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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.
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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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In order to leave her house, she must do 4-5 steps. She refuses a ramp. She becomes so paniced that it takes 2-3 people to get her up or down the steps. This is preventing her from going to medical appoinments. Any suggestions?
Does she say why the stairs cause her to freeze up? How is her eyesight? Does she have bad knees? Could she turn around and go down backwards, holding on to a railing and you holding on the other side? Another idea would be to get a companion chair and put her in it and you take her down the stairs if you're strong enough.
Afraid of the bath tub, my mother used to come downstairs to shower on her bum which wouldn't work too well going out in the street. Is it just a fear of falling? Getting on myself, I bought a small one floor house and I'm having the big jetted (doesn't work) tub replaced with a shower having a seat and hand rails.
Get her an Rx for Ativan and give it one hour before you plan to leave. Be honest with her, it's either the ramp or a nursing home. Sooner or later you are going to need full guardianship to do ANYTHING.
Skelly, this goes way beyond stubbornness to neurological deficit. A sudden fear of stairs indicates serious malfunction that needs to be sorted out ASAP. Don't rationalize dementia out of the picture and call it stubbornness. Be honest with her MD and get proper testing done. You are in a state of denial if you think this is just normal aging.
She needs a ramp or possibly an additional rail that can be installed so that she can use both hands comfortably to hold on both handrails as she ascends or descends the stairs.
Suspect she doesn't want the ramp due to vanity? The only thing you can do is reinforce to her that ramp will enable her to stay independent and remain in her home. Emphasize that if she falls, or even twists her body, she could get a muscle pull or break something and end up in the hospital and extended rehab stay and ask her "is that what you want"?
Further, stop enabling her by having 2-3 people help her. One person helps her, the others wait in the car. If she can't manage, say "ok mom, we can't miss this appt...I'll just call 911 if you can't manage. Then get the phone out of your purse and pretend to dial; hopefully she'll stop you, you help her down and tell her you are arranging to get that ramp built ASAP.
Oh, been down that road already! I have had to call 911 twice, she freezes up and refuses to go down or back up the stairs. I am an experienced geriatric nurse (hospital setting) so I know how to ambulate patients but she is too much for 1 person. She is so stubborn she totally ignores me when I try to explain how dangerous this is for her. By the way, the ramp would be installed free with grant money but she needs to give financial info and have an Elder Care coord. come to the house which she has flat out said "NO". No matter what I suggest, she has some reason to not comply.
Might physical therapy increase her confidence? It doesn't sound like she can't physically do the stairs, but for some reason she thinks she can't. If an objective outsider works with her and assures her that now she can do the stairs MAYBE that would help.
Since this doesn't seem to be a true physical limitation, are you sure a ramp would help?
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.
Suspect she doesn't want the ramp due to vanity? The only thing you can do is reinforce to her that ramp will enable her to stay independent and remain in her home. Emphasize that if she falls, or even twists her body, she could get a muscle pull or break something and end up in the hospital and extended rehab stay and ask her "is that what you want"?
Further, stop enabling her by having 2-3 people help her. One person helps her, the others wait in the car. If she can't manage, say "ok mom, we can't miss this appt...I'll just call 911 if you can't manage. Then get the phone out of your purse and pretend to dial; hopefully she'll stop you, you help her down and tell her you are arranging to get that ramp built ASAP.
Since this doesn't seem to be a true physical limitation, are you sure a ramp would help?
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