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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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My 95 year young had tooth pain. On inspection, our dentist said she had 8 teeth needing extraction. Having dementia, it was common not not feel pain. our oral surgeon recommended sedation. I talked to her doctor and she said as long as mom is monitored, it should be ok. Well afterwards, mom gave a thumbs up! She was on antibiotics for 7 days and pain relief (Tylenol) as needed. She did great, no issues and able to eat regular foods. She still had some molars so chewing was good. It was pricey, Medicare paid very little. We paid out of pocket, $7000.
It got to the point with my Husband that he was noncompliant at the dentist. I chose not to have dental work done because: 1. He was not showing signs of pain. 2. It would have been a nightmare for me to do wound care in the mouth of a person with dementia that did not understand .."don't bite me" 3. Any work would have had to be done undersedation and I did not want to put him through that. Not just the fact that he would probably have declined further, faster but he would have been more of a fall risk for several days if not weeks after.
If he is not in pain do not worry about it. (if it does bother him there are oral gels that will numb the gum) If he does begin to show signs of pain or if you do decide to go ahead with dental work have the tooth extracted do not do a root canal and crown it just is not worth it.
All that said if it does become abscessed then extracting the tooth might have to be done.
If the broken tooth doesn't hurt, why fix it? When my mother had advanced dementia, the only time I got dental help for her was when she was in pain. The anxiety associated with the ordeal was otherwise more than she could handle. We always chose to have the problem teeth extracted with Novocaine. Once with an oral surgeon and we said never again, between the wheelchair, her crying on the car ride, my hubby having to take a day off of work etc.
The other times I called a traveling/mobile dentist to do the extraction in her room at the Memory Care Assisted Living, in her recliner, with an Ativan prior and Novocaine during. No issues, just a big expense. Had I been able to take her out of the building, I would not have hesitated to give her sedation dentistry. The goal with dementia, imo, is to keep them relaxed at any cost.
This is very helpful feedback. My husband is has advanced dementia and home-cared. He also bedbound and cannot talk. In other words, he cannot move; he cannot communicate; and he cannot understand instructions. What shall I do for extractions? I guess traveling/mobile dentist is the only way to go.
Is a root canal being suggested or just a cap? If the tooth is a molar in the back, I would just have it pulled. I had a cracked tooth and they wanted to do a rootcanal and then cap. Problem was, Dr was not sure if crack had gone to the root if it had it would be pulled. I have been thru root canals and caps and didn't want to go thru it again. Called my dentist and told him I want the tooth pulled, back tooth. He pulled it and got it all out at once but when he placed the tooth on the tray it fell apart in 2 pcs. It had been cracked down to the root.
First of all, what has been recommended to fix this tooth. Nextly, Yes. Had very good luck with difficult extraction of curved root wisdom tooth. Very good spiral xrays. Nitrous Oxide used. No pain. Excellent healing. Was recommended to the specialist by my dentist. Had also the choice of more sedation. Nitrous worked great for me, but I was able to "cooperate" in taking deep breaths when asked, and remaining still. Would recommend deeper sedation for someone with dementia. It is still light enough that there is little chance of anesthesia side effects. Discuss with the dentist.
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.
our oral surgeon recommended sedation. I talked to her doctor and she said as long as mom is monitored, it should be ok.
Well afterwards, mom gave a thumbs up! She was on antibiotics for 7 days and pain relief (Tylenol) as needed. She did great, no issues and able to eat regular foods. She still had some molars so chewing was good.
It was pricey, Medicare paid very little. We paid out of pocket, $7000.
Glad your mom did well.
There are various levels of sedation. I have only used the full, IV type like you get for other surgery.
1. He was not showing signs of pain.
2. It would have been a nightmare for me to do wound care in the mouth of a person with dementia that did not understand .."don't bite me"
3. Any work would have had to be done undersedation and I did not want to put him through that. Not just the fact that he would probably have declined further, faster but he would have been more of a fall risk for several days if not weeks after.
If he is not in pain do not worry about it. (if it does bother him there are oral gels that will numb the gum)
If he does begin to show signs of pain or if you do decide to go ahead with dental work have the tooth extracted do not do a root canal and crown it just is not worth it.
All that said if it does become abscessed then extracting the tooth might have to be done.
The other times I called a traveling/mobile dentist to do the extraction in her room at the Memory Care Assisted Living, in her recliner, with an Ativan prior and Novocaine during. No issues, just a big expense. Had I been able to take her out of the building, I would not have hesitated to give her sedation dentistry. The goal with dementia, imo, is to keep them relaxed at any cost.
Good luck to you.
I had a cracked tooth and they wanted to do a rootcanal and then cap. Problem was, Dr was not sure if crack had gone to the root if it had it would be pulled. I have been thru root canals and caps and didn't want to go thru it again. Called my dentist and told him I want the tooth pulled, back tooth. He pulled it and got it all out at once but when he placed the tooth on the tray it fell apart in 2 pcs. It had been cracked down to the root.
Nextly, Yes. Had very good luck with difficult extraction of curved root wisdom tooth. Very good spiral xrays. Nitrous Oxide used. No pain. Excellent healing. Was recommended to the specialist by my dentist. Had also the choice of more sedation. Nitrous worked great for me, but I was able to "cooperate" in taking deep breaths when asked, and remaining still. Would recommend deeper sedation for someone with dementia. It is still light enough that there is little chance of anesthesia side effects.
Discuss with the dentist.