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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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If I had an ailing family member, I would do everything in my power to keep them out of hospice. Retaining their team of original specialist doctors. Getting them home nursing care, OR a good nursing home. A huge percentage of people become hospice patients, simply because they have tremendous pain from cancer, or bone pain/joint pain, or pain as a result of having to have dialysis weekly, and regular MD's are extremely reluctant to prescribe the proper high dosage of narcotics to alleviate their pain., whereas hospice doctors are much more liberal on the dosages of narcotics that they prescribe. I once had a middle aged man who had admitted himself into hospice (thereby discontinueing dialysys, and therby ensuring he would die within about 2 weeks), just because he couldn't take the pain anymore. He couldn't find a doctor wiling to prescribe a high enough dosage of pain meds in order to alleviate his pain. So, in order for him to be out of pain, he made the decision to go into hospice. There's something really wrong with that.
My Dad just passed on and his last week was with hospice care at their facility. Hospice care has changed a lot since the days when one had to have cancer, or intractable pain or imminently ready to pass on. Now, patients can be on hospice, get tuned up, and start doing better, go off hospice and then, when/if they go downhill again, go back on hospice care. My Dad's story.... he had dementia and was in memory care. He fell and broke his hip socket. Not a place where surgery can fix, and besides he was 93. So hospital care and hopefully was to go to rehab for a few weeks and back to his facility with physical therapy. Well, he went downhill, due to the pain from the fracture, his dementia got a lot worse, from being in hospital (strange place) and because of needing pain meds. Finally, after a week, and no way to start any physical therapy, doctor said rehab was not going to be, and he was so out of it, they brought up hospice. Dad was starting to be too doped up to eat, or too agitated if not doped up, to eat. Hospice staff explained very clearly that they would medicate with pain meds and anti anxiety meds, but that before each dose was due, they would try to get him to drink. IF he showed a good swallowing ability, they would work towards eating and drinking and give less and less meds...try to come up with a 'recipe' that would keep him pain free, but awake. IF that worked, they would transfer him back to the memory care unit with hospice follow up if he continued to improve. My Dad refused to drink, showed no interest in swallowing at all, and if not getting the pain med, was moaning and crying out every time they had to turn him....so YES...he was getting regular morphine and Ativan, as another writer reported was used in her experience. After a little over a week, my Dad passed. There were times he had his eyes opened and connected with us family, and he was able to hear on the phone, when other family called him and talked, but he really never talked back to us and just slowly faded away. So, of course, the drugs 'helped' make that happen, however, our hospice staff were very careful to be assessing for pain and the actual NEED for the drugs...and my Dad did need the drugs. We clearly knew that if he was not going to drink, or eat, but especially not drink, that he was going to die in a short time....but the decision had to do with HIS abilities...not the desires of the staff. Hospice also provides a year of grief counseling and follow up for the family left behind and we are now getting that set up for my mom. It was offered to myself and my daughter, even though I am a retired RN and she has a master's degree in counseling and we both live out of town....so they really are quite wonderful in my opinion!
Cantforget, I'm curious. When you 98 years old very sick, mentally incompetent, wearing diapers, no quality of life, how do you want to be treated. Do you have a living will that specifies any and all measures are to be taken? No morphine?
You mentioned the poor guy who wanted to end the pain so he enrolled in hospice. You then stated, "There's something really wrong with that". Please explain to me what is wrong with that.
You said you were a hospice RN. More than once, I believe. How long did you work in hospice? Did you quit because you though it was a terrible thing?
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.
You mentioned the poor guy who wanted to end the pain so he enrolled in hospice. You then stated, "There's something really wrong with that". Please explain to me what is wrong with that.
You said you were a hospice RN. More than once, I believe. How long did you work in hospice? Did you quit because you though it was a terrible thing?