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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.
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I'm going to be blunt and I'm sorry if it sounds offensive but this is the reality of the situation and how serious it it: "Bedbound" means having to clean her feces and urine representing a regular schedule of diaper changing around the clock, feeding her, doing range of motion care, and turning her regularly. If you don't attend to her basic needs her skin will break down and you will get bedsore. These form rather quickly. You must also ensure the perineal (buttock and genital region) area remains clean to prevent urinary tract infections. Yes you will need a Hoyer lift, and transferring her from the bed to the wheelchair is going to be a daunting task. You need to be trained. Are you ready for all of this? This will be a CONSTANT grind and you will receive no help -- the cost of CNAs are enormous. Medicare isn't going to help unless she's on hospice.
You will need a hospital bed AND a hoyer lift if she can't walk. Leave her where she is, trying to do this all at home will kill you. People who think they can do all that are burned out within a month.
Have to say this- a hoyer should be avoided until all other options have been considered. They can be difficult/dangerous for both the person and the caregiver (and slings are a real pain). Also- a person being "slinged" no longer is using whatever leg strength they have- which accelerates overall decline of muscle tone/strength. A person having one good arm/leg is plenty for many people to safely/independently bed transfer. Likewise a person with no leg strength (as long as they have reasonable upper body strength). If a person can "help themselves" they are increasing their muscle use which is a good thing vs.straining a caregiver. However the right assistive products may be required. I see lots of innovative items at national tradeshows- please let me know if I can help anyone with suggestions.
We were able to put my dad on Hospice and from then on Hospice took care of everything...medicine, hospital bed, walker, oxygen...everything. They were amazing! The only thing they couldn't do is care for him when he went to the Hospital. He had to be taken off Hospice to be admitted for his broken hip, and then we put him back on hospice when he got out of the hospital. Sadly though, he died that night. Hospice then, again, took over and came to the assisted living and stayed well past midnight until they could sign the paperwork with the funeral home and see him off. Then they arranged for the hospital bed and oxygen concentrator to be picked up. They followed up with a beautiful card signed by everyone at the Hospice office. The last two months of dad's life would have been so much more complicated without hospice.
Hospice does not stay at your house though...the day do day work will be yours. They will pay visits to check on her health. A Dr. will have to recommend her for Hospice though..as not all elders are candidate's for hospice.
Bless you for wanting to care for your mom, and best to you!
Medicare will pay for the hospital bed - they are leased. Your doctor or hospice should be able to arrange it with a durable medical goods company - delivery is usually witin 24 hours. They will coordinate with discharge from the NH. As for bringing her home - kudos to you and hospice should be able to help! Actually, dealing with nursing homes is quite stressful (if you are involved and vigilant of care.) Bringing her home is doable and there are services and programs like Nursing Homes Without Walls and such (check with your office of the aging or an elder care lawyer about resources.) that can help with aides, supplies and in-home medical care. In NY we have the NHTD Waiver program which is a Medicaid program that sets up individuals who are nursing home eligible but wish to live in the community. You then select a Service Coordinator and an agency to work through and they help walk you through all the services and they help keep an eye on your senior loved one. BTW: I've been doing it for years now and I have not burned out!! I felt more burned out when mom was under the care of people who just treated her as though she was an insitutionalized being who didn't matter that much! Good luck!
Call your area council on ageing. Also, if she is near terminal, talk to your doctor about hospice care. Yes, keeping her at home will be terribly difficult and stressful but you can always transfer her to a nursing home if/when you wear out. You will certainly need caregiving assistance at home if you are self pay. Medicaide won't pay for it unless it's hospice. Good luck. You are embarking on a very difficult but satisfying journey. Your heart will tell you what is best. Keep up with support groups, research, research, research and keep asking questions.
When my mom came home from the hospital, her family doctor ordered the fully electric hospital bed and a Barton chair. Medicare and TriCare cover the monthly rental costs. Just so you'll know if she has no insurance, the rent on the hospital bed is like $200/month, and the Barton chair is $636 per month. The Barton chair lies flat like a stretcher & pulls her from the bed to the stretcher and then folds back into a chair, and vice versa. Very handy & avoids transfer difficulties.You can google barton chair and watch a video about it. Nursing homes use them to prevent injuries from lifting and shifting patients. Your mom's current facility should have a social worker or ombudsman who can facilitate access to info for you.
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.
Bless you for wanting to care for your mom, and best to you!
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