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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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Mom is 93, so I’m trying to prepare for what lies ahead. Palliative care, hospice, nursing home? How common is it for NH not to have an available bed? Concerned about all of this. Mom lives with me at this time and I do everything for her.
Need; Are you saying that you asked mom's doctor about Hospice and s/he recommended palliative care at this time? That might be because your mother doesn't meet the eligibility criteria for hospice.
When you ask about how common is it for a NH not to have an available bed, are you talking about one specific nursing home, or nursing homes in general?
From reading your other posts, it sounds like you are fast approaching burnout with caregiving your mom and you are trying to find your way to next steps; is that an accurate portrayal of the situation?
Does your mother meet the medical criteria for needing NH care at this point in time? Have you discussed the financial aspects of this with an Elder Care attorney? Have you looked into home health care to provide you with some help in mom's care, if nothing else so that you can get some time away with your husband?
Yes, I guess because of her age I am becoming very anxious. I would feel better and could relax with a plan in place.
Plus, you nailed it. I am burning out and trying to sort things out.
I did ask primary doctor if mom was ready for hospice. She did suggest palliative care. I’m still confused as to what that means.
I called about receiving info on medicaid. She doesn’t have lots of money. I don’t know exact situation. I do not have power of attorney. I have medical power of attorney. She has a will. She has small amount of money in cds. I have two siblings who do not help. Yes, I admit I am stressed and frustrated.
The person I spoke to about Medicaid told me that not all NH even accept Medicaid and there may be a wait for a bed. We have a high amount of senior citizens in our area.
She has medicare now and Humana gold plus. Will that cover NH? I am trying to make decisions and feel overwhelmed. I appreciate your responding to me. Do you have answers for me? Do you need to know anything else from me in order to explain it to me?
Hi! The expressions palliative care and hospice care are used differently in many places, and they have overlapping meanings. Palliative care aims to make a disease easier to cope with, rather than to cure it. So if a cancer is not curable, a palliative care approach says no surgery, no chemo, just pain control, help for other symptoms like constipation, perhaps exercise to improve mobility etc. Hospice takes the same approach, but in the USA it focusses on intensive nursing and social support when death is close. In some other countries, a hospice is a place for the infirm where palliative care is provided. I hope that this helps.
1. Palliative care means that you treat symptoms and let go of trying to "cure". If mom has " chronic and stable" conditions, this can be a good course of action.
2. Medicare does not pay for long term care. It WILL pay for rehab ( which sometimes takes place in a NH) for 20 days following a three day in patient admission ( not "observation"--she must be admitted for 3 days to qualify).
3. If mom is in rehab and it is determined she needs to be in a facility, you can request that she stay there " Medicaid Pending". You apply for Medicaid to fund her stay there as a permanent resident.
4. Not all NHs accept Medicaid. Some will accept Medicaid after a two year stay as a private pay patient.
5. Does anyone have financial POA? Will mom assign you? Without your knowing her financial situation, it's going to be difficult to navigate this.
6. Make a list of all the NHs in your area. Call each one and find out if they accept Medicaid and if they require a private pay stay before. Make appointments to see them. If mom gets hospitalized, this way you'll have an idea of where you are willing for her to go.
I am not sure if she would designate me as power of attorney. I am a woman and she doesn’t see women as smart or responsible as men, even though I have been the responsible caregiver. My brothers do nothing to help. She has an old school sexist attitude. I feel lost as to what direction to take. Thanks for your feedback. I appreciate it.
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.
When you ask about how common is it for a NH not to have an available bed, are you talking about one specific nursing home, or nursing homes in general?
From reading your other posts, it sounds like you are fast approaching burnout with caregiving your mom and you are trying to find your way to next steps; is that an accurate portrayal of the situation?
Does your mother meet the medical criteria for needing NH care at this point in time? Have you discussed the financial aspects of this with an Elder Care attorney? Have you looked into home health care to provide you with some help in mom's care, if nothing else so that you can get some time away with your husband?
Plus, you nailed it. I am burning out and trying to sort things out.
I did ask primary doctor if mom was ready for hospice. She did suggest palliative care. I’m still confused as to what that means.
I called about receiving info on medicaid. She doesn’t have lots of money. I don’t know exact situation. I do not have power of attorney. I have medical power of attorney. She has a will. She has small amount of money in cds. I have two siblings who do not help. Yes, I admit I am stressed and frustrated.
The person I spoke to about Medicaid told me that not all NH even accept Medicaid and there may be a wait for a bed. We have a high amount of senior citizens in our area.
She has medicare now and Humana gold plus. Will that cover NH? I am trying to make decisions and feel overwhelmed. I appreciate your responding to me. Do you have answers for me? Do you need to know anything else from me in order to explain it to me?
1. Palliative care means that you treat symptoms and let go of trying to "cure". If mom has " chronic and stable" conditions, this can be a good course of action.
2. Medicare does not pay for long term care. It WILL pay for rehab ( which sometimes takes place in a NH) for 20 days following a three day in patient admission ( not "observation"--she must be admitted for 3 days to qualify).
3. If mom is in rehab and it is determined she needs to be in a facility, you can request that she stay there " Medicaid Pending". You apply for Medicaid to fund her stay there as a permanent resident.
4. Not all NHs accept Medicaid. Some will accept Medicaid after a two year stay as a private pay patient.
5. Does anyone have financial POA? Will mom assign you? Without your knowing her financial situation, it's going to be difficult to navigate this.
6. Make a list of all the NHs in your area. Call each one and find out if they accept Medicaid and if they require a private pay stay before. Make appointments to see them. If mom gets hospitalized, this way you'll have an idea of where you are willing for her to go.