does not seem to think a neuro exam consists of tapping for a knee jerk and turning the hands over and back a couple of times) try to distinguish this. Parkinsonism can also cause a flat expression that looks like depression and can coexist with depression, but the neuro exam is very distinctive if it is at least one component of the problem. You may be able to get an idea just by passively moving the person's wrist up and down fairly quickly; with parkinsonism you feel a ratchety resistance to the movement called "cogwheeling."
I hope this is helpful! It's really good that you sensed this is something that might be helped, and not just some kind of laziness, stubbornness, or inevitable part of getting older, so you're ahead of a lot of people on that.
I'm not dealing with medications or other medical problems with my 94 year old mom. I can tell you that before she came to live with us, she was just shuffling down the hall with her head down. When I brought her down here, I started taking her out for walks every day - not long ones, just on the sidewalk around our house and down the street a couple houses. The more often we walked, the better she was able to walk. Now there are times that I take her into the grocery store and she practically runs me down with the cart because she's moving so fast.
So, always good to have changes looked into and diagnosed properly if there is something wrong. Sometimes too changes may be helped by simple means.
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.
Also, my experience was that some family docs and PAs do not pick up on this; my mom's nurses and aides even thought she was purposely resisting them and being "uncooperative" because she had another common symptom called "retropulsion" (pushing backwards into extension when trying to do other movements). I actually had to get her to a neurologist to get the diagnosis made and a geriatrician to get it treated. Psychomotor retardation (another fancy term for slow movement and thought) due to depression is another possibility, of course, but have any decently neurologically oriented doc (i.e. someone who does not seem to think a neuro exam consists of tapping for a knee jerk and turning the hands over and back a couple of times) try to distinguish this. Parkinsonism can also cause a flat expression that looks like depression and can coexist with depression, but the neuro exam is very distinctive if it is at least one component of the problem. You may be able to get an idea just by passively moving the person's wrist up and down fairly quickly; with parkinsonism you feel a ratchety resistance to the movement called "cogwheeling."
I hope this is helpful! It's really good that you sensed this is something that might be helped, and not just some kind of laziness, stubbornness, or inevitable part of getting older, so you're ahead of a lot of people on that.
So, always good to have changes looked into and diagnosed properly if there is something wrong. Sometimes too changes may be helped by simple means.