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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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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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He was to be given regular food as promised. I feel lied to and forced to sign waiver since they are NOT keeping their word on giving him regular food again.
My husband gave it a good strong try and then rejected the dysphagia diet. I support that decision. He understood the risks. If he died from aspirational pneumonia, so be it. His speech therapist went nuts, but both his behavioral neurologist and geriatrician were very supportive of his decision. Thank goodness I didn't have to deal with bureaucracy -- dear Coy lived at home with me.
My feeling is that people should be allowed to make their own decisions about such matters. They should be fully informed about potential consequences. But it should be their decisions.
DeeDee, you asked about having the waiver honored. I think that is what most of us have been addressing. If you also want to discuss the pros and cons about the dysphagia diet, you could start another thread. From the way you post is worded I assume you have made your decision and you are just looking for ways to have it honored.
Have you had any further discussion at the facility? I'd go that route first, but I wouldn't hesitate to contact the Ombudsman if you don't get satisfactory results.
If they do it for his own safety why do they give him 5 to 6 full size pills to swallow? Pills are much harder to get down than food which they are continuing to refuse him.
The fastest way to kill a patient is to give regular food when he needs puree for a swallowing problem. Please ask the nurse to explain this in detail . Most patients are not pleased by pureed foods, but it is done for their own safety.
I try really hard to work with all the people caring for my parents whenever possible. Not always easy, but I hate to antagonize the people I depend on. I take a little time to think about it before I deal with these situations.
Debdaughter, in every situation where my mom's care was compromised in some way, either in the hospital or the NH, I found that there was always miscommunication, misunderstanding and the like, rather than deliberate obstructionism. Sometimes it was MY misunderstanding of who the appropriate person to ask things of was.
In the NH, I finally solved this by funneling ALL of our requests, questions, etc, through the SW, who either gets them to the right people or tells us who to call.. Having one point of contact has helped immensely.
I'd suspect a breakdown in communications rather than deliberate non-compliance with the agreement.
Babalou has good advise.
If you can't solve this problem with additional discussions, I'd contact the Ombudsman. He deserves to make his own decisions, with your support, about what he will eat.
In my experience with both hospitals and nhs, the communication between the kitchen and the rest of the facility is often poor. Don5feel lied to; go into problem solving mode. Call the social worker in the am and say, in your sweetest voice " my husband is feeling so discouraged..i promised him that once we signed the release, he'd get regular food again, but the kitchen is still sending pureed meals. Can you help figure out where the line of communication has broken down?"
During one hospi8visit, it turned out that a special code needed to be entered into the computer system, and my mother5nurse, who was new, didn't know that. Going up a level to the unit manager solved the problem
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.
My feeling is that people should be allowed to make their own decisions about such matters. They should be fully informed about potential consequences. But it should be their decisions.
DeeDee, you asked about having the waiver honored. I think that is what most of us have been addressing. If you also want to discuss the pros and cons about the dysphagia diet, you could start another thread. From the way you post is worded I assume you have made your decision and you are just looking for ways to have it honored.
Have you had any further discussion at the facility? I'd go that route first, but I wouldn't hesitate to contact the Ombudsman if you don't get satisfactory results.
whenever possible. Not always easy, but I hate to antagonize
the people I depend on. I take a little time to think about it
before I deal with these situations.
In the NH, I finally solved this by funneling ALL of our requests, questions, etc, through the SW, who either gets them to the right people or tells us who to call.. Having one point of contact has helped immensely.
Babalou has good advise.
If you can't solve this problem with additional discussions, I'd contact the Ombudsman. He deserves to make his own decisions, with your support, about what he will eat.
During one hospi8visit, it turned out that a special code needed to be entered into the computer system, and my mother5nurse, who was new, didn't know that. Going up a level to the unit manager solved the problem