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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.
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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.
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Dementia is a medical diagnosis, made by a doctor, usually a neurologist after a complete evaluation and testing. Needing to explain an easy concept repeatedly can have a myriad of reasons for happening, dementia is only one of them. If this is a concern, please seek medical attention
Your profile says you've been caregiving for your husband for a long time because he needs help with everything. So most likely you having to constantly explain the same simple thing, it's dementia. Your best bet would be to get him to his doctor for a physical and some testing. This way you'll know what you're dealing with.
There could be non-dementia reasons too. I was a caregiver for many people with very mild to no dementia who had acquired learned helplessness. It's not that they didn't understand some simple thing being explained to them. It was that they refused to understand. When they wanted to understand or it was something they liked, they were sharp as tacks.
It's game with some people. They enjoy the constant yet completely unecessary attention being paid to them whether that attention is positive or negative. They enjoy inconveniencing another person and getting them aggravated. Some people enjoy this. It's a kind of entertainment to them. My mother certainly does and always has since she was young.
Don't constant explain something or over-explain something. If your husband doesn't get it, assume he is unable to. Then let that be the end of it. Don't get caught up in a dementia loop explaining continually. Don't get play the learned helplessness game either. If he isn't grasping simple things after being explained to him several times, stop explaining several times.
What you write is too vague to make any sort of educated guess. You are the one who knows this person. If there is dementia then you have more clues than this. There will be forgetfulness, word searching, confusion, and etc.
I encourage you to go to the doctor and discuss exactly what you are seeing. Before you go there are some simple tests you can do at home. Make them a game. 1. Ask the person to draw a clock and to set the clock at 3:20, or some other time you choose. 2. Tell the person you are going to ask them to remember three easy words. For instance Tree, plate, dog. Then talk with the person about something for a few minutes and ask if they can remember any of the three words you told them to remember. You can give hints if they need them. 3. Ask the person to spell any word familiar to them backwords. The word should have five letters. If they cannot do this try for a four letter word. 4. Make a page of animals that are simple to identify. Say a rhino, a tiger, an elephant, a horse. Ask the person to identify the animals. 5. Ask the person to write down for you five things they did that day in full sentences. For instance: 1. Today I ate my breakfast. 2. I took a shower today. 3. We took Rover for a walk today.
If there is some struggling here, let the doctor know during your visit. Ask the doctor to examine the patient for dementia (this is now required yearly for anyone on Medicare). Ask for a neuro-psyc eval if the doctor finds anything worrisome.
What is an easy concept to you may not be to another person. People also have a difficult time grasping things if they are suffering anxiety or depression, especially the former which can mimic dementia.
They are now telling us that we often suffer from difficulty with executive functioning (look that one up online) for almost a decade on average before diagnosis with dementia. Has there been problems with check writing, making a calendar and checking it? Spelling?
I wish you the best of luck and remember, for expert advice you need experts; go see the doctor for medical concerns. Hope you will update us on what they find.
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.
There could be non-dementia reasons too. I was a caregiver for many people with very mild to no dementia who had acquired learned helplessness. It's not that they didn't understand some simple thing being explained to them. It was that they refused to understand. When they wanted to understand or it was something they liked, they were sharp as tacks.
It's game with some people. They enjoy the constant yet completely unecessary attention being paid to them whether that attention is positive or negative. They enjoy inconveniencing another person and getting them aggravated. Some people enjoy this. It's a kind of entertainment to them. My mother certainly does and always has since she was young.
Don't constant explain something or over-explain something. If your husband doesn't get it, assume he is unable to. Then let that be the end of it. Don't get caught up in a dementia loop explaining continually. Don't get play the learned helplessness game either.
If he isn't grasping simple things after being explained to him several times, stop explaining several times.
You are the one who knows this person. If there is dementia then you have more clues than this. There will be forgetfulness, word searching, confusion, and etc.
I encourage you to go to the doctor and discuss exactly what you are seeing. Before you go there are some simple tests you can do at home. Make them a game.
1. Ask the person to draw a clock and to set the clock at 3:20, or some other time you choose.
2. Tell the person you are going to ask them to remember three easy words. For instance Tree, plate, dog. Then talk with the person about something for a few minutes and ask if they can remember any of the three words you told them to remember. You can give hints if they need them.
3. Ask the person to spell any word familiar to them backwords. The word should have five letters. If they cannot do this try for a four letter word.
4. Make a page of animals that are simple to identify. Say a rhino, a tiger, an elephant, a horse.
Ask the person to identify the animals.
5. Ask the person to write down for you five things they did that day in full sentences. For instance: 1. Today I ate my breakfast. 2. I took a shower today. 3. We took Rover for a walk today.
If there is some struggling here, let the doctor know during your visit. Ask the doctor to examine the patient for dementia (this is now required yearly for anyone on Medicare). Ask for a neuro-psyc eval if the doctor finds anything worrisome.
What is an easy concept to you may not be to another person.
People also have a difficult time grasping things if they are suffering anxiety or depression, especially the former which can mimic dementia.
They are now telling us that we often suffer from difficulty with executive functioning (look that one up online) for almost a decade on average before diagnosis with dementia. Has there been problems with check writing, making a calendar and checking it? Spelling?
I wish you the best of luck and remember, for expert advice you need experts; go see the doctor for medical concerns.
Hope you will update us on what they find.