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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?
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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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Would you consider a person like this a candidate for hospice? My mom is 80 years old and lived with me. She has no memory and almost no bladder and bowel control. Now she has broken her hip. Would you recommend hospice at this point?
Hospice is palliative care, it’s just to make your mother comfortable. Also hospice provides medication, or a hospital bed, but whatever you needed to care for her.
As I remember from the last year of my mom's life ...2019-2020...the guideline seems to have become much stricter...like, your loved one has to practically be on their last breath. I think this is because the hospice system is becoming overloaded and there is a shortage of staff, along with funds to pay for all of the at-home supplies that hospice typically offers.
I’m not sure if she would be a candidate, my mom had to be actively dying for them to place her on hospice (but they allowed her to stay on it long term for years after she improved). But, after saying that, I would still see if she could be placed on it! Hospice was a wonderful addition to my moms healthcare. It won’t hurt to ask.
Certainly ask the doctor about it. He can make the recommendation and suggest hospice places, however the decision is really up to the hospice provider.
My mother was already into year 4 at MC. She was living life about 40 years ago. Initially she was mobile and mostly continent (accidents were more because she couldn't get undressed fast enough. Even later, in briefs, she would go or ask to be taken to the bathroom.) Eventually she went with a rollator and a little over a year ago moved to a wheelchair (mainly due to inactivity and fear of falling, not because she really needed it.)
Just around Labor Day, she had a stroke. It affected her dominant side, making self-feeding and pivoting difficult. The nurse requested hospice. They sent someone off-hours who just looked at mom's records. Because of the virus, her April 2020 physical was missed, so the records were over 1.5 years old. They denied. The MC nurse stayed on top of them, scheduled a TeleHealth and had them come back. They denied again.
When I contacted them myself, their big excuse was that she hadn't lost weight in the last 6 months! Really??? I pointed out that she didn't have a stroke 6 months ago, she JUST had it! Nurse had OT/PT come in to help mom learn to eat and pivot, but that isn't much help with dementia! Nurse was STILL adamant, managed to get a weight on her and demonstrate that she DID lose weight. Finally they agreed.
So, if you don't get desired results from doc or hospice, STAY on top of them. Make them come back. Get a documented weight, etc. There are Medicare rules regarding hospice, so they do have to go by those, BUT I've seen others who were more "with it" than mom, older, still mobile, able to use TV remote AND a phone, yet they were on hospice!
Also note that once approved they will provide some supplies (like briefs, wipes), medical equipment (like hospital bed, hoyer lift), some assistance (like bathing), and medications/treatments to keep them comfortable, BUT if they are on other medications and you want those to continue, you will have to provide those, either through their supplemental insurance or buying them yourself.
i think she would benefit and so would you if you are trying to care for her at your home. I haven’t personally had experience with family in need, but have had friends that have and friends who did receive hospice and it was much easier on both the caregiver and the patient. The hospice workers were supportive and truly cared for the patient and the family.
Hospice will come and assess the need. I have had my father in hospice since June 2020. At the time he was dressing himself and able to walk around the yard with someone watching from the distant to make sure he wouldn't wander off. Hospice has been great support for me. They listen to me so I don't feel so isolated.
Discuss this with her doctor, she might be eligible for Palliative Care which is a precursor to hospice. They keep the patient comfortable and monitor pain.
This is a question for your Mom's doctor. We can't know her comdition, her underlying illnesses, her history, her prognosis. Please discuss this with the doctor. For myself, I have already made known in advance directive that advanced alzheimers, the loss of my memory and my ability to make my own decisions, would be reason alone for palliative comfort care ongoing. I can't know what discussions you have had with your Mom, nor what her wishes for end of life care might be. Do remember that being a Hospice patient doesn't mean the removal of food, or other things your Mom still enjoys. Please discuss all this with your Mother's doctor. If you are dissatisfied with the answers do ask for consult with a gerontologist.
Yes, of course. Being at the end stage of a terminal disease is always a good time to ask her doctor to write an order for a hospice evaluation. The worst that can happen is they tell you she's not 'ready' yet as they feel she has longer than 6 months to live.
Wishing you the best of luck with a difficult situation.
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 mother was already into year 4 at MC. She was living life about 40 years ago. Initially she was mobile and mostly continent (accidents were more because she couldn't get undressed fast enough. Even later, in briefs, she would go or ask to be taken to the bathroom.) Eventually she went with a rollator and a little over a year ago moved to a wheelchair (mainly due to inactivity and fear of falling, not because she really needed it.)
Just around Labor Day, she had a stroke. It affected her dominant side, making self-feeding and pivoting difficult. The nurse requested hospice. They sent someone off-hours who just looked at mom's records. Because of the virus, her April 2020 physical was missed, so the records were over 1.5 years old. They denied. The MC nurse stayed on top of them, scheduled a TeleHealth and had them come back. They denied again.
When I contacted them myself, their big excuse was that she hadn't lost weight in the last 6 months! Really??? I pointed out that she didn't have a stroke 6 months ago, she JUST had it! Nurse had OT/PT come in to help mom learn to eat and pivot, but that isn't much help with dementia! Nurse was STILL adamant, managed to get a weight on her and demonstrate that she DID lose weight. Finally they agreed.
So, if you don't get desired results from doc or hospice, STAY on top of them. Make them come back. Get a documented weight, etc. There are Medicare rules regarding hospice, so they do have to go by those, BUT I've seen others who were more "with it" than mom, older, still mobile, able to use TV remote AND a phone, yet they were on hospice!
Also note that once approved they will provide some supplies (like briefs, wipes), medical equipment (like hospital bed, hoyer lift), some assistance (like bathing), and medications/treatments to keep them comfortable, BUT if they are on other medications and you want those to continue, you will have to provide those, either through their supplemental insurance or buying them yourself.
Hospice has been great support for me. They listen to me so I don't feel so isolated.
Please discuss all this with your Mother's doctor. If you are dissatisfied with the answers do ask for consult with a gerontologist.
Wishing you the best of luck with a difficult situation.