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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
Does she go out otherwise, or is she staying at home all the time for the same reason? What does she most dislike about her appearance? Only a doctor can diagnose a medical condition like Alzheimer's, though.
My mother has become very self-conscious about going anywhere. She says, "everyone stares at me." She will go to the doc, but no where else really. If you suspect Alzheimer's please find someone who is qualified to diagnose it. My Mom had a severe reaction to a pain medication and "alzheimer's" was the first thing to roll off their tongue. Anyone who is of a certain age, has grey hair, and may be a little forgetful now has alz. It is frightening because a misdiagnoses has such a far reaching impact. So proceed with caution.
thanks for your comments. My mom has always cared a great deal about her appearance and took great pleasure in people commenting on how she didn't look her age. It's been only in the last few months that she stopped going out of the house, stopped getting her hair done, and canceled all her doctors appointments. When i ask her why she won't go to the doctor, she says she doesn't want people who know her to see her like this. By this she means the receptionist and nurses. Another serious problem is her inability to stop herself from eating until she gets sick. She told me to help her because she can't control herself. So i have begun to take all the food away after i think she has taken enough. She appears to know she is rapidly going downhill - by refusing to the doctor, she hopes to die sooner.
Wow, that sure is hard on her, and you, shelkaya. Maybe let her know that a doctor can help her food compulsion a lot faster than anything you may do will help her to get the medical evaluation she needs? Also tell her that you will do her makeup, help her choose a cute outfit and get her hair styled for the appointment to ensure that she looks her striking best. Maybe treat her to a joint manicure at a salon if you can both afford it? It may help to make her feel special and greater confidence in going out. Maybe take a picture for her of before and after her makeover to have her keep as her visual incentive? Underneath the symptoms you have explained, she may be more than a little depressed. Whatever yu can do to keep her engaged in life and living may be of help in the short run. In-home maybe an end of summer project or graden spot?
Would be glad to see answer to this question. My mom also has "image" problems - worries about what others will think when she got new glasses (wouldn't wear them for a while), neighbors seeing me do her banking, etc. She's a very plain mom, always clean dresser but not fashionable - she never cared about these things till about 6 months ago. Occupational therapist told me that when they realize they are losing control over what they can do, they worry about how they look & are seen by community. Stated that this was early signs of dementia; however my mother is 88 and has no signs of dementia. Psychiatrist stated she has great long & short term memory, but only problem is she is trying to control me - her daughter. Interested to hear what others have experienced.
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.
If you suspect Alzheimer's please find someone who is qualified to diagnose it. My Mom had a severe reaction to a pain medication and "alzheimer's" was the first thing to roll off their tongue. Anyone who is of a certain age, has grey hair, and may be a little forgetful now has alz. It is frightening because a misdiagnoses has such a far reaching impact. So proceed with caution.
My mom has always cared a great deal about her appearance and took great pleasure in people commenting on how she didn't look her age. It's been only in the last few months that she stopped going out of the house, stopped getting her hair done, and canceled all her doctors appointments. When i ask her why she won't go to the doctor, she says she doesn't want people who know her to see her like this. By this she means the receptionist and nurses. Another serious problem is her inability to stop herself from eating until she gets sick. She told me to help her because she can't control herself. So i have begun to take all the food away after i think she has taken enough. She appears to know she is rapidly going downhill - by refusing to the doctor, she hopes to die sooner.