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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.
Share a few details and we will match you to trusted home care in your area:
My mother was put on comfort care 4 days ago CHF..hospice came right in and let me tell you they are better than awesome ! My mom is in a NH they today came with a new mattress for her bed, a bedside toilet and meds to make her more comfortable. She has an aide to come in 5 days a week, a nurse twice a week, social worker twice a week and a pastor once a week. Congestive Heart Failure is a nasty b#*#*... My mom is good one day horrible the next..her breathing has been very labored. I would encouragage everyone to take hospice under consideration for end of life...being an only child I have felt like I have siblings to help..they all have been very loving and caring with my mom.
Unlike "hospice" I don't think there is a universal meaning of "comfort care" -- so you need to find out what this NH means. Also, are you the medical POA? If so, it seems to me they should be discussing it with you, not "telling" you.
You will have to have the facility elaborate the definition of "comfort care". If oxygen levels are low, as were with my mother; it did infer that unless the levels came up; she needed to be made comfortable.
This is not as easy as it sounds. I don't know your mother's medical problems, but after you hear about comfort care; hospice is usually called in. This happened with my mother. The hospice people are wonderful, but cannot be there full time. It is up to us to be their advocate and monitor the situation. I stayed with my mother constantly and had to call hospice back into the facility in order to ensure that the best decisions were being made for my mother's comfort. Things can change drastically, and I learned the nurse's are quite conservative with the doling out of morphine and doctor's orders need to be followed and increased as the need arises. Also, I learned that not all the nurses are knowledgeable as to the proper dispensation of morphine if it is by dropper into my mother's mouth. There is a "right" and a "wrong" way meaning if administered improperly, the patient does not receive the proper dosage to keep them "comfortable". The hospice nurse set me straight on this and she was not afraid to tell the NH nurses that they needed some direction with the administration of the medication. So, try to stay one step ahead and call the hospice people at any time if need be; they are wonderful and more than willing to return to the facility should there be a problem. I had to be aggressive and have the nurses call the doctor to increase the dosage as my mother was in great distress and the hospice nurses had advised me to do this. The doctor, once contacted, immediately increased the dosage to ensure the comfort of the patient. Blessings to you and hope things go smoothly for you and your poor mother.
In my mother-in-law's situation, it meant the same thing as hospice - meaning they will keep them comfortable via oxygen, pain medication and anything else needed as they begin the road to passing away. And everyone is different - it can take a very short time or a very long time for this to happen. But jeannegibbs is right - call the nursing home right away and ask them exactly what this means in her case and where is she at. ((HUGS))
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.
This is not as easy as it sounds. I don't know your mother's medical problems, but after you hear about comfort care; hospice is usually called in. This happened with my mother. The hospice people are wonderful, but cannot be there full time. It is up to us to be their advocate and monitor the situation. I stayed with my mother constantly and had to call hospice back into the facility in order to ensure that the best decisions were being made for my mother's comfort. Things can change drastically, and I learned the nurse's are quite conservative with the doling out of morphine and doctor's orders need to be followed and increased as the need arises. Also, I learned that not all the nurses are knowledgeable as to the proper dispensation of morphine if it is by dropper into my mother's mouth. There is a "right" and a "wrong" way meaning if administered improperly, the patient does not receive the proper dosage to keep them "comfortable". The hospice nurse set me straight on this and she was not afraid to tell the NH nurses that they needed some direction with the administration of the medication. So, try to stay one step ahead and call the hospice people at any time if need be; they are wonderful and more than willing to return to the facility should there be a problem. I had to be aggressive and have the nurses call the doctor to increase the dosage as my mother was in great distress and the hospice nurses had advised me to do this. The doctor, once contacted, immediately increased the dosage to ensure the comfort of the patient. Blessings to you and hope things go smoothly for you and your poor mother.