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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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He insists on being there. I cannot take him on a two day airplane trip by myself. He told the doctor that he is fine and doesn’t need help. I feel so terrible about it. And I don't know how to tell him no. How do I handle this?
How much is DH's memory impacted at this point? Christmas is a while away, is he likely to forget the trip if its not discussed daily?
I would get the PCP on board to tell DH a two day airline trip is out of the question, then say the airline won't accept him without a doctor's clearance. I literally cannot imagine a dementia patient where the change of routine & multiple strange environments would not have significant negative impacts regardless of how much help you would have. Unfortunately, you cannot expect DH to realize or accept its a trip he just shouldn't try.
We tried a road trip for my father with vascular dementia to his older sister's house 2.5 hours away. Dad was in the middle stages with anxiety issues and the occasional panic attack. My brother & I would travel with my parents to help Mom with Dad. I was working & renting a house about 2 hours down the road, so step one was to travel in the afternoon (Dad didn't want to travel in the morning) to my rental for a quiet evening, then drive to my aunt's house for lunch the next day. Depending on how things went, we would return to my rental or travel all the way home from my aunt's. Travel to my rental went fine, Dad seemed to enjoy the drive down a well know road and restaurant meals in some of his favorite places. We watched a movie at my house and he was fine all evening and through his favorite breakfast the next morning. As we got ready to travel on to my aunt's, Dad seemed to start having anxiety issues. When he appeared calm and said he was ready, we drove to my aunt's house where Dad had visited at least twice a year for 50+ years. When we went into the house, Dad spoke to my aunt and uncle and his nephews and their wives. He knew and liked everyone there, but within 10 minutes, he retreated into the guest bedroom, coming out in about 5 minutes stating he was ready to leave. We spent about 10 more minutes trying to talk him into staying a little longer but we eventually left less than 30 minutes after arriving because Dad was so distressed. He wanted to go back to my rental house so we did and I fixed a quick lunch after which Dad appeared much calmer but still wanted to travel back home. And that was Dad's last road trip. Not sure but I think disruption of his routine and the sheer number of people in my aunt's living room caused Dad's distress. Or maybe seeing how his sister had aged over the last couple of years when he had been talking with her on the phone but not seeing her? This was a trip Dad had taken countless times and he appeared to enjoy parts of it but overall it just didn't work. You are not wrong thinking your DH cannot handle two day travel trips.
Like children, you think they aren't listening and they are.
I would at this point say nothing. Hopefully he will forget it by Christmas time. Thanksgiving is coming up. The facility will probably have a dinner the day before. Enjoy this with him. Don't mention Christmas at all. Handle it when it comes up. If it does come up, say not this year dear. You are not well enough to travel by plane. Now the special licences are being made mandatory, tell him he doesn't have one so can't fly this year.
Just a question, how were u going to tell him u would be away?
I agree with the others who have suggested that you let the doctor/facility be the bad guy here. Talk with them ahead and let them know what happened, and that you need them to help you by telling him this isn't possible. Let them take the "blame" and spare you.
And hopefully, this will be a situation where his memory issues can work in your favor, and let him forget what he heard and it can just become a non-issue == crossing fingers for you!
Thank you all for your input.He will see the pcp in two weeks.I will ask in advance to address it if the subject comes up.He has not mentioned it again.The staff at the memory care unit thinks he will not be as upset as I am.I will continue to work on accepting his continued decline.The staff suggests that Thanksgiving will be a good indicator of his response to the holiday.I have not given thought about how I will tell him.He does not ask for his family to visit .I take him out about once a week locally.He still knows everyone but does not seem interested in anything besides himself.
I was caregiver for my husband who had young onset, advanced Parkinson’s. He also had a lot of dementia. My experience with many years of dealing with all kinds of situations, including travel, is this: go without him no matter how he complains. His life journey is not yours. Do your best to be sure that he is well cared for (respite care or in-house paid caregiver) and go to your daughter’s house. You can not fix what is wrong with him. You can be as loving and supportive as your mental health can achieve. But you need special time with your family members too. Remember that you cannot take his journey away from him. You have your own life’s journey. Explain that you love him but this is best for now. It is not mean or unloving to go to Thanksgiving without him at this stage. One thing that helped in my situation was to arrange to have a group of friends set up to visit on different days. That gave him a sense of not being forgotten and I had someone to give me feed-back while I was gone. That was very helpful. You could even leave a little treat or surprise with instructions that they give him one each day you are gone. Hope this helps.
Sadly...Sugar Coat it Now Somehow. Tell him you May not Go because you Know...Christmas at the Airports are a Rat Race. Post Phone it, You say. May need an Excuse too to Excuse yourself over the Holiday, Say..You are Sick.xx
This happened with my mom a while back. I don't know how well your husband remembers things, but I told my mom that we were not sure yet, arrangements were still in the beginning stages. She asked again throughout the day and I just repeated that things were still pending. That satisfied her for that moment and she forgot all about it in a couple days. If she had asked again I planned to tell her that things fell apart. I hate deceiving her, but the alternative isn't good either. Of course my mom does not live at home with me so it was easier to pull off than if your husband lives at home.
