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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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She has choice between operation with ventilator for a day or three. Or hospice and can't decide. Tells nurse she can't make decision yet. But can't wait too long. I want hospice. She is in right mind but rigid.
If you do not have Medical POA, and she is still competent to refuse, you cannot make decision for her. What you want is trumped by what SHE wants. If she has advanced directive it could be presented as support for a medical decision. We do not always agree with another person's decisions, but medical profession has to respect them. You wouldn't want others making decisions counter to your desires while you were able to make them. You can refuse to use your own money. You can refuse to provide hands on care. What do siblings say?
What you can do is make the decision WITH her rather than for her, but you have to be willing to put your personal opinions aside. Discuss the pros and cons of each, the possible outcomes of the surgery and what the future may hold without it. Given your history I'm not sure you really want to be in this position, is there someone else who could play this role? Or is their a SW or health care provider that could act as a third party in this discussion and help herreach a conclusion?
You want to call the hodpital and rewuest a psychiatric workup because youre not sure that she's capable of understanding in a clearheaded what her choices are and what the ramifications of those choices ate. She doesn't seem to grap that the vent will be a temporary meadure, and like what your dad had at the end of his life
I dont know if the social worker can be a go between. Dont care what brother wants. He has made moms life miserable for many years. Of course with her permission. I do feel guilty about incouraging her to choose hospice. And I dint feel that she will agree. She wants the operation. She just doesn't want the breathing tube even for a few days. Dont know till after operation if she would need it that long. Father was in pain on breathing tube. Im sure doctor told mom that he would keep her from pain if possible.
Barbara, im sorry youre in this situation. I just want to point out your mom's pattern of making it impossible for anyone to help her. She wants the operation that will save her life, but puts impossible conditions on that. She's not flexible enough to see that not all vents are the same. You dad had one when dying. She would have one to help her get better. Ask for a psychiatrist to visit her in the hospital to explain her options in a way that a person with her mental illness can understand.
That sounds possible. Maybe I can request a psychiatrist talk to her. Brother said he doesnt know what to do. I said I think its time for hospice. He didnt object. Have to wait till doctor sees her. Then social worker will call me. Hope its before 5 ockock. Thats when social worker goes home.
Mom finally decided. She is going to have the operation. The doctor thinks she is compatent so she can decide. I was hoping for hospice. It doesnt seem like she is ever going to die. Cancer, broke her hip, blood sugar so low she almost fainted but was at therapist office. Therapist took her to hospital. Other things. I have to learn to set better boundaries. No let myself get emotionally at all her problems,etc. Im already emotionally drained. Can't take much more.
It is one thing to decline surgery and go into hospice because you know that would have been your mother's choice if she were competent to make it, it is something else again to do it because you are burned out and just want the end to come sooner. Thankfully the choice was taken out of your hands. If it has really come to that then I suggest you go no contact, or at least severely limit contact.
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.
Barbara
Barbara