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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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Yes, and sadly, a nursing home with a psyc unit and/or medications may be the last and sad answer ultimately. There is no question of your taking him home. He is currently being assessed. Keep close contact with the Social Worker. There are few choices left in such sad instances, and I am so sorry.
I don't know where he may have to go--but why don't you kind of wait and see what medications may help him before you get too worried about this.
It doesn't make sense that a MC facility isn't the first and best course of options--NH's are less capable (in my experience) of caring for people who are agitated and volatile.
Hopefully the pysch unit will be able to help you out with the next step.
The psychiatric unit is his best option for now. Once his anxiety and agitation are under control, placement can be addressed. Most hospitals have either a social service or case management team to help with placing patients after they are stable. Ask to meet with the case manager or social worker to discuss his options for placement.
See if you can establish a connection between your husband’s psychiatrist and the memory care unit where he was previously placed, if you were satisfied with his care while he was there.
By dumb luck, I asked my LO’s memory care administrator to recommend a psychiatrist to see her when she was painfully agitated, and the resulting contacts served her well for the rest of her life.
Please continue to be steadfast in your decision to seek appropriate placement for him and under NO CIRCUMSTANCES consider bringing him “home”.
MC costs are higher than other AL units despite being incapable of providing appropriate care for “difficult” residents. Your story reinforces my poor view of MC units. My very docile sister is in MC in CA where I’m told a dx of dementia requires placement in MC. When she posed a risk of falling, memory care staff were unwilling to provide a higher level of supervision requiring family to hire private staff. I’ve instructed my adult children to avoid MC for me if/when I need care secondary to memory loss. At least where my sister is I see MC as a ripoff.
This exact same thing has happened twice to my husband. The first time he went to a behavioral hospital was for sexual behavior. They gave him meds to curb those tendencies. This last time was for abusive behavior both verbal and aggressive behavior towards other residents. Another 2 an a half weeks with new meds and he was sent back to his MC facility. He’s pretty much just there now with all these meds. He keeps falling and has busted his head open a few times. It’s been a long journey that’s in its eleventh year. He’s been in MC a year an a half of those years. I’m 83 and he’ll be 83 next month. We are both old and tired of this journey. He’s has hospice care now, but they call yesterday and with hospice there to care for him he still fell.
Get direction from the social services and discharge planning services where he is presently hospitalized. DO NOT, let them return him home as you share your age and his condition, this does not sound safe for either of you. Be clear with the discharge planning that YOU CANNOT TAKE CARE OF HIM and, he must be placed. Be sure that his PCP and others are included in the conversation. You may also want to speak directly with an Elder Law Attorney to help navigate this. Hopefully you have other family who will be supportive for you. Take care of yourself.
I experienced something similar with my father. I know state laws are different everywhere, I'm in Wisconsin and it is illegal to place a person with dementia (incurable disease) to a psychiatric facility. Also illegal to force the person to take medications. APS, my local ADRC, and ombudsman were all extremely helpful getting us the resources needed and educating me. APS helped me obtain guardianship and got him placed on a protective order in a SNF temporarily where they could level out his meds, which helped to calm his agitation and we were able to get him placed in MC. The ombudsman helped to facilitate meetings with the MC facility so we could all get on the same page to make sure dad was happy to be there and the staff was happy to have him. Good luck and don't be afraid to get APS involved to help you.
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.
He's safe in a psych wing and seeing what meds may help him. After he has consistently good result, then time to find placement for him.
You're doing great! Make sure to take care of yourself first and foremost!
We tried some new meds and she has calmed down, so she is still in MC.
It doesn't make sense that a MC facility isn't the first and best course of options--NH's are less capable (in my experience) of caring for people who are agitated and volatile.
Hopefully the pysch unit will be able to help you out with the next step.
By dumb luck, I asked my LO’s memory care administrator to recommend a psychiatrist to see her when she was painfully agitated, and the resulting contacts served her well for the rest of her life.
Please continue to be steadfast in your decision to seek appropriate placement for him and under NO CIRCUMSTANCES consider bringing him “home”.
DO NOT, let them return him home as you share your age and his condition, this does not sound safe for either of you. Be clear with the discharge planning that YOU CANNOT TAKE CARE OF HIM and, he must be placed. Be sure that his PCP and others are included in the conversation. You may also want to speak directly with an Elder Law Attorney to help navigate this. Hopefully you have other family who will be supportive for you. Take care of yourself.