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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.
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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
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My sister and I are not convinced that examination was sufficiently thorough. To exemplify this, when she arrived at the hospital, the first neurologist examined her and said "she's fine, she can go home" ... they would not have even found the "abnormal discharge" (appears to be evidence of seizure activity) had we not pushed for the long-term EEG.
I believe electrolytes were part of the bloodwork, but I will double-check. I'm unfamiliar with NPH. A quick search seems to be a potentially good match for her symptom set. Though wouldn't that condition show on an MRI?
Re: hospital delirium, we've considered that this could be a factor. We'll need to explore this more as well.
So, you say your mom passed a brief cognitive assessment.
The real "proof of the pudding" is in the neuropsych testing, which looks more fully at insight, ability to work with facts and problem solving.
My mom's workup was done at Burke Foundation, in White Plains. Neurologist, neuropsych, psychiatric nurse practioner and brain imaging. The MRI showed a previously undetected stroke--mom had had NUMEROUS MRIs in the past, but apparently, some strokes don't show up right away.
The Barlow Center at NYU has very much the same protocol as Burke. Dr. Masukar is a caring and talented doc.
Thanks Barb. This info is very helpful. Our family all lives on the outskirts of NYC, not far from either. Was this a treatable situation for your mom?
It sounds like you recommend Dr Masukar at Barlow over Burke?
My mom passed her initial cognitive test in May with flying colors. Today she doesn't know much of what is going on. Her decline was extremely rapid over the last two weeks.
Within the last two weeks she had an MRI, MRI w/ contrast and Lumbar Puncture. Some findings in the LP seems consistent with Alzheimers. However, I'm not sure whether any underlying causes that may not have been investigated can cause such a result. We are still waiting for some additional results from the LP (aka spinal tap.)
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.
Has anyone looked at her electrolytes? Rules out non-pressure hydrocephalus? Hospital deledelerium?
There is no "treatment" for dementia. It's progressive, speed depending upon the type.
Mom had vascular dementia from a stroke. She died not quite 4 1/2 years after the stroke.
My sister and I are not convinced that examination was sufficiently thorough. To exemplify this, when she arrived at the hospital, the first neurologist examined her and said "she's fine, she can go home" ... they would not have even found the "abnormal discharge" (appears to be evidence of seizure activity) had we not pushed for the long-term EEG.
I believe electrolytes were part of the bloodwork, but I will double-check. I'm unfamiliar with NPH. A quick search seems to be a potentially good match for her symptom set. Though wouldn't that condition show on an MRI?
Re: hospital delirium, we've considered that this could be a factor. We'll need to explore this more as well.
Thanks for the helpful info.
The real "proof of the pudding" is in the neuropsych testing, which looks more fully at insight, ability to work with facts and problem solving.
My mom's workup was done at Burke Foundation, in White Plains. Neurologist, neuropsych, psychiatric nurse practioner and brain imaging. The MRI showed a previously undetected stroke--mom had had NUMEROUS MRIs in the past, but apparently, some strokes don't show up right away.
The Barlow Center at NYU has very much the same protocol as Burke. Dr. Masukar is a caring and talented doc.
It sounds like you recommend Dr Masukar at Barlow over Burke?
My mom passed her initial cognitive test in May with flying colors. Today she doesn't know much of what is going on. Her decline was extremely rapid over the last two weeks.
Within the last two weeks she had an MRI, MRI w/ contrast and Lumbar Puncture. Some findings in the LP seems consistent with Alzheimers. However, I'm not sure whether any underlying causes that may not have been investigated can cause such a result. We are still waiting for some additional results from the LP (aka spinal tap.)
They also did find "abnormal discharge" via EEG.