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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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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 am curious if anyone can educate me on symptoms of late-stage vascular dementia. What type of behavior do you or did you see when vascular dementia progressed to near the end of life?
My late husband died with vascular dementia, and about 2 years prior to his death he developed aspiration pneumonia , which almost killed him and where he developed sepsis and septic shock, which left him completely bedridden in our living room, where he remained under hospice care for the last 22 months of his life. At that point his comprehension of the spoken word had gotten much worse and he was much more easily confused about how to use the TV remote and such. He also started sleeping more the last year of his life(16-20 hours/day)and was in a lot more pain as well. And of course when he started his actual dying process, he stopped eating completely for 41 days and didn't drink for about 25 days, and was in horrible pain that hospice never was able to get under control, because I wanted my husband to remain at home(as did he), instead of taking him to the hospice home, where they would have been able to administer stronger drugs under the supervision of their doctor. My husband not only seemed to be in great pain but was also very agitated towards the end of his life, along with having many seizures. It was very difficult for me as his wife to witness all of this and I was beyond grateful when his(and my)suffering was finally over. I hope and pray that your loved ones passing will be much more quick and peaceful than my late husbands was.
"Vascular dementia is caused by damage from restricted blood flow in your brain. ‘Vascular’ refers to your blood vessels. Vascular dementia affects your reasoning, planning, judgement and attention, and how you function. These changes are significant enough to interfere with your daily life. Often, vascular dementia occurs alongside Alzheimer’s disease or other brain disease, and it can be difficult to diagnose".
Many websites report : Later stage often resembles Alzheimer's Disease as memory loss becomes more of a feature.
The following is my own view based on people I have met; Vascular changes/decline can progress in different ways, depending on cause eg small vessel disease may sneak along somewhat evenly but multiple larger strokes may cause noticeabe ability loss with each stroke.
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.
At that point his comprehension of the spoken word had gotten much worse and he was much more easily confused about how to use the TV remote and such.
He also started sleeping more the last year of his life(16-20 hours/day)and was in a lot more pain as well.
And of course when he started his actual dying process, he stopped eating completely for 41 days and didn't drink for about 25 days, and was in horrible pain that hospice never was able to get under control, because I wanted my husband to remain at home(as did he), instead of taking him to the hospice home, where they would have been able to administer stronger drugs under the supervision of their doctor.
My husband not only seemed to be in great pain but was also very agitated towards the end of his life, along with having many seizures. It was very difficult for me as his wife to witness all of this and I was beyond grateful when his(and my)suffering was finally over.
I hope and pray that your loved ones passing will be much more quick and peaceful than my late husbands was.
"Vascular dementia is caused by damage from restricted blood flow in your brain. ‘Vascular’ refers to your blood vessels.
Vascular dementia affects your reasoning, planning, judgement and attention, and how you function. These changes are significant enough to interfere with your daily life.
Often, vascular dementia occurs alongside Alzheimer’s disease or other brain disease, and it can be difficult to diagnose".
Many websites report : Later stage often resembles Alzheimer's Disease as memory loss becomes more of a feature.
The following is my own view based on people I have met;
Vascular changes/decline can progress in different ways, depending on cause eg small vessel disease may sneak along somewhat evenly but multiple larger strokes may cause noticeabe ability loss with each stroke.