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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.
Remember, this assessment is not a substitute for professional advice.
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Sophie, I'm afraid you didn't read what I said. I did NOT say they should not be used at all. I enumerated some of the common concerns and then added that family (as presumable collaborative members of the treatment team) should " Monitor your loved ones' behavior very closely while on these meds." If had said that they never should be prescribed, there would not have been a need to monitor anything. What most annoys me about your comment is that I recall family members attacking several different physicians (not me) for having prescribed medications that were causally suggested as reasons for falls and broken hips. Broken hips frequently lead to death. By the way, I am an honored psychiatrist with considerable experience treating elderly patients who frequently consume 10 or more medications from a number of different prescribers. Given potential pharmacological interactions, providing excellent care for complicated elderly patients is not stroll in the park. Give us a break!
See, doctors will tell you they won't give your loved one anti-anxiety meds because they will fall down more. The doctor would rather put you through h*ll than risk a medical bill from a fall. I get that you don't want people to fall; I hate it when Mom falls, but the caregivers are humans that need a little peace in their lives, esp when responsible for 24 hour care! Check with a good geriatric psychiatrist about the anxiety and see if there's help. it's not all just about her, it's about you surviving as well.
The behavior you described exceedingly commonplace. Be wary of the anti-anxiety meds. I think that they are wonderful when used properly. However, even very low doses can accumulate in the elderly, and the level of confusion and disorientation may actually worsen. Monitor your loved ones' behavior very closely while on these meds.
If you were losing your memory, you would probably worry about all the things you forgot to do. Try to reassure your wife that you have taken care of "it" and that she does not need to worry anymore. She may be picking up on your distress, so try to talk to her in a calm voice (even though you are anything but calm!).
mthr was fidgety for about a year before she moved beyond that stage. The doc put her on an anti anxiety pill which kept her from climbing out the windows to get to her car, which she just *knew* was on the other side of those trees over there. Right. :)
Many people with dementia exhibit obsessive behaviors. Sometimes redirecting their attention works and sometimes it doesn't. Is your wife on an anti-anxiety medication? That may help settle her down a bit. I think we all know how it feels to be anxious and worried. It doesn't feel good. If someone with dementia feels this way most of the time it can't feel good even though they may not be able to express it.
I know that my cousin would often fidget with things such as straightening a towel, moving items in place on a counter, arranging cans of food in the pantry, all with no real purpose. She would worry she didn't have enough cat food, even though she had over 50 cans. She wanted me to get her 6 bottles of soda or 5 boxes of cookies. She would repeatedly mail checks to renew magazine prescriptions thinking they would run out. You know how they keep sending you reminders to renew? She took them seriously, and when I took over, I found several who had returned her checks, explaining that she was paid up for years and they couldn't take her money. This was before she stopped paying bills.
I have noticed that some dementia patients never sit still. They walk around the Memory Care unit constantly, never ending up anyway, but always pacing. I think that is quite common.
My cousin will propel herself around in her wheelchair by using her feet. Most of the time, she is looking for someone. It's hard to say who. Sometimes she is looking for her former roommate who left due to sudden decline and never returned. She thinks this roommate is a male friend she knew from the 1980's named Dwayne. She looks for him a lot. Her roommate was not a male, but had short hair and she must have reminded her of Dwayne, who she hasn't seen in over 30 years.
She has not worried as much or been as nervous since going on Cymbalta. If she is not taking Cymbalta, she will literally chew her fingernails until they bleed.
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'm afraid you didn't read what I said. I did NOT say they should not be used at all. I enumerated some of the common concerns and then added that family (as presumable collaborative members of the treatment team) should " Monitor your loved ones' behavior very closely while on these meds." If had said that they never should be prescribed, there would not have been a need to monitor anything.
What most annoys me about your comment is that I recall family members attacking several different physicians (not me) for having prescribed medications that were causally suggested as reasons for falls and broken hips. Broken hips frequently lead to death.
By the way, I am an honored psychiatrist with considerable experience treating elderly patients who frequently consume 10 or more medications from a number of different prescribers. Given potential pharmacological interactions, providing excellent care for complicated elderly patients is not stroll in the park. Give us a break!
I have noticed that some dementia patients never sit still. They walk around the Memory Care unit constantly, never ending up anyway, but always pacing. I think that is quite common.
My cousin will propel herself around in her wheelchair by using her feet. Most of the time, she is looking for someone. It's hard to say who. Sometimes she is looking for her former roommate who left due to sudden decline and never returned. She thinks this roommate is a male friend she knew from the 1980's named Dwayne. She looks for him a lot. Her roommate was not a male, but had short hair and she must have reminded her of Dwayne, who she hasn't seen in over 30 years.
She has not worried as much or been as nervous since going on Cymbalta. If she is not taking Cymbalta, she will literally chew her fingernails until they bleed.