If he's in memory care, will he even remember you're making the trip? Remove any notes he has about it; if he brings it up, delay the discussion. If he doesn't have the new "True ID" the airport demands, there's a great reason he can't go.
My mother is also in a memory care center and my brother and I have decided "little white lies" are best so our mother's feelings are not hurt. After a few minutes she doesn't remember any of it, but at that moment we would rather she had good happy feelings. My brother and I went through something similar with my mother which started while she was still in her home and continued at least a year after she went into a memory care center. Only it was about her vehicle. She kept saying she wanted to go shopping but where was her car. My brother had taken it to his house so there was no way she could drive. Unfortunately, we have to resorted to the "little white lies". We told her that she let my nephew borrow her car because his was in the shop and they had to order parts. Then she would say "oh yes I forgot about that" or "I remember that". This went on for 2 years or a little more.
My brother used to go and get my mother and bring her to his home when I visited (I lived out of state) and at first she seemed to enjoy herself even though she didn't talk anymore, but as time went on she became incontinent, wheel chair bound and she didn't seem to know what was happening around her and just sat there staring in space. The last time my brother brought her she had an bad bowel movement and it made a mess. If your husband is incontinent this is definitely something you wouldn't want to happen anywhere whether airport or at your daughters place. Speaking of that if you are at the airport is he able to go to the bathroom by himself? If not, how are you going to handle that.
It may be little white lie time for you....Maybe tell him that you have decided not to go due to weather predictions said weather might bad and you don't want to get stuck at the airport for a day or more; that would be just too stressful. When you return and if he asks where have you been tell him that you been sick and didn't want to visit and give him your cold or flu. More than likely he won't asked where you been. My mother has no concept of time or days. There would be no reason to tell him you went to visit your daughter and upset him at that moment. You need to get away and give yourself a break and enjoy your family. Go and visit her and have a wonderful time.
What does the facility do on the actual day of Christmas? My parents were not in memory care, but were in a nursing home each one on their own, not at the same time. The nursing home offered up a Christmas dinner and each resident could invite two guests. In every instance, when they could not leave the facility, two of us attended. They would definitely notice if most others entertained loved ones and they didn't. My feeling was that the rest of us could postpone Christmas or celebrate it early and at the same time, mom and dad felt loved and not left out. It was actually fun to spread out the joy of the holidays. One time, dad was well enough to go out for a meal, so in that case, we celebrated with him a day early which meant we could go to a restaurant that wasn't crowded and enjoy a meal at a table of our choosing without the delays in service. I guess my advice to you is to put yourself in their shoes and ask what you would want. I'm not trying to make you feel guilty. I'm just trying to put your situation into perspective. If Christmas at your daughter's is something that you don't want to postpone a day or so or miss, I wouldn't argue with him. Just say that you'll look into it and then drop it. Hopefully, he won't remember. If he does remember, and he can't go, see if there might be an understanding friend or neighbor who could attend in your place.
No matter what any of us say. Do what you feel comfortable with.
If this might be your last Christmas with him...what memories would you have. Would you really enjoy being there without him?
One doesn't know what they really know, feel, remember. I was my mother's caregiver for sometime prior to the memory care home. Most of the time she didn't know who I was when I was helping her bathe and cooking for her. She would tell me she didn't know why, but she loved me from the first day she met me. Two days before she passed at the age of 94...I mentioned to her that I had just been talking to my baby (grown adult) on the phone. I asked her who her baby was. She said, "You are". I asked her my name, she said it correctly. I then figured I would continue this, and asked her how old I was, and she said it exactly!!! Knocked my socks off to say the least. How could this be? But I have that warm memory in my heart and will carry it forever.
Will he know you are with him or not......no one knows. Our job as caregiver spouses and children is so hard and difficult. I live in the moment with my husband and love him for who he was and is now plus give him lots of comfort.
Maybe you could compromise. Be with him for Christmas and go see your daughter afterwards for New Year's or before Christmas.. Since we had a "military family", holidays and birthdays were whenever we could get everybody together. The love made it special not the day.
Wait a bit & he will most likely forget - don't mention it unless he does - if he does then start by saying that it was only a chance & that you might not be able to go due X, Y & Z reasons - he is in memory care for a reason so wait a bit & see what happens
He is in memory care - he won't remember. Do NOT discuss this in any way with him or where he will hear it and if he does, change the subject or say you are NOT going. Naturally you cannot take him - it would be horrible. Plan a special visit with him where he is and say not a word. He will most likely forget about it.
Yes, with dementia he "may" not remember it tomorrow, but he will eventually. Having just lost Mother who lived in Assisted/Memory care facility, I am afraid my first reaction was not kind.
Do not continue to discuss this, change the subject. That is usually easy with dementia. Find something that is a really good memory for them and just begin talking about it.
And when visiting with our loved one, my number one rule was "do not discuss anything, in front of or within hearing distance, that will make them think about leaving the facility".
Some how Mom always knew the answer when she asked to come home with me, but it always hurt when she had to be told the answer was "no". Just be honest, direct, and loving -- that is all you can do.
