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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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I had a loved one on Citalopram and it caused a complete (negative) personality change. It was the worst drug for him. That's not to say that it doesn't work for some people but it sure didn't work for him.
You may want to ask for a medication change. Carol
This drug's brand name is Celexa, with citalopram the generic name. It is prescribed for depression, OCD, panic attacks and hot flashes (due to menopause). If it is causing side effects which are intolerable, consult the doctor who ordered it and tell him/her what they are. If it is for depression, know there are dozens and dozens of drugs which can be prescribed. It is like a key that fits into a lock. Each person's brain handles each drug differently. In this area, no one drug "fits all", so try many to find the right combination for your loved one.
My mother was on it to see if it would help lift her mood. It does help many people. It didn't have much effect on my mother at any dose. I hope that it does help in your circumstance.
My mom has been taking it for years. She started when she was caring for her husband. They were both getting short with each other. They both took it and it "helped take the edge off". Her husband passed and she still takes it.
A note, she was trying to reduce her medications and decided (with her docs OK) to start weaning off of it. She didn't take it once and decided immediately that she wasn't going to stop. I can't remember exactly why, but I know you can't just quit "cold turkey".
it has helped my MIL on the low dose and upped it a few years later w/o any bad results. it did take a bit of time when first started to see results-1 wk or so
I don't know what kind of side effects Citalopram may have on the elderly, but I've been taking it for over fifteen years and I've not experienced any negative side effects. But everyone is different
My alz 86 yr old spouse was great at put downs to me & our son asked is there a pill that could help? Went from lion to a lamb. Still working since 2008 or 9. Never chgd dosage. Can love him more now than in those bad days. He thanks me & tells me he loves me many times a day. He is very slowly changing in memory. Remembers some past but present forget it.
Ditto on Houndmother's remarks. It saved me as well. If you stop it abruptly ( I forgot it on a trip- I was very light headed, but emotionally ok). Many people who suffer from depression who go off treatment may do alright for periods of time, but there is a good chance of another bout of depression down the road.
My mother in law, whom we care for, was on a number of different antidepressants including Citalopram, during the final illness and after the death of my father in law. As someonecwith some professional experience in the mental health field it seems to me prescribing antidepressant or other psychotropic medication is much less effective without at least some counseling and teaching of cognitive strategies. The negative effects of the psychotropics for my MIL outweighed any advantage. She still had disturbed sleep cycles and her confusion and balance issues were worse. She finally weaned off and has been more alert, in a more positive mood (well, for her) and has far fewer falls.
The reason you don't abruptly stop SSRI antidepressants is that it can cause both physical and psychological withdrawal symptoms.
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.
You may want to ask for a medication change.
Carol
A note, she was trying to reduce her medications and decided (with her docs OK) to start weaning off of it. She didn't take it once and decided immediately that she wasn't going to stop. I can't remember exactly why, but I know you can't just quit "cold turkey".
The reason you don't abruptly stop SSRI antidepressants is that it can cause both physical and psychological withdrawal symptoms.
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