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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?
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:
"Oh Mom, I am really sorry to hear that. You really want to go home, don't you? I don't blame you. You have a lovely house. We are waiting for the doctor to discharge you. I'm afraid if you don't eat it will look like you can't take care of yourself. I'll talk to the doctor on Monday, and see how things stand."
Will she remember this answer? Is she likely to ask for an update on Monday?
My MIL did this; she was in rehab post open heart surgery and post stroke. She starved herself to death. It was her stated wish. Two of her three children supported this decision.
Apparently, the docs thought about calling APS but decided not to.
Just to give you a worse case scenario. She had been dxed with dementia BEFORE the surgery.
Nelwyn, oh dear, Mom is pouting... not unusual for an elder to do when they want their way. Jeanne, above, had a great idea about using what we call a "theraputic fib".
Also, if Mom goes to the main dining room to eat, sneak in during that time as she won't expect you to be there. Stay in the shadows and watch what she is doing. She could be eating and enjoying her meal with her table mates. Then leave without her knowing you were there, at least that will clear your mind that Mom actually is eating :)
I have to disagree with one of the posters. Pouting???? The woman has been removed from her home. Can’t you empathize with her feelings?. My MIL was self-pay in a nursing home for 20 months. Actually she was in two nursing homes because the first one was very bad. We visited her every day, and it was an eye opener. Both were rated 4 stars, but we had continual problems with them not giving her a bath (twice for 8 days at a time) and numerous other problems. There were always excuses. When I go into a NH, I plan to starve myself too. I’d rather be dead.
Maybe not "pouting". My Mom is bed and wheel chair bound. When she realized that this was going to be her life, about 6 months ago, she started to decline. She became depressed and started eating less and less. I've been told by many that this is a natural stage of letting go. Maybe "going home" is a euphemism. Regardless, she will eat if she is hungry, she will do things on her own time. As far as actually going home, I wish my Mom was able to come home to pass, but we are unable to accommodate that. As with both my mom and dad, the asking will continue but less frequently. I wish you and yours peace in this difficult time.
Prolonging life isn't what every senior wants. People need a decent quality of life in order to want to go on living. But starving oneself to death? Oh my Lord, that requires dedication to suffering.
Every night at the nursing home at dinner time, mom will tell me she's not hungry and please don't "order" her anything. I say okay, and when they bring her food, she will most nights eat very well. She also thinks she's going home after dinner every night. I just agree with most everything she says. Thank God she has no memory for much of anything anymore.
Please note that Nelwyn's mother has dementia. This changes the dynamics of almost any situation. She might have been a mature person and decent parent for most of her life, but with serious brain damage she can't be expected to always behave reasonably.
In my Mom’s case, she was given a medication (don’t remember what it was) that suppressed her appetite. The nurses picked up on this almost immediately, because they recorded percentages of meals eaten by every resident, as well as whether or not the residents enjoyed snacks from the snack cart between meals. Ask her nurses about her eating, and if any of her meds might be “helping” her not eat. An adjustment in dosage fixed my Mom’s not eating, and she would eat close to 100% of her meals for two years, up until a week before she died. The food at her NH was fantastic!
It could be that she is pouting. It could also be what is on the menu at the NH. When I came into my mother's room at the nursing home, she wasn't eating what was served to her. She had no idea what it was. It was a taco. My brother was so dense that he said "this bowl is cold." I said "of course it is; it's salsa." Then I demonstrated how to eat the taco! Jeezy peezy. That said, some NH's have menus that the patient can pick from each week, but I agree with JeanneGibbs' post, which is spot on!
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.
Will she remember this answer? Is she likely to ask for an update on Monday?
Apparently, the docs thought about calling APS but decided not to.
Just to give you a worse case scenario. She had been dxed with dementia BEFORE the surgery.
Also, if Mom goes to the main dining room to eat, sneak in during that time as she won't expect you to be there. Stay in the shadows and watch what she is doing. She could be eating and enjoying her meal with her table mates. Then leave without her knowing you were there, at least that will clear your mind that Mom actually is eating :)
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