Know that you would never hurt them -- not even unintentionally. Give them a hug and keep the visits as often as you can. That is what they will remember best.
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.
I would get the PCP on board to tell DH a two day airline trip is out of the question, then say the airline won't accept him without a doctor's clearance. I literally cannot imagine a dementia patient where the change of routine & multiple strange environments would not have significant negative impacts regardless of how much help you would have. Unfortunately, you cannot expect DH to realize or accept its a trip he just shouldn't try.
We tried a road trip for my father with vascular dementia to his older sister's house 2.5 hours away. Dad was in the middle stages with anxiety issues and the occasional panic attack. My brother & I would travel with my parents to help Mom with Dad. I was working & renting a house about 2 hours down the road, so step one was to travel in the afternoon (Dad didn't want to travel in the morning) to my rental for a quiet evening, then drive to my aunt's house for lunch the next day. Depending on how things went, we would return to my rental or travel all the way home from my aunt's. Travel to my rental went fine, Dad seemed to enjoy the drive down a well know road and restaurant meals in some of his favorite places. We watched a movie at my house and he was fine all evening and through his favorite breakfast the next morning. As we got ready to travel on to my aunt's, Dad seemed to start having anxiety issues. When he appeared calm and said he was ready, we drove to my aunt's house where Dad had visited at least twice a year for 50+ years. When we went into the house, Dad spoke to my aunt and uncle and his nephews and their wives. He knew and liked everyone there, but within 10 minutes, he retreated into the guest bedroom, coming out in about 5 minutes stating he was ready to leave. We spent about 10 more minutes trying to talk him into staying a little longer but we eventually left less than 30 minutes after arriving because Dad was so distressed. He wanted to go back to my rental house so we did and I fixed a quick lunch after which Dad appeared much calmer but still wanted to travel back home. And that was Dad's last road trip. Not sure but I think disruption of his routine and the sheer number of people in my aunt's living room caused Dad's distress. Or maybe seeing how his sister had aged over the last couple of years when he had been talking with her on the phone but not seeing her? This was a trip Dad had taken countless times and he appeared to enjoy parts of it but overall it just didn't work. You are not wrong thinking your DH cannot handle two day travel trips.
I would at this point say nothing. Hopefully he will forget it by Christmas time. Thanksgiving is coming up. The facility will probably have a dinner the day before. Enjoy this with him. Don't mention Christmas at all. Handle it when it comes up. If it does come up, say not this year dear. You are not well enough to travel by plane. Now the special licences are being made mandatory, tell him he doesn't have one so can't fly this year.
Just a question, how were u going to tell him u would be away?
And hopefully, this will be a situation where his memory issues can work in your favor, and let him forget what he heard and it can just become a non-issue == crossing fingers for you!
My brother used to go and get my mother and bring her to his home when I visited (I lived out of state) and at first she seemed to enjoy herself even though she didn't talk anymore, but as time went on she became incontinent, wheel chair bound and she didn't seem to know what was happening around her and just sat there staring in space. The last time my brother brought her she had an bad bowel movement and it made a mess. If your husband is incontinent this is definitely something you wouldn't want to happen anywhere whether airport or at your daughters place. Speaking of that if you are at the airport is he able to go to the bathroom by himself? If not, how are you going to handle that.
It may be little white lie time for you....Maybe tell him that you have decided not to go due to weather predictions said weather might bad and you don't want to get stuck at the airport for a day or more; that would be just too stressful. When you return and if he asks where have you been tell him that you been sick and didn't want to visit and give him your cold or flu. More than likely he won't asked where you been. My mother has no concept of time or days. There would be no reason to tell him you went to visit your daughter and upset him at that moment. You need to get away and give yourself a break and enjoy your family. Go and visit her and have a wonderful time.
If this might be your last Christmas with him...what memories would you have. Would you really enjoy being there without him?
One doesn't know what they really know, feel, remember. I was my mother's caregiver for sometime prior to the memory care home. Most of the time she didn't know who I was when I was helping her bathe and cooking for her. She would tell me she didn't know why, but she loved me from the first day she met me. Two days before she passed at the age of 94...I mentioned to her that I had just been talking to my baby (grown adult) on the phone. I asked her who her baby was. She said, "You are". I asked her my name, she said it correctly. I then figured I would continue this, and asked her how old I was, and she said it exactly!!! Knocked my socks off to say the least. How could this be? But I have that warm memory in my heart and will carry it forever.
Will he know you are with him or not......no one knows. Our job as caregiver spouses and children is so hard and difficult. I live in the moment with my husband and love him for who he was and is now plus give him lots of comfort.
Do not continue to discuss this, change the subject. That is usually easy with dementia. Find something that is a really good memory for them and just begin talking about it.
And when visiting with our loved one, my number one rule was "do not discuss anything, in front of or within hearing distance, that will make them think about leaving the facility".
Some how Mom always knew the answer when she asked to come home with me, but it always hurt when she had to be told the answer was "no". Just be honest, direct, and loving -- that is all you can do.
Know that you would never hurt them -- not even unintentionally. Give them a hug and keep the visits as often as you can. That is what they will remember best.