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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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Hospice is a wonderful option. My mother is in a memory care and is on hospice, and the only thing that's changed from before hospice is that she has a hospice nurse's extra set of eyes on her now. She still gets her medications, her nurse comes 3x a week, and she won't be going back to a hospital if something major arises.
The latter is why I put her on hospice -- I didn't want her to have to suffer in a hospital with dementia again. The last trip brought a big decline, plus she caught Covid there, so we're done.
Be sure to educate yourself on what hospice does and doesn't do. Also, I recommend choosing a hospice company that already has patients at your parent's nursing home. Chances are the nurse would see your parent more often as they're there to see others, too.
It never hurts to see if a loved one qualifies for hospice care. Getting them involved would mean a hospice nurse would come once a week to start, to check your parents vitals and such, and they would have their aides come about twice a week to bathe them as well. Also they would supply any needed equipment, supplies and medications needed for your parent, all covered 100% under your parents Medicare. They also have social workers, chaplains, volunteers, all at your disposal. You can certainly still have the compassionate care visits as well.
In the big picture of things hospice doesn't give much help to the patient, other than being extra sets of eyes on them, as their main goal is to keep the patient comfortable and pain free. However, they are on call 24/7 should you need them.
My husband was under hospice care in our home for the last 22 months of his life. I still was responsible for 99% of his care, so I guess be thankful that your parent is in a nursing home, as they will still receive the care they've been getting all along there.
And while under hospice care, if you decide that you want your parent to die at the hospice home instead of the nursing home(as most hospice homes are quite beautiful)you will have that choice. If your parent is expected to die within the week, their stay at the hospice home is covered 100% under Medicare. If it happens to be longer, you will have the choice to keep them there, however they will then have to pay out of pocket for their stay, and that is quite expensive.
I would talk to the nursing home, and your parents Dr. to see what they would recommend at this time. I wish you the very best.
Alzheimer's can be a death sentence, but ordinarily it is difficult for doctors to slot it into the "six months" life expectancy. Certainly palliative care should be considered. Compassionate care with eating would not change anything if hospice was in place. Food is not withdrawn from hospice patients. I would have the POA meet with the MD in this case, discuss the options, and talk about palliative and hospice care, and whether appropriate in this elder's case or not. It is the MD who orders either consultation.
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.
The latter is why I put her on hospice -- I didn't want her to have to suffer in a hospital with dementia again. The last trip brought a big decline, plus she caught Covid there, so we're done.
Be sure to educate yourself on what hospice does and doesn't do. Also, I recommend choosing a hospice company that already has patients at your parent's nursing home. Chances are the nurse would see your parent more often as they're there to see others, too.
In the big picture of things hospice doesn't give much help to the patient, other than being extra sets of eyes on them, as their main goal is to keep the patient comfortable and pain free. However, they are on call 24/7 should you need them.
My husband was under hospice care in our home for the last 22 months of his life. I still was responsible for 99% of his care, so I guess be thankful that your parent is in a nursing home, as they will still receive the care they've been getting all along there.
And while under hospice care, if you decide that you want your parent to die at the hospice home instead of the nursing home(as most hospice homes are quite beautiful)you will have that choice. If your parent is expected to die within the week, their stay at the hospice home is covered 100% under Medicare. If it happens to be longer, you will have the choice to keep them there, however they will then have to pay out of pocket for their stay, and that is quite expensive.
I would talk to the nursing home, and your parents Dr. to see what they would recommend at this time. I wish you the very best.