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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:
If the PT is a comfort measure it will be allowed. That is if you are doing gentle range of motion exercises to prevent painful contracturing of muscles, or to enable ability to sit up or some such. What won't fly for long term care (if you are speaking insurance) is any curative care they would normally provide where a hospice patient is concerned.
As you can imagine, we don't know your LTC insurance, don't know the patient, don't know your reasons for wishing for PT, and etc. So this is best discussed with your current MD, Hospice and LTC. We are just a Forum of strangers who wish you the very best in comfort care that you can get.
Hope you will update us what you find out as you explore your issue.
When a patient is on hospice the family is required to provide or hire 24 hour home care. Hospice only comes in 1-3x/week for an hour or less. If the patient is on Medicare, they may not cover PT, as hospice implies that all therapeutic interventions have stopped.
Thank you. I am new to this forum and should have provided more background before asking the question. I have been my husband's fulltime caregiver since 2015 when he suffered a massive right brain stroke that left him with hemiparesis. We were managing in that we had made a life for ourselves until June 2023 when he suffered another stroke that impacted his right side. We went through ER, Hospital, SNF Rehab again and then he was discharged home to me. Now he is bedbound. We started using Hospice services in our home on 09/27/2023 and I have never been so grateful for the help. They feel like family. As to the PT, it is difficult for me to see him confined to the bed and not be able to help him transfer. He has no core strength. So, I want to use our LTC (Genworth) to hire a Home Health Care company to perform a PT assessment. I plan to review with our case manager this Friday and will be meeting with a Home Health Care company on Monday.
Yes, it is possible to be a hospice member and still employ a home care provider to provide PT care using long-term care. Hospice focuses on providing comfort and quality care to patients with terminal conditions, while a home care professional can provide ongoing care and medical attention to a patient in need of long-term care and rehabilitation. Both services can complement each other to provide the patient with the optimal level of care and support based on their needs.
Yes, absolutely. Hospice is covered by Medicare but it is in no way home health care. You get only a bedbath a few times a week, a weekly visit from an RN, medications, access to Social Worker and clergy. You do not get in home care.
In some cases Hospice can also order PT if the PT will prevent pain, muscle contractures. I bet if the PT can or would help maintain the ability to aid in transfer so as to reduce the probability of injury to the person and or caregiver it might be covered. It is worth asking your Hospice Nurse.
Please let us know what you’ve learned. As others have said, Medicare will pay for a PT evaluation and possibly some limited services to teach safe transfers to family. Does your husband sit up comfortably in the hospital bed, ie with the head raised?
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.
As you can imagine, we don't know your LTC insurance, don't know the patient, don't know your reasons for wishing for PT, and etc. So this is best discussed with your current MD, Hospice and LTC. We are just a Forum of strangers who wish you the very best in comfort care that you can get.
Hope you will update us what you find out as you explore your issue.