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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:
Hospice is usually brought in when your LO's Dr thinks that they have 6 months or less to live. Once involved, hospice will send a nurse to your home once a week(more if needed) to check your LO's vitals and such, and an aide will come out about twice a week to bathe your LO. They will supply all needed equipment such as hospital bed, oxygen etc., all medications needed and all supplies such as diapers, chucks, canula's, catheters etc. as well. You will also have access to a social worker and chaplain. All of this is covered 100% under Medicare. And you don't have to wait on a Dr, you can in fact call hospice yourself, and they will come out and do an evaluation. Just make sure you do your homework, as not all hospice agencies are created equal. Wishing you the best.
Hospice must be ordered by an MD> It will not be ordered by the MD unless he believes that the patient has fewer than 6 months to live. Often patients DO outlive this 6 month expectation; it is then up to them whether to apply again for another 6 or to come off of hospice. Hospice will be a full team of RNs and aids who will manage care, medications, baths and etc. When they visit they will explain to you how often they will come. There is also Social Workers, Clergy if you wish them, and etc. Medications that are meant to "cure" are often withdrawn while medications for comfort remain. The Hospice mission is not to prolong life, nor to cure illness, but to keep patients who understand that they will pass of their illness comfortable in their last days. It is very important to interview Hospice with all your questions and expectations so that there is no misunderstanding. Hospice is almost always called "too late". It will help us if you would give us some details about your own situation and your feelings. Please do google "palliative care" and "hospice" so that you understand as fully as you are able. Also go to the timeline above, in blue, that is headed AgingCare, and press on care topics. You can access "Hospice Care from there, and read articles.
When my husband had his first evaluation with a hospice agency, it was because I called them and requested it, not his Dr. His Dr was at that time, no part of it. My husband at that time didn't qualify for hospice services, but did then qualify for palliative care.
It is never to soon to contact Hospice. If they find the patient not eligible they will give you information and guidance and possibly suggest Palliative Care. While the general guideline that is used is a life expectancy of 6 months or less they will evaluate and recertify the patient at that time. If there has been a continued, documented decline they will recertify for Hospice. There are Medicare guidelines that must be met to make someone eligible for Hospice and for recertification. As soon as someone gets a diagnosis that is terminal AND they are no longer seeking treatment they would possibly qualify for Hospice.
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.
Hospice will be a full team of RNs and aids who will manage care, medications, baths and etc. When they visit they will explain to you how often they will come. There is also Social Workers, Clergy if you wish them, and etc.
Medications that are meant to "cure" are often withdrawn while medications for comfort remain. The Hospice mission is not to prolong life, nor to cure illness, but to keep patients who understand that they will pass of their illness comfortable in their last days.
It is very important to interview Hospice with all your questions and expectations so that there is no misunderstanding.
Hospice is almost always called "too late". It will help us if you would give us some details about your own situation and your feelings.
Please do google "palliative care" and "hospice" so that you understand as fully as you are able. Also go to the timeline above, in blue, that is headed AgingCare, and press on care topics. You can access "Hospice Care from there, and read articles.
While the general guideline that is used is a life expectancy of 6 months or less they will evaluate and recertify the patient at that time. If there has been a continued, documented decline they will recertify for Hospice. There are Medicare guidelines that must be met to make someone eligible for Hospice and for recertification.
As soon as someone gets a diagnosis that is terminal AND they are no longer seeking treatment they would possibly qualify for Hospice.