Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
I agree with moondance. If a person starts falling, that qualifies them for a home health care evaluation under Medicare Part A. You can find the information on the Medicare website. A nurse will come to your home and determine your husband needs such as physical therapy however, you have to be insistent that it will help him. I have been struggling with getting my husband around for over a year. Fortunately or unfortunately, my husband stumbled and messed up his knee. I convinced the primary care physician that he needed home health physical therapy because his knee prevented me from taking him to a PT facility. It was not easy to get approved. The most valuable service is that I finally had a resource to show me how to transfer him from place to place. If I had known some of this information a year ago, I could have prevented my husband's stumble and knee problem. I should have told the doctor he fell the first time I had to catch him.
I hope you are getting the answer you seek. Is there a council on aging that can help you. It maybe difficult to even get the time to make these phone calls or lawyer visits. You need some in home help. Just to be able to get a lot of these suggested fixes in place. Please keep us posted on your progress.
How is your husband's physicians assisting you? Ask the rehab unit to specify the information they need. See if you can find out if this a common practice of this rehab facility. Find out if finances or Medicare are playing a role in their reluctance. Sounds like being more assertive is something you need to consider. Being an advocate is tough work.
My heart goes out to you. This is truly one of the situations that falls squarely on the shoulders of care givers. You didn't mention insurance coverage so I'll approach this from a Medicare perspective. Other insurances will have different requirements.
Medicare will only cover temporary rehab after a qualifying 3-day inpatient stay at a hospital (that's what Sueber48 was referring to when indicating that you sometimes need to force the Admit.) Forcing the admit is sometimes necessary, but it's stressful for the patient. And you can't really count on the rehab lasting more than a few days.
The first 20 days of rehab (under Medicare) are with no copay and percentage co-pays after that, but the patient can (and will) be discharged from rehab if/when they no longer show signs of improvement. So - you have to go with your gut. If you think he'll get Released after a few days; it's not worth the angst all 'round.
Respite care is only covered under Medicare if the patient is under Hospice and authorized by the hospice provider. Medicaid is different & I'm not familiar with their requirements and they can differ from state-to-state.
If he's a veteran, he may be eligible for additional benefits through TriCare, but they can take a while to get implemented. See - 'Aid and Attendance' benefits.
If his physician will sign an Order for Home Health (due to being home bound etc.) you may be able to get someone in from a Medicare approved Home Health provider. It can be a bit of buggle the first few visits until you get it organized, but if you schedule the more difficult tasks for those days - it can help. Wishing you the best. Stay in touch.
The best way is to have him admitted to the mental health unit at a hopsital for dementia. There are several criteria there, including being combative, changes in thought process, not sleeping, etc. While there inform the social worker you would like to have him placed in a nursing home, because you are unable to care for him at home any longer. This happens at mental health facilities in the midwest everyday. Good luck.
If he can't gain admission to a rehab facility, he may still qualify for home rehab services. Doc has to order evaluation from VNA or other home care agency. Eventually may be able to be admitted to facility. In meantime there is some help from homecare.
Are you looking for long-term placement, or just temporary? Rehab is usually a temporary thing after a hospital stay, though, they can provide what is called "Respite Care" short term, to give caregivers a break. How that gets paid for depends on your insurance, and you'd have to check because daily rates can run from around $400-$800.
If you're looking for long-term care, then what you want is long-term nursing care, or assisted living (not rehab). If you have been asking about rehab, but really want long-term care, you should call them back and ask about that instead. They will have different information for you.
Whatever you do, DO NOT sign any admissions agreement without having a lawyer look at it. They often have tricky wording in them which will make you liable for any bills your loved one cannot pay. You don't want to be stuck with one of these bills, which can get into the tens of thousands of dollars.
I have found that getting a doctor's order for therapy for a person with advanced dementia is difficult. The doctors I have dealt with say that Medicare and Medicaid have requirements regarding whether the physical therapy will be beneficial. Apparently, with advanced dementia, when a person is wheelchair bound, they don't feel it will help.
You could consult with your medical doctor, ask for a Home Health Physical Therapy evaluation and recommendation. The therapist sometimes can advocate for the rehab admission.
Please get in touch with his Primary Care Physician, APS in your area & the issue should be resolved by them. If the Primary Care Physician will order an assesment by an R.N.in the home~the R.N. can expedite this. A Professional has to make the assessment, not you.
Can you get him in a nursing home? In my mother's nursing home the patients were evaluated regularly to see if rehab would be helpful. Or you have to play hard ball at the ER. I've done that with my father. I've told them that I cannot take him home etc. They know you need the hospital admission for rehab, be direct, ask for it. Good luck!
A hospital referral.he has lewy bodies dementia..I am trying to care for him at home, and it is very hard.He has days that he cannot stand up.I have had him to the er several times...they tewll me thay can find nothing to admit him. Frustrating to say the least.
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.
Sounds like being more assertive is something you need to consider. Being an advocate is tough work.
Medicare will only cover temporary rehab after a qualifying 3-day inpatient stay at a hospital (that's what Sueber48 was referring to when indicating that you sometimes need to force the Admit.) Forcing the admit is sometimes necessary, but it's stressful for the patient. And you can't really count on the rehab lasting more than a few days.
The first 20 days of rehab (under Medicare) are with no copay and percentage co-pays after that, but the patient can (and will) be discharged from rehab if/when they no longer show signs of improvement. So - you have to go with your gut. If you think he'll get Released after a few days; it's not worth the angst all 'round.
Respite care is only covered under Medicare if the patient is under Hospice and authorized by the hospice provider. Medicaid is different & I'm not familiar with their requirements and they can differ from state-to-state.
If he's a veteran, he may be eligible for additional benefits through TriCare, but they can take a while to get implemented. See - 'Aid and Attendance' benefits.
If his physician will sign an Order for Home Health (due to being home bound etc.) you may be able to get someone in from a Medicare approved Home Health provider. It can be a bit of buggle the first few visits until you get it organized, but if you schedule the more difficult tasks for those days - it can help. Wishing you the best. Stay in touch.
If you're looking for long-term care, then what you want is long-term nursing care, or assisted living (not rehab). If you have been asking about rehab, but really want long-term care, you should call them back and ask about that instead. They will have different information for you.
Whatever you do, DO NOT sign any admissions agreement without having a lawyer look at it. They often have tricky wording in them which will make you liable for any bills your loved one cannot pay. You don't want to be stuck with one of these bills, which can get into the tens of thousands of dollars.