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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:
Hospice nurses are the kindest of people. They have chosen to do this because they understand this is a difficult time for the family and are very compassionate people. They will provide a bed, toileting supplies including a portable toilet,bed pan and adult diapers. The also provide bed pads ,sheets and wheel chair . Everything is covered fully by Medicare. The patient is removed from all medications except for those that provide comfort and my dad continued on his thyroid. They provide sleep meds, Ativan,haladol ( things that help the nerves) as needed. You will get a visit every third day from an aid that will bath , etc your loved one. There are also RN's that visit regularly, and a Chaplin ( ours was a sweetheart). They are available 24 hours a day if you have an emergency but most the time you are on your own. You can take a respit ( do it) and they will provide over night care. Each person goes through their own journey of leaving this earth and sometimes it's fast sometimes it's slow. My dad was home for nine weeks before he left us. He was in and out of alertness. Some days he seemed with it ,others he was loopey. Oxygen made a difference but he hated it. My suggestion is to allow him as many choices as he wants. Pie for breakfast- yes! Don't worry about nutrition. My mom nearly killed herself trying to heal my dad in hospice and he was miserable( he even told the Chaplin- lol). His last weeks were spent telling us he just couldn't please my mom. He wanted to sit up, go outside ,eat a burger and fries. She was not going to let him on her watch! So this is why I say let him have some choices.
My Mom was only three weeks in hospice..at home. We started because my Mom had unmanageable pain that the doctors could not diagnose. We never learned why she had so much pain..but suspect it was her spine.
After about 10 days...the pain reached the posing where she was in constant agony. She was transported to the local hospice center so that they could get ahead of her pain. She stayed there 3 days...then transported home. She was glad to be back. I think she was worried she would die there.
After a few more days she was no longer aware of anything. She died 6 days after coming home.
My strongest suggestion...do not be alone going through this!
Hire a in-home caregiver if you must...but..make sure you have another set of hands at all times. You are going to need breaks...and you will not be able to predict in advance when you have to step away! In the final 2 days, I would have been a complete basket case without the aide to lean on..both for her physical help...but even more for the emotional support.
I am sure family members may agree to "be there". But, probably they will not drop everything in their lives to really be there ... hire help
One of the nurses at hospice told me this....when the downward change is apparent from one month to the next...the patient has months to live. When the changes become apparent one week to the next...the patient has weeks to live. But, when the downward changes are apparent day over day...the end is very close. ... days or day only.
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.
They will provide a bed, toileting supplies including a portable toilet,bed pan and adult diapers. The also provide bed pads ,sheets and wheel chair . Everything is covered fully by Medicare. The patient is removed from all medications except for those that provide comfort and my dad continued on his thyroid. They provide sleep meds, Ativan,haladol ( things that help the nerves) as needed. You will get a visit every third day from an aid that will bath , etc your loved one. There are also RN's that visit regularly, and a Chaplin ( ours was a sweetheart). They are available 24 hours a day if you have an emergency but most the time you are on your own. You can take a respit ( do it) and they will provide over night care.
Each person goes through their own journey of leaving this earth and sometimes it's fast sometimes it's slow. My dad was home for nine weeks before he left us. He was in and out of alertness. Some days he seemed with it ,others he was loopey. Oxygen made a difference but he hated it. My suggestion is to allow him as many choices as he wants. Pie for breakfast- yes! Don't worry about nutrition. My mom nearly killed herself trying to heal my dad in hospice and he was miserable( he even told the Chaplin- lol). His last weeks were spent telling us he just couldn't please my mom. He wanted to sit up, go outside ,eat a burger and fries. She was not going to let him on her watch! So this is why I say let him have some choices.
We started because my Mom had unmanageable pain that the doctors could not diagnose. We never learned why she had so much pain..but suspect it was her spine.
After about 10 days...the pain reached the posing where she was in constant agony. She was transported to the local hospice center so that they could get ahead of her pain. She stayed there 3 days...then transported home. She was glad to be back. I think she was worried she would die there.
After a few more days she was no longer aware of anything. She died 6 days after coming home.
My strongest suggestion...do not be alone going through this!
Hire a in-home caregiver if you must...but..make sure you have another set of hands at all times. You are going to need breaks...and you will not be able to predict in advance when you have to step away! In the final 2 days, I would have been a complete basket case without the aide to lean on..both for her physical help...but even more for the emotional support.
I am sure family members may agree to "be there". But, probably they will not drop everything in their lives to really be there ... hire help
One of the nurses at hospice told me this....when the downward change is apparent from one month to the next...the patient has months to live. When the changes become apparent one week to the next...the patient has weeks to live. But, when the downward changes are apparent day over day...the end is very close. ... days or day only.