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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?
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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 agree with you, Austin. People who intend to live here should learn the official language, for their own sakes as well as a responsibility of residency.
But, what if Grandma only speaks Italian? It is too late to expect her to learn English now.
What if the entire family recently arrived from Somalia and only Son speaks clear English (so far) and his mother now has dementia?
What if this group of young men and women have taken English as a Second language or are taking it at nights while they work during the day? Their intentions are good but their language skills are limited and they speak with a heavy accent? I could interact with them in a resturant, for example, and make sure they understood what I ordered, but an elderly hard-of-hearing person with difficulty understanding even clear English instructions or explanations will be totally lost trying to interact with these people.
Yes, let us continue to encourage all our immigrants to learn English, and make classes available to them. In the meanwhile there is a very real language barrier problem in long term care facilities who employ non-native-English speakers in roles that interact with residents.
This is a very real problem that I have not seen addressed in many places. My daugher in law is a linguist and teaches English as a Second Language. She tells me our region has the highest number of languages spoken of anywhere in the US. This diversity enriches our culture and I am pleased that so many immigrants find this a good place to make their new home.
BUT it is a very real problem in the long care facility setting. I hear a lot about it in my local caregivers support group. When there is a lnaguage barrier it is hard to ensure that the new employees understand all the rules and the protocol. Training is sparse enough, and then if you can't quite understand it all that makes it even harder to do the job correctly. And even if they know their jobs well and are loving, caring individuals, if they can't communicate well with the residents there are going to be problems.
I have coworkers for whom English is not their first language. It has taken me a while to get used to listening to them, but after a while I find it is not a problem. However, I don't think my mother or my husband, both with hearing impairments and some confusion, would be able to "get used to" heavy accents or unusual syntax.
I think this is a real problem. Since new immigrants (like many before them) often must start with low-paying jobs and since there are a lot of low-paying jobs in care facilities, this issue is going to be with us indefinitely, especially in metropolitan areas.
Most towns and cities have free classes to teach english to people from other nations and it is too their advantage to learn to speak the language where they are living-people who came to our country years ago took pride in being in Amercia and learning the language.
thankyou for that and it makes it hard especially with different languages who are unable to speak english.. however it makes it easier if different communication is used eg. non verbal communication helps both to understand and its hard to get certain interpreters because their little people who do it . i havnt experienced and cultural people yet but i will soon hopefully. i believe also using simple words and basic vocabulary foreigners intend to pick up and using hand language as you speak with a simple yes or no awnser makes it easier to communicate.
Boy, that is a big challenge, isn't it? Especialy when working with the elderly and impaired folks. Many long term care facilities have staff who have not mastered English. Believe me, I am in favor of full employment for anyone who wants to work, but putting people with minimal English in contact with the elderly who may have impaired hearing, declining alertness, and general confusion is not helpful, in my opinion. When exploring nursing homes, when one guide proudly pointed out their aide-to-patient ratio I asked if all those aides spoke clear English. Oh, yes, she assured me, they all have to speak English. Although, she added as an afterthought, I can't really understand some of them myself.
The hospitals around here all offer to bring in a translator for non-English-speaking patients. They post signs with this offer in many languges. I remember being in an emergency room once when a patient didn't speak English and the staff was trying to determine if there was a family member to call and also trying to locate one of their translators.
People who work in culturally diverse areas or who have a client from a different culture need to learn about that culture in order to be senstive to different standards of modesty, family roles, etc.
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.
But, what if Grandma only speaks Italian? It is too late to expect her to learn English now.
What if the entire family recently arrived from Somalia and only Son speaks clear English (so far) and his mother now has dementia?
What if this group of young men and women have taken English as a Second language or are taking it at nights while they work during the day? Their intentions are good but their language skills are limited and they speak with a heavy accent? I could interact with them in a resturant, for example, and make sure they understood what I ordered, but an elderly hard-of-hearing person with difficulty understanding even clear English instructions or explanations will be totally lost trying to interact with these people.
Yes, let us continue to encourage all our immigrants to learn English, and make classes available to them. In the meanwhile there is a very real language barrier problem in long term care facilities who employ non-native-English speakers in roles that interact with residents.
BUT it is a very real problem in the long care facility setting. I hear a lot about it in my local caregivers support group. When there is a lnaguage barrier it is hard to ensure that the new employees understand all the rules and the protocol. Training is sparse enough, and then if you can't quite understand it all that makes it even harder to do the job correctly. And even if they know their jobs well and are loving, caring individuals, if they can't communicate well with the residents there are going to be problems.
I have coworkers for whom English is not their first language. It has taken me a while to get used to listening to them, but after a while I find it is not a problem. However, I don't think my mother or my husband, both with hearing impairments and some confusion, would be able to "get used to" heavy accents or unusual syntax.
I think this is a real problem. Since new immigrants (like many before them) often must start with low-paying jobs and since there are a lot of low-paying jobs in care facilities, this issue is going to be with us indefinitely, especially in metropolitan areas.
The hospitals around here all offer to bring in a translator for non-English-speaking patients. They post signs with this offer in many languges. I remember being in an emergency room once when a patient didn't speak English and the staff was trying to determine if there was a family member to call and also trying to locate one of their translators.
People who work in culturally diverse areas or who have a client from a different culture need to learn about that culture in order to be senstive to different standards of modesty, family roles, etc.