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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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There are several medications that can be used, but first I'd make sure he has a good evaluation to make sure nothing else is going on. The facility should have a behavioral care plan to help manage behaviors. You can contact the local or state long term care ombudsman and they can assist you in making sure your father has the care he deserves.
My mom was agitated and violent for years. We finally got the right combination of meds and it has been a dramatic and positive change. Risperdal twice daily and Paxil was a miracle for us.
We're doing Ativan for my mother, but other changes helped too: the nursing staff adjusted her medication times so that she had a little more time in the morning to wake up before her AM meds, and we moved her to a private room so that it was quieter (less stimulation). It's not perfect, and she is still suffering from anxiety and aggressive impulses, but there has definitely been an improvement. Much of her combativeness occurs when she feels over-stimulated (particularly too much noise or too many people moving around her at one time). A good facility will find alternatives (often through trial and error), hopefully via a combination of chemical and environmental approaches. Good luck!
I would suggest you speak with staff and find out why he is combative. Are they doing something to him? Is he frustrated about living there? When did this start? What does his doctor say about this behavior? Chemical restraints for someone with dementia can exacerbate the situation. You need to investigate what is going on and perhaps find other solutions (another facility).
Mom (94) had to be moved 5 times and was also sent to two geri-psych hospitals to have her meds adjusted. She was finally put on Trazadone and Depakote, but was still very combative. Once again in a hospital - only this time her own hospital - she was treated for 10 days for a UTI and put on Risperdal which worked wonders. They kept her on Depakote too for depression/mood-stabilizing. By adding an "as-needed" dose of Risperdal at 2 pm, we proactively prevent the sundowning problems, and I feel like I have my dear, sweet, funny Mom back. Good luck finding the right answer for your family!!!
We see a geriatric psychiatrist for my 90 year old mom. She's prescribed Ativan, Seroquel and Lexapro for mom. Mom used to be combative, aggressive, nasty and belligerent during the "sundowning hours" (usually from 3-bedtime). These prescriptions have helped unbelievably well and mom is more content, conversive and enjoyable to be around. Plus, we don't have to worry about how fast we can duck when objects used to start flying!
Another tip is to watch old musicals! Mom loves watching "White Christmas", "Sound of Music" and other Rogers & Hammerstein productions. She smiles and taps her fingers. It's a relief to see her finally enjoy something!
Music helps. Get him an old fashion record player or cassette and his Music ... Might be lonely. If he's a veteran , call vets administration for ideas and help.
Check his meds first. I had to get help from Neurologist and my mom is more cheerful. Trazadone helped. She's on 10 mg namenda and 50'mg Trazdone at night. No more aricept. Maybe a urinary track infection .
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.
Another tip is to watch old musicals! Mom loves watching "White Christmas", "Sound of Music" and other Rogers & Hammerstein productions. She smiles and taps her fingers. It's a relief to see her finally enjoy something!
Music ... Might be lonely. If he's a veteran , call vets administration for ideas and help.
Neurologist and my mom is more cheerful. Trazadone helped. She's on 10 mg namenda and 50'mg Trazdone at night. No more aricept.
Maybe a urinary track infection .
There are many different classes of medications that can be tried. There are anti anxiety meds, antidepressants and antipsychotics, to name a few.