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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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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Our little 12 year old Jack Russell is blessing. My husband will walk her just around the yard several times a day. After a few minutes, she leads him back to the door. He also does dishes although I often have to rewash some of them. He still likes to flip through the newpaper but I don't think he reads much of it anymore. I keep a giant calendar in front of him where he sits all day and he will mark off each day and then he can look at it whenever he wants to know what day it is. He'll write little notes on it sometimes. He does like to watch TV, just about anything and of course, since he doesn't remember what he watched, there is never a repeat! He can still mow the lawn...and then he will tell you for three or four days in a row, how he sweat like a pig mowing "yesterday". My husband is 66 and has suffered with early onset Alzheimer's type dementia since he was 62.
earphones & a small clip on iPod that you have put all his favorite music on, my husband loves it and really it is the only activity he loves, he sings along quite loudly, but that's ok! I say ear phone as the buds are hard ( and tiny) to maneuver into the ears. I tried books on tape, that drew no interest as it is too hard to follow any plot. he likes playing & walking our two cocker spaniels who love him dearly. the only chore he does thoroughly every day is the dishes, but I have to remember to thank him & tell him what a great job he has done or else he feels like I don't care. I speak of my husband who is 82.
Walking our neighbor's dog has helped us. My spouse enjoys the friendliness, tail wags and 'happy face' dogs have. Cheers all of us even if we don't have dog ourselves.
• Take a walk. • Go for a swim. • Sorting games. Sort objects by color, shape or design. Infuse the game with your loved one's favorite hobbies. For example, baseball fans can sort cards by team or position. If your loved one enjoyed carpentry, have him match tools with their names. • Play ball. Use balloons or large, soft balls to play catch. • Read together. Read the paper or book with large print. Take turns, and have fun. • Reminisce - Talk about old times. Encourage your loved one to remember a favorite summer, first day of school or wedding day. Keep in mind, though, that painful memories may also resurface. • Watch family videos. Pull out old movies or make a new one where family members discuss their fondest memories of your loved one. • Go through photo albums. Old pictures can trigger pleasant memories. • Watch a favorite movie or TV show from their past. • Music - Music therapists have found that adults with advanced Alzheimer's often respond to music, and especially music from their past. In fact, researchers have found that the ability to process music remains intact into the late stages of the disease. • Sing along. People with Alzheimer's often retain melodies and words to popular songs.
I am trying to help find something to keep my Dad with dementia busy.I live down the street he lives with Mom and Mom is driving me and him nuts because he is bored and needs something to do.He dont like crossword puzzles so Im lost please help me
My mother in law is in the moderate stages of this disease. It is quite difficult as our entire family is working the best they can to provide care and support to her and to one another. We have a six month old and it makes my mother in law extremely happy to visit with us weekly for a few days at a time, she spends hours holding her granddaughter, and lights up everytime the baby smiles, laughs, and gives her baby hugs and kisses. In addition to playing with the babe, we try to keep her in the loop of all our conversations, even in her limited ability to carry out a full or in depth conversation, about the family, current events in the news that catch her interest, or the ongoing joke of her finding a boyfriend.....in this, a sense of humor is necessary not only for her sake, but also ours as well. She also enjoys music, and melodies that are familiar, and since she is quite able-bodied, dancing. So on Sunday mornings we crank the volume up and listen to the classics that she enjoys.
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.
• Go for a swim.
• Sorting games. Sort objects by color, shape or design. Infuse the game with your loved one's favorite hobbies. For example, baseball fans can sort cards by team or position. If your loved one enjoyed carpentry, have him match tools with their names.
• Play ball. Use balloons or large, soft balls to play catch.
• Read together. Read the paper or book with large print. Take turns, and have fun.
• Reminisce - Talk about old times. Encourage your loved one to remember a favorite summer, first day of school or wedding day. Keep in mind, though, that painful memories may also resurface.
• Watch family videos. Pull out old movies or make a new one where family members discuss their fondest memories of your loved one.
• Go through photo albums. Old pictures can trigger pleasant memories.
• Watch a favorite movie or TV show from their past.
• Music - Music therapists have found that adults with advanced Alzheimer's often respond to music, and especially music from their past. In fact, researchers have found that the ability to process music remains intact into the late stages of the disease.
• Sing along. People with Alzheimer's often retain melodies and words to popular songs.