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Which best describes their mobility?
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How are they managing their medications?
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Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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.
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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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It's not that he won't consider his problem -- it's because he can't.
People with dementia and ALZ can sometimes have a condition called Anosognosia: when someone is unaware of their own mental health or cognitive condition or they can’t perceive their condition accurately.
What is the reason for him to see his doctor at this time? Your profile says he has ALZ but is this your opinion and not a diagnosis? If he's never had a diagnosis then yes, it would be important to do this especially for the sake of his PoA. A diagnosis is required in order to activate this authority. Does he have a PoA assigned at this point in time? If not, this needs to happen BEFORE his diagnosis because it may call into question any legal paperwork he signs after this point.
IMO it is best to have someone from a younger generation as your PoA. If he is resistant to doing this try leading the way by announcing you've read about how important it is to have this (and other) legal protections in place and you have made an appointment with an elder law/estate planning attorney to discuss this and create a PoA for yourself. The attorney will then take each of you alone to privately interview and assess whether he can comprehend what assigning a PoA means. Declining memory does not preclude signing the paperwork, but comprehension does.
Will he go to the doctor at all? If you can get him there just for a physical that might be a start. Suggest to him that Medicare "requires" an Annual Physical Exam. Tell him it is part of the coverage. If you can send a note to the doctor in advance expressing your concerns that would help. Other than that it might be a case of waiting until something happens. I do suggest that you see an Elder Care Attorney so that you know what steps you will need to take if and when the time comes that he is diagnosed you at least will be prepared.
If you have kids discuss this with them and maybe they can get him to see his doctor. Even if they can't getting them involved in advance might help and give you support.
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.
People with dementia and ALZ can sometimes have a condition called Anosognosia: when someone is unaware of their own mental health or cognitive condition or they can’t perceive their condition accurately.
https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Anosognosia
Even though this source is from a mental illness website, it still pertains to older people with dementia/ALZ.
IMO it is best to have someone from a younger generation as your PoA. If he is resistant to doing this try leading the way by announcing you've read about how important it is to have this (and other) legal protections in place and you have made an appointment with an elder law/estate planning attorney to discuss this and create a PoA for yourself. The attorney will then take each of you alone to privately interview and assess whether he can comprehend what assigning a PoA means. Declining memory does not preclude signing the paperwork, but comprehension does.
More info from you would be helpful.
If you can get him there just for a physical that might be a start.
Suggest to him that Medicare "requires" an Annual Physical Exam. Tell him it is part of the coverage.
If you can send a note to the doctor in advance expressing your concerns that would help.
Other than that it might be a case of waiting until something happens.
I do suggest that you see an Elder Care Attorney so that you know what steps you will need to take if and when the time comes that he is diagnosed you at least will be prepared.
If you have kids discuss this with them and maybe they can get him to see his doctor. Even if they can't getting them involved in advance might help and give you support.