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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?
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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
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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Is it correct this benefit is limited to a 60 day "episode", or is it common for people to receive this benefit over a long period of time by continual "recertifications" of their homebound status?
Here's what we found out- mom had a stroke, spent a short time in the hospital. We took her home and we called the nearest visiting nurses association. They came out, did an assessment and got the written orders for a weekly nurse visit for 60 days, plus PT and OT. Somehow it got renewed and lasted a total of 9 months. We also split the week among 4 siblings because she could not be left alone, she was on a walker, she could not see well or hear well and she was delusional. We tried our best to keep her home, and we were fortunate she agreed to try assisted living.
Hello Riverside My mother had home health for about 7 years. My aunt has had it about 5 years now. Yes they have to recertify every six weeks or so. A RN comes to their home to recertify. This has to be done after subsequent hospitalizations as well. Usually a LVN makes the weekly visits. They usually fill the pill boxes. Currently I'm filling the boxes for my aunt but if the dr approves they will reorder the meds as needed and fill the boxes. These visits can be once a week or several times a week depending on the authorized need. Wound dressing for instance can be several times a week. To follow the drs orders is the idea. In these two cases the patients were home bound and lived alone. My mother had OT for years otherwise she would have lost the use of her right arm. They both have had PT several times a year. Additionally my mother had an aid who came three times a week to take her vitals and bath her. My aunt had the three times a week also but has been cut back to twice a week. I've been given several reasons why. While the nurses and aids seem to come and go and you would prefer them to be more consistent they can be very useful in an elders ability to remain living in their own home. There have been instances where their assistance has been extremely helpful and at the least provided a few minutes of social interaction. As far as I know we never have had a problem with theft or abuse. And for the record neither my mother or my aunt wanted the aid but both grew to appreciate the aid most of all. A shampoo and a bath are hard to beat.
These answers are enlightening. As many times as we've had home PT and OT, not once has anyone raised the issue of renewing longer than a month or so.
In reality, we've been relieved when they've finished as home visits can be disruptive, and we had to plan around their visits. But I would like to get a home nurse on a regular basis and had planned to go the private duty route.
Lest someone chides me for not researching this, I'll plead "no time to research the issue", which is a legitimate issue for our situation. However, I'm adding this to my several page to-do list to see what I can learn.
Since the issues of concern are primarily pulmonary, I'm also going to ask our pulmonary doctor when we see her later next month (she's so overextended that it takes 2 - 3 months to get an appointment). Some pulmonary support isn't easy to get though. I've tried for the last few years to get Dad into the pulmonary rehab program, but Medicare criteria are so rigid he never qualifies.
Thanks to Riverside for raising this issue and to Pam and Mom for sharing your experiences.
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.
We also split the week among 4 siblings because she could not be left alone, she was on a walker, she could not see well or hear well and she was delusional. We tried our best to keep her home, and we were fortunate she agreed to try assisted living.
My mother had home health for about 7 years. My aunt has had it about 5 years now. Yes they have to recertify every six weeks or so. A RN comes to their home to recertify. This has to be done after subsequent hospitalizations as well. Usually a LVN makes the weekly visits. They usually fill the pill boxes. Currently I'm filling the boxes for my aunt but if the dr approves they will reorder the meds as needed and fill the boxes. These visits can be once a week or several times a week depending on the authorized need. Wound dressing for instance can be several times a week. To follow the drs orders is the idea. In these two cases the patients were home bound and lived alone. My mother had OT for years otherwise she would have lost the use of her right arm. They both have had PT several times a year. Additionally my mother had an aid who came three times a week to take her vitals and bath her. My aunt had the three times a week also but has been cut back to twice a week. I've been given several reasons why. While the nurses and aids seem to come and go and you would prefer them to be more consistent they can be very useful in an elders ability to remain living in their own home. There have been instances where their assistance has been extremely helpful and at the least provided a few minutes of social interaction. As far as I know we never have had a problem with theft or abuse. And for the record neither my mother or my aunt wanted the aid but both grew to appreciate the aid most of all. A shampoo and a bath are hard to beat.
In reality, we've been relieved when they've finished as home visits can be disruptive, and we had to plan around their visits. But I would like to get a home nurse on a regular basis and had planned to go the private duty route.
Lest someone chides me for not researching this, I'll plead "no time to research the issue", which is a legitimate issue for our situation. However, I'm adding this to my several page to-do list to see what I can learn.
Since the issues of concern are primarily pulmonary, I'm also going to ask our pulmonary doctor when we see her later next month (she's so overextended that it takes 2 - 3 months to get an appointment). Some pulmonary support isn't easy to get though. I've tried for the last few years to get Dad into the pulmonary rehab program, but Medicare criteria are so rigid he never qualifies.
Thanks to Riverside for raising this issue and to Pam and Mom for sharing your experiences.