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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
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:
You might want to look around for a compounding pharmacy in your area that handles "medi-sets" for patients. They've been super helpful for us, since both my parents have memory loss and they need support to know when to take which medicines. It does require following up to make sure they take the meds as they're supposed to. This is an example of the kind of thing I'm talking about: medicapidaho/pharmacy-services/custom-med-packs/
Had this same problem when mom was home. Got a box with 4 slots a day and 7 days to fill up. my mom takes about 12 med's a day and it was difficult to get the pills to fit in the slots at the alloted time such as the morning slot. She still didn't get all the pills out of the slots, you had to check behind her. It's very stressful. I know that a pharmacy in the neighboring town to us will put a patient's med's in bubble paper for each day and different time of the day for a fee.
Our locally owned pharmacy offers the option of having meds placed into individual baggies with the time and date marked on them for a flat fee of $25 a month including delivery. A lot of people use this besides folks in personal care homes.
I was a visiting RN for six years. If your insurance covers it, or you want to private pay, you could get a visiting nurse to do it. It was my experience, however, that neighbors were at least as good, if not better alternatives. These are my reasons:
1) You can choose the neighbor. Smart, caring and responsible are important criteria. If you get a nurse (like me, for instance) who you get is the luck of the draw. As well, because of staffing issues, there is not guarantee of continuity of service from a single nurse. 2) If there's a problem with filling the prescription, the neighbor is more likely to resolve it. Many nurses instruct the patient to wait for the pharmacy to deliver the missing meds and then finish the prepour themselves-- often, patients don't do this for any number of reasons from confusion to feelings of disempowerment. The nurse is ordered to visit once every one or two weeks for a prepour. Many won't come an extra, un-compensated, time to put 5 pills in a box. 3. The neighbor will probably be easier for you to contact by phone than a nurse. 4. The insurance trend now is to limit visits to manage medications to only once every two weeks. I never felt comfortable with this. There is too much potential time lapse between a doctor-ordered change in dosage or medication and the next scheduled visit. 5. Blister packs are a good alternative. But be sure someone is double checking that the pharmacy is on the same page as your parent's doctors. Call the doctor every couple of months to verify that your parent is receiving the medications your doctor wants.
Pstegman also makes a really good point. Consolidating meds so that the patient is taking the least number of pills possible, is really important for adherence. Insurance, however, can make this hard. Extended release medications are often not covered because they're expensive.
Another important piece of consolidation is working with your pharmacy to see if you can have all meds picked up on the same day of the week or month. Cuts down on work and confusion.
A pharmacy in Youngsville, LA (Ackal's Community Pharmacy) has a program where they package all medications by doses in sealed cups in a color coded calendar.. We have my Grandparents medication filled this way. Its a pill cup, on a calendar, by color (time of Day). We love it... Hope this helps
VNA gave mom a 7 day pill box with 4 compartments in each day. If she's on a lot of meds, see if you can't cut some of them out or cut them down. Get a list of what she is on an talk to the pharmacist and MD.
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.
1) You can choose the neighbor. Smart, caring and responsible are important criteria. If you get a nurse (like me, for instance) who you get is the luck of the draw. As well, because of staffing issues, there is not guarantee of continuity of service from a single nurse.
2) If there's a problem with filling the prescription, the neighbor is more likely to resolve it. Many nurses instruct the patient to wait for the pharmacy to deliver the missing meds and then finish the prepour themselves-- often, patients don't do this for any number of reasons from confusion to feelings of disempowerment. The nurse is ordered to visit once every one or two weeks for a prepour. Many won't come an extra, un-compensated, time to put 5 pills in a box.
3. The neighbor will probably be easier for you to contact by phone than a nurse.
4. The insurance trend now is to limit visits to manage medications to only once every two weeks. I never felt comfortable with this. There is too much potential time lapse between a doctor-ordered change in dosage or medication and the next scheduled visit.
5. Blister packs are a good alternative. But be sure someone is double checking that the pharmacy is on the same page as your parent's doctors. Call the doctor every couple of months to verify that your parent is receiving the medications your doctor wants.
Pstegman also makes a really good point. Consolidating meds so that the patient is taking the least number of pills possible, is really important for adherence. Insurance, however, can make this hard. Extended release medications are often not covered because they're expensive.
Another important piece of consolidation is working with your pharmacy to see if you can have all meds picked up on the same day of the week or month. Cuts down on work and confusion.