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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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He just sits in a chair. Is this common in later stages? Will this deteriorate his heart issues more? He has three partially blocked arteries and one totally blocked. Any suggestions?
I believe that there is a time for every purpose under heaven. There is a time to focus on consistent routines for those with dementia. The final stage may not be it.
You mention late stage Alzheimer's. You realize that ALZ is a terminal condition, right, and it will progress at its own pace?
If his doctor is satisfied with his care, I think you best just relax about it. I'm not sure what "other vitals" you think may be harmed, but since he is in the late phase of a terminal condition, does that really matter? I don't see what harm will come from sleeping when he is tired and eating when he is hungry.
Enjoy the time you have left with him. Try not to antagonize his wife, who is under a great deal of strain. Accept what you can't change.
If he doctor says to let him sleep as he wants, I'm not sure how you can argue with that. I have heard that blocked arteries does cause extreme exhaustion. It's my understanding that your body does suffer decline as the dementia progresses, even if you do get sleep.
Apparently, he's receiving Palliative Care is that right? I would think that getting a good night's sleep would make him feel better overall. Plus, if he's resting and getting good rest, so can his caretaker. I'm not sure if your step mom has really thought about that. If she's resistant, I might inquire if she needs some outside help with his care. Perhaps, she's too exhausted to get things back on track and manage his care.
I'm sure the answer to that would be..."he would only get angry and get back out of bed." I agree that being on a consistent schedule would most likely help my dad. Even his eating schedule is not awful. If he is hungry at 3:30 pm he is given his dinner and that becomes his evening meal. if he is hungry later, she has him snack on cereal. Other days his evening meal is at 5:00. My efforts fall on deaf ears. My main concern is what it may be doing to his other vitals aside from the Alzheimer's health issue.
Is there any reason that he can't be led to his bed at night, then awakened in the a.m. and then put to sit in his chair? Plus, sometimes a sleep aid at bedtime might help him get a good night's rest. It might make him feel better during the day and allow his caretaker to get more rest if he was on a schedule.
Thank you all. My stepmother complains about him sleeping during the afternoon but doesn't do much to keep him awake because his PCP said "if he is tired,let him sleep". He is not on a prescription for anxiety or depression. When he wakes in the afternoon he is confused and asks repeated questions that my stepmother finds annoying and often his mood has changed for the worse.
Sometimes medicine can keep you awake at night. I had that issues with a prescription meds for anxiety.... it worked for the jitters but it kept me wide-eyed the whole night... not good. Had to get off of it. So check and see what type of meds your Dad is taking.
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.
If his doctor is satisfied with his care, I think you best just relax about it. I'm not sure what "other vitals" you think may be harmed, but since he is in the late phase of a terminal condition, does that really matter? I don't see what harm will come from sleeping when he is tired and eating when he is hungry.
Enjoy the time you have left with him. Try not to antagonize his wife, who is under a great deal of strain. Accept what you can't change.
Apparently, he's receiving Palliative Care is that right? I would think that getting a good night's sleep would make him feel better overall. Plus, if he's resting and getting good rest, so can his caretaker. I'm not sure if your step mom has really thought about that. If she's resistant, I might inquire if she needs some outside help with his care. Perhaps, she's too exhausted to get things back on track and manage his care.
How do you know that he doesn't doze off in his chair at night?
Does he sleep during the day?
Getting enough sleep is important, but it doesn't have to be at conventional times or in a bed.