Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
83 yr old widower with onset of dementia. He’s lived alone for 13 years in a house he built for my mother and hates the thought of being away from it for even one day.
Your profile says Dad lives across the country from you. This is asking a lot of him. He has lost his beloved wife. He has some serious health issues himself. Now his child, whom he has raised and provided for over many years, is asking him to relocate, move to a strange part of the country to live, and leave his home behind. As my husband would say, “I’m way too old for this $#*+”!
is there any way you can have a caregiver come in for Dad? Does he need 24/7 care? Maybe that would work out better than asking him to move away from his long-time home.
Thank you. We arranged an assessment with the 2 local professional care providers who went to my Dad’s home to visit with him and assess his needs. He was polite and answered their questions but refused any service that would involve someone coming into his home. His older brother was there for both interviews so he wouldn’t feel uneasy with a stranger. It didn’t matter. The next time they came to the house he turned them away. His dementia has worsened to the point that he should not be living alone. He is presently with us preparing to undergo cataract surgery. He forgets where he is and why. We continue to explain the situation to him which continues to upset him. We only want to protect and care for him.
He just arrived here yesterday to undergo cataract surgery. He keeps thinking he can just go home and return in the morning. Problem is...we live in CO and his home is in PA.
The cataract surgery adds to the fun and games, but at the same time it is a really helpful excuse for everything you need to explain to him. E.g. "you need to stay here while your eye heals, Dad." "We'll talk about getting you home once your eye is better." "It will be a couple of weeks yet, Dad. Don't forget you've just had eye surgery!"
You will be saying this several times an hour, unfortunately. But it's better than having no reason at all that he can comprehend, and at least it will give you a couple of weeks' grace to see how things settle down.
So the cataract surgery is today - will you be able to accompany him? Based on our experience, I would expect the ophthalmic surgeon's nursing team to be brilliant at reassuring him and getting him safely through the procedure itself (they're used to the age group and its common problems) but you'll want to keep him calm and occupied before, and get him home quick after.
It will only be one eye probably, then 2 wks later the other. In the meantime he will need eye drops.
Do you have POA. Do you have a Drs. letter saying that Dad is incompetent? If so, you can place Dad somewhere. It is no longer what he wants, its what he needs. With Dementia, he does not see this and probably never will.
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.
is there any way you can have a caregiver come in for Dad? Does he need 24/7 care? Maybe that would work out better than asking him to move away from his long-time home.
Too late!
The cataract surgery adds to the fun and games, but at the same time it is a really helpful excuse for everything you need to explain to him. E.g. "you need to stay here while your eye heals, Dad." "We'll talk about getting you home once your eye is better." "It will be a couple of weeks yet, Dad. Don't forget you've just had eye surgery!"
You will be saying this several times an hour, unfortunately. But it's better than having no reason at all that he can comprehend, and at least it will give you a couple of weeks' grace to see how things settle down.
So the cataract surgery is today - will you be able to accompany him? Based on our experience, I would expect the ophthalmic surgeon's nursing team to be brilliant at reassuring him and getting him safely through the procedure itself (they're used to the age group and its common problems) but you'll want to keep him calm and occupied before, and get him home quick after.
Do you have POA. Do you have a Drs. letter saying that Dad is incompetent? If so, you can place Dad somewhere. It is no longer what he wants, its what he needs. With Dementia, he does not see this and probably never will.