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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.
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My grandma-in-law would do the “I’m not hungry” thing often. She had dementia (and a hernia, which was part of the problem) and macular degeneration. In hindsight, we think the bad eyesight contributed too. She couldn’t make out what was in front of her and she’d smile, wave at the plate and say “Oh, take it away!”. She was trying to mask how badly it had gotten. As her dementia worsened she barely ate anything. NH had to rely on Ensure to keep her going.
My own grandma didn’t have dementia but was so stubborn and angry that she’d use not eating as a means of control and expressing anger. If we put a plate of food in front of her, she’d turn her head and make a face like a 5-year-old who didn’t want vegetables. She broke her hip and was in a very nice rehab place for a few months. She lost about 25 pounds and insisted that “it’s just fluid”. Refused Ensure, appetite meds didn’t help. She’d eat a piece of lettuce and would just do the tiniest nibbles... it was so aggravating. We had to put the fear of God into her and told her if she didn’t eat, she was going to die. She ate more after that, but still not all that much.
I will agree with giving her anything she will eat. I did that with Luz, my wife. It helped a little. Not enough in her case but it did a little. Then at the end nothing seemed to work. Only water taken on a sponge oral scrubber to moisten her mouth.
That's the death spiral that many elderly get into. They stop eating which means they have less energy which makes it even less likely that they will eat. That's how grandpa died. He starved himself to death.
The same thing happened with my mom. She went from 120 to 80lbs. The good news is with mom I pulled her out of it. The key with her was ice cream. She refused to eat anything but she would eat ice cream. Not willingly but if I nagged her she would. Nutritional drinks also became her sole source of fluid intake. Combine the two and a year later she was back over 100 pounds. Which is an incredible accomplishment for the elderly. Now she eats pretty much normally again. She still asks for ice cream but if I give her other food, she'll eat it no nagging needed.
In her situation, it's all about the calories. Get her to eat anything you can get her to eat. There's no such thing as junk food. It's all about the calories. I know there are healthy diet fanatics that will insist they eat a "healthy diet" all the way to the grave. They are wrong. One of my brothers was like that. We would argue about it. Until a nurse said all her mom would eat was peanut butter and nutrition drinks. She even said, "It's all about the calories." Brother shut up about it after that.
Yes, the A.L. Dr did give my mother a med to increase her appetite, but I don't know what it's called. Your mom's Dr will likely know what pill could help.
MayK, my mom lost her appetite while she was still reasonably healthy, I used to get annoyed that I would make a good meal and she would barely eat half of it. What I didn't know then was that this would eventually lead to her becoming weaker and frailer and falling, which was the start of her downward spiral. At this point I wouldn't worry about balanced meals but do what you can to tempt her - offer easy to eat favourites, have snacks available often and if she is still not getting enough try adding some of the supplements like boost or ensure.
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.
My own grandma didn’t have dementia but was so stubborn and angry that she’d use not eating as a means of control and expressing anger. If we put a plate of food in front of her, she’d turn her head and make a face like a 5-year-old who didn’t want vegetables. She broke her hip and was in a very nice rehab place for a few months. She lost about 25 pounds and insisted that “it’s just fluid”. Refused Ensure, appetite meds didn’t help. She’d eat a piece of lettuce and would just do the tiniest nibbles... it was so aggravating. We had to put the fear of God into her and told her if she didn’t eat, she was going to die. She ate more after that, but still not all that much.
It helped a little. Not enough in her case but it did a little. Then at the end nothing seemed to work. Only water taken on a sponge oral scrubber to moisten her mouth.
The same thing happened with my mom. She went from 120 to 80lbs. The good news is with mom I pulled her out of it. The key with her was ice cream. She refused to eat anything but she would eat ice cream. Not willingly but if I nagged her she would. Nutritional drinks also became her sole source of fluid intake. Combine the two and a year later she was back over 100 pounds. Which is an incredible accomplishment for the elderly. Now she eats pretty much normally again. She still asks for ice cream but if I give her other food, she'll eat it no nagging needed.
In her situation, it's all about the calories. Get her to eat anything you can get her to eat. There's no such thing as junk food. It's all about the calories. I know there are healthy diet fanatics that will insist they eat a "healthy diet" all the way to the grave. They are wrong. One of my brothers was like that. We would argue about it. Until a nurse said all her mom would eat was peanut butter and nutrition drinks. She even said, "It's all about the calories." Brother shut up about it after that.