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Mostly Independent
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eldeststratford, I see you mentioned that your Mom is on Hospice. Normally with Hospice surgery is usually not recommended. Hospice will use pain meds to control any discomfort.
Surgery where a patient is under for quite some time, it will definitely worsen the dementia. So that is a major risk in itself.
When you say your mother is on hospice, does she have any medical conditions other than dementia?
We are amateurs and you should be taking professional advice on the risks and benefits of the surgery. But speaking only as an amateur, if your mother is immobilised by a fractured femur for as long as it will take to heal on its own, I wouldn't give her the best odds.
There is also the pain of a broken bone to consider. I appreciate that guiding someone with dementia through the pre-op and post-op will be extremely challenging, but then again dealing with her pain would be, too.
I'm very sorry that this has happened. Would it be out of place to ask how on earth her femur got broken? (By the way - femur, or neck-of-femur?)
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.
Hugs 2 u for this tough situation you are facing.
Surgery where a patient is under for quite some time, it will definitely worsen the dementia. So that is a major risk in itself.
1. What is the reason for being wheelchair bound now, and
2. Will the surgery affect (and improve) her ability to walk, and her pain?
The other issues raised such as anesthesia, hospice are all relevant. This could be a complex issue to evaluate.
We are amateurs and you should be taking professional advice on the risks and benefits of the surgery. But speaking only as an amateur, if your mother is immobilised by a fractured femur for as long as it will take to heal on its own, I wouldn't give her the best odds.
There is also the pain of a broken bone to consider. I appreciate that guiding someone with dementia through the pre-op and post-op will be extremely challenging, but then again dealing with her pain would be, too.
I'm very sorry that this has happened. Would it be out of place to ask how on earth her femur got broken? (By the way - femur, or neck-of-femur?)