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How are they managing their medications?
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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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Some think so. We haven't tried one dexided to go the med route with Seroquel. I want some sort of assurance something will help Mom with sundowners. Our solution, seroquel.
Short, Mom has been on seroquel about three years now. We started at 12.5 mg a day. We are up to 75 mg a day which hasn't been increased in about a year and a half. I give her 75mg about 4:30 pm. She goes to bed about 6:15. Some nights by 7 or so she becomes agitated about any number of things that she imagines. These are the nights that she also takes a Xanax. Then all is well, usually for the rest of the night.
I personally believe sundowning is too broad of a topic to know if one thing will work. And of course, what works for one person may not work for the next. I highly recommend starting a journal of everything that is occurring - from dogs barking, to the amount of sun that day, to the food eaten, etc. Sometimes trends emerge that can be changed. It won't be easy but it takes some detective work and creativity. You won't know about the lights unless you try them. Maybe purchase them from somewhere with a good return policy.
Have your parent evaluated by a neurologist first. It may or may not be Sundowner's syndrome. The NH my father was in put him on Haldol without telling the family because they claimed he had Sundowner's, which he did not. There were other things going on. Get a rference to a good neurologist in your area, have the patient evaluated thoroughly to see if any other meds might be more appropriate. There are things like normal pressure hydrocephalus that can do weird things and you may need to have something like a CT scan, MRI or PET scan to figure out what is going on. Medicare should pay for most of it.
We have a full-spectrum therapy light. Mom won't sit still with it any more. Back when she did use it, there was an overall improvement in her mood after about a week and a half of exposure one hour per day. As I recall, the instructions said to use it during morning hours because that's when the body normally is exposed to the brightest light. However, the benefits are all day.
Thank u glad. Mom is on 50 mg at nite which she takes bout 630. But I can c see the change n mood between 5 and 530..she also takes attivan at nite which helps. She only takes 25 mg of sreoquel in morning..thank u for sharing good luck..
Keep the home well lit in the evening right up until bedtime. Adequate lighting may reduce the agitation that occurs when surroundings are dark or unfamiliar. Vision loss often requires the patient has well-lit surroundings to prevent anxiety. Full spectrum lighting will benefit the entire family by converting cholesterol to Vitamin D. If you have 4ft. fluorescent lights, use the Grow-Lux tubes in a matching wattage.
Its a strange thing. Mom's dementia is getting worse and worse, but I didn't think she was going through Sundowners (she is in AL, mostly keeps to her room, so I'm not there to see it). But, it appears she is. My sister said she called her 3 times in the afternoon and 4 times in the evening with the same obsessions over and over and over. You can't talk to her because whatever you say, she has forgotten five minutes later. This has been going on for a while. I'm guessing she writes all her obsessive little notes then - I find them scattered all over, in her purse, written on every scrap of paper: her finances, furniture, house, fears and people stealing. She goes back to her new doctor in a week. I pray he gives her something to help. I try to put myself in her place, imagine a terrible fear or worry from the past, how it felt, the knot in your stomach, the pounding heart, etc - and wonder, is this how my mother feels for hours at a time, with no relief, not comfort? Its a horrible thought she might be going through that emotional and physical agony over and over and over.
At the doctor's recommendation I bought one and tried it with my mother. She said the light hurt her eyes and refused to use it. You have to sit pretty close to the light (at least the one the dr recommended to me) and you are supposed to look in the general direction so the light can shine in your eyes. My mom has scar tissue from cataract surgery that sometimes give her pain and it seems over the time the pain has started to worsen in bright lights. She frequently wants to wear her sunglasses even when there is no sun out just because the daylight is too bright for her eyes (sometimes even inside where I have curtains open).
Yes, "full spectrum" lights are very bright - much too bright after cataract surgery. The UV lights, which actually generate Vitamin D, are not nearly as bright in the visual spectrum, and you do not need to look at them anyway to get the benefit.
TryingToCopeToo, I don't know if this will help or not, but I once heard a report that said it works just as well to shine the full spectrum light on the back of your knees. Why that would work, I don't have a clue. But it could be worth trying if you can figure out a way.
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.
Adequate lighting may reduce the agitation that occurs when surroundings are dark or unfamiliar. Vision loss often requires the patient has well-lit surroundings to prevent anxiety. Full spectrum lighting will benefit the entire family by converting cholesterol to Vitamin D. If you have 4ft. fluorescent lights, use the Grow-Lux tubes in a matching wattage.
She said the light hurt her eyes and refused to use it. You have to sit pretty close to the light (at least the one the dr recommended to me) and you are supposed to look in the general direction so the light can shine in your eyes.
My mom has scar tissue from cataract surgery that sometimes give her pain and it seems over the time the pain has started to worsen in bright lights. She frequently wants to wear her sunglasses even when there is no sun out just because the daylight is too bright for her eyes (sometimes even inside where I have curtains open).