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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.
Share a few details and we will match you to trusted home care in your area:
My mom who is in a nursing home went to the hospital for aspiration pnumonia on 7/8/19 and because she had numerous medical conditions and was not eating nor drinking, the doctors at the hospital highly recommend hospice on 7/19. I agreed to the fact that her medical conditions outweigh going to dialysis and it was a greater risk now than before But the Hospice RN want to schedule both Dilaudid and Antivan. I stated not to schedule but prn Dilaudid and to schedule Antivan since was on it before for anxiety. I feel they want to drug her up till she doesnt respond to anything. Right now she is alert but not responding unless you touch her. In my opinion I want to leave the rest in Gods hands and not overmedicate my mom. What do you think?
Generally, I’d say not. We did have a situation with hospice in our family where we all believe our family member died more quickly, likely a few days sooner, due to a hospice nurse overmedicating him. No one was upset by it, to the contrary, it was seen as merciful due to the circumstance. Many have had positive hospice experiences, some have had negative. I’ve seen both
No.They treat for comfort. Occasionally THAT hastens death, as you are not pumping in artificial means of keeping the torture going for another day, another week, another month. When a patient can no longer eat they do not feed. When they can no longer drink they do not pump in fluids. When the body reacts to any discomfort they medicate that comfort. When there is shortness of breath they administer medications to help that. These actions "allow death to come" if you will.
People often don't call for hospice until they can see that things are irreversible and the end is coming. Then the end comes quicker than they were expecting. Some people linger for weeks, some people go rapidly downhill at the end. It's not possible to know how quickly the person would have gone without hospice. Don't blame yourselves if you know that you tried to do what you thought was best. Just remember that the end was certainly coming, and timing isn't so important as comfort.
NOT all the time. Sometimes they get better. My Mom has been on Hospice 4 times and got better each time so they took her off. My Dad was in horrible pain and hospice helped relieved that pain and he passed quickly.
It may or may not be overmedication. The meds suggested are used to relieve pain and fear. If she's not in a lot of pain, I could see PRN. If she is in a lot of pain, though, using the Dilaudid could ease needless suffering.
When my father was with Hospice but still at home, he used morphine PRN. They told him he could have alcohol (which he had quit for health reasons) OR morphine, but not both, because they didn't want to kill him. He chose the latter. At the very end, when he was in the center, they continuously used morphine, which he was still alert enough to want. Yes, he slept often, but he was already 'actively dying' and in pain.
I'm not sure how much pain your mother has. I'm very sorry you have to go through this.
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.
When my father was with Hospice but still at home, he used morphine PRN. They told him he could have alcohol (which he had quit for health reasons) OR morphine, but not both, because they didn't want to kill him. He chose the latter. At the very end, when he was in the center, they continuously used morphine, which he was still alert enough to want. Yes, he slept often, but he was already 'actively dying' and in pain.
I'm not sure how much pain your mother has. I'm very sorry you have to go through this.