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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?
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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
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.
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Falls will happen. No matter what, falls will happen. You cannot attach someone to Mom's side. Our balance goes and falls happen. I don't know that you will have better luck keeping O2 on at night in MC. In fact you won't without a private attendant. I would discuss this with the facilities involve due to the variation in what we are seeing and hearing out there.
Have you spoken with the AL staff about the oxygen issue? Is she flat out refusing to even put it on? Or is it on and she takes it off in the night? Maybe they can have staff do checks at night at a certain frequency to see if she has it on.
If she is just going by herself into the shower, that is probably going to be a tough situation in AL, as they cant watch her 24/7. ML in general will be closer observation. You may want to tell her doctor about these refusals also and see what they suggest.
I don't see memory care being able to keep a mask on her without bringing medication on board (sedatives) to stop her from removing the mask. Even a private attendant won't be able to keep the oxygen on her if she doesn't want to wear the mask. And it will only agitate her and could cause her to have respiratory problems from fighting the mask being put on her. She has dementia and COPD, which can be a lethal combination. Once her oxygen gets low enough, the only option would be to call EMS, intubate her, and put her on a ventilator. And what happens when she's extubated and refuses the mask again? Perhaps it's time for a hospice consult. It's a hard situation.
What does the AL say ? Usually they will tell you when it’s time for memory care . Ask what they think . I don’t see being able to force her to keep oxygen on though . Memory care cant stop all falls . They aren’t one on one right next to Mom all the time. But they may be able to keep her out of going in the shower by herself . Ask the facility .
I agree to have a discussion with the admins at the facility. What do they normally do if a resident won't comply with their treatment (oxygen for COPD)? Would she then qualify for LTC? If so, this is covered by Medicaid if she also qualifies financially.
Oxygen is a drug that needs a doctors order. Just like medications, mom has a right to refuse. Talk to her pulminologist and also consider hospice. For the most part, some people do not feel short of breath when off oxygen. If she does feel shortness of breath, then hospice can help to alleviate symptoms. And if she has no distress, we'll, many people aren't even aware that they need it. They still go on for a few months or years
From what I understand, nighttime is the most crucial time for oxygen. I would call a LTC facility and ask what they do in these situations. If they say they can handle it. Transfer Mom. When her money runs out, place her on Medicaid. There are ways to get around the income cap. Check with ur State to see if they allow Miller trusts or Qualifying Income Trusts.
Are you speaking about an oxygen cannnula or mask? The COPD foundation has some suggestions for cannulas such as attaching from the back. For masks, you can try a different type. https://www.copdfoundation.org/COPD360social/Community/Questions-and-Answers/Solution-to-removing-02-at-night.aspx
Talk with the AL facility about showering. ALs have different levels of service and in some each individual task requires an add-on payment. For instance there could even be a charge for standing by, watching while a patient showers versus assisting a patient with a shower. In any case, she should be using a shower chair and a handheld shower which can go in long way in alleviating falls.
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 don't know that you will have better luck keeping O2 on at night in MC. In fact you won't without a private attendant.
I would discuss this with the facilities involve due to the variation in what we are seeing and hearing out there.
If she is just going by herself into the shower, that is probably going to be a tough situation in AL, as they cant watch her 24/7. ML in general will be closer observation.
You may want to tell her doctor about these refusals also and see what they suggest.
Memory care cant stop all falls . They aren’t one on one right next to Mom all the time. But they may be able to keep her out of going in the shower by herself . Ask the facility .
For the most part, some people do not feel short of breath when off oxygen. If she does feel shortness of breath, then hospice can help to alleviate symptoms. And if she has no distress, we'll, many people aren't even aware that they need it. They still go on for a few months or years
https://www.copdfoundation.org/COPD360social/Community/Questions-and-Answers/Solution-to-removing-02-at-night.aspx
Talk with the AL facility about showering. ALs have different levels of service and in some each individual task requires an add-on payment. For instance there could even be a charge for standing by, watching while a patient showers versus assisting a patient with a shower. In any case, she should be using a shower chair and a handheld shower which can go in long way in alleviating falls.