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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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As Geaton suggests, anesthesia can cause cognitive issues that can mimic dementia. That aside, assessing your mom for dementia starts with her primary care physician. A very short cognitive and functional screening can be done by her PCP. If, as a result of those tests, and input from you regarding family history and your own observations, dementia is suspected, the dr. can either continue testing to see if the dementia is caused by a treatable condition, or refer your mom to a specialist, typically a neurologist. The neurologist could perform various procedures like CT or MRI scans, blood work, and spinal taps to look for certain biomarkers, indicative of a progressive disease. So your first step is to make an appt with her PCP. Most PCPs are now routinely screening the elderly for dementia, but you might want to give a heads up to her dr.
Your profiles says your mom is 81 years old, lives next door to you and she recently fell and had a hip replacement 3 weeks ago.
Did your mom have signs of dementia before the surgery? I'm asking because anesthesia often can impact an elder's cognitive functioning after surgery. They don't recover mentally as fast and sometimes they never go back to their prior levels of functioning.
If your mom really didn't have symptoms of dementia before the surgery, I would maybe give her a little more time to see if she recovers or improves before having her assessed. I realize you are struggling to care for her right now. Do you have the option to hire in-home help for a little while? Did your mom rehab in a facility at all?
I'm not sure how mobile your mom is to even get her in for a medical appointment. If necessary (and to keep her calm) you can make up a "therapeutic fib" about why she's having the appointment with her doctor (GP, or Internist). Tell her Medicare requires it, or anything you think she'll believe. Go prepared with a pre-written note that you discretely hand to the staff outlining your concerns about your mom's cognitive/memory issues and asking for a test, and also to test her for a UTI, an infection which quite commonly occurs after one is catheterized for surgery and can create dementia-like symptoms in the elderly. A UTI should definitely be discounted because it is easily treated and her cognitive abilities can return.
At that appointment request the Medical Representative form (part of HIPAA). Have your mom write in your name as her representative and then she signs and dates the form. She will need to do this at every doc office and clinic, every year. This gives her medical staff the legal ability to share her private medical info with you without her having to be present. This is different than a medical PoA. Are you her PoA? This would also be important to have in order to legally manage her affairs (and the banks have their own process).
There is much to know and do and it is hard. There is a lot of helpful people and info to be found on this forum. I wish you much wisdom and peace in your heart as you muscle through it all.
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.
Did your mom have signs of dementia before the surgery? I'm asking because anesthesia often can impact an elder's cognitive functioning after surgery. They don't recover mentally as fast and sometimes they never go back to their prior levels of functioning.
If your mom really didn't have symptoms of dementia before the surgery, I would maybe give her a little more time to see if she recovers or improves before having her assessed. I realize you are struggling to care for her right now. Do you have the option to hire in-home help for a little while? Did your mom rehab in a facility at all?
I'm not sure how mobile your mom is to even get her in for a medical appointment. If necessary (and to keep her calm) you can make up a "therapeutic fib" about why she's having the appointment with her doctor (GP, or Internist). Tell her Medicare requires it, or anything you think she'll believe. Go prepared with a pre-written note that you discretely hand to the staff outlining your concerns about your mom's cognitive/memory issues and asking for a test, and also to test her for a UTI, an infection which quite commonly occurs after one is catheterized for surgery and can create dementia-like symptoms in the elderly. A UTI should definitely be discounted because it is easily treated and her cognitive abilities can return.
At that appointment request the Medical Representative form (part of HIPAA). Have your mom write in your name as her representative and then she signs and dates the form. She will need to do this at every doc office and clinic, every year. This gives her medical staff the legal ability to share her private medical info with you without her having to be present. This is different than a medical PoA. Are you her PoA? This would also be important to have in order to legally manage her affairs (and the banks have their own process).
There is much to know and do and it is hard. There is a lot of helpful people and info to be found on this forum. I wish you much wisdom and peace in your heart as you muscle through it all.
P.S. My mom lives next to me also!