Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Is senior surrendering / handover a thing in the US? Our mother has gone downhill at 90 degrees in the past year. She stopped trying to walk up the stairs in my house house in one state- she moved to another state to live with my sibling in their one level home but began to barely get out of bed once there. She was getting up to go to the restroom/bathe/feed herself but stopped doing this as well. She won’t go to a doctor and refuses to use her SS income to pay for an aide. She says she will deny help if we tried to hire someone to come help. She never transferred her info to the other state so she’s technically not a resident there so they can’t sign her up for help from the state. A doctor told my sibling that they could drop her off at a hospital and they would eventually turn her over to the state. We obviously don’t want it to come to that but we feel we are at the end of the road. She won’t even try to make it to the restroom anymore and insists on adult diapers. My siblings and their partner have a family and full time jobs and can’t afford to quit to take care of her. If she were to be taken to the hospital (for help she clearly needs but won’t allow for) via ambulance and then no one picked her up, would they come after my sibling (the point of origin for the emergency pickup) to force them to take her? Would we be allowed to get in touch with her once the state were to take over? Could we still provide her at least a cellphone for communication?
Call 911 and tell them she's lost mobility and possibly has a UTI due to her bizarre decision-making and won't permit you to take her to get help. You need to give the EMTs a medical (not cognitive/dementia) reason for calling them out. Once in the ER you must tell the discharge staff that she is an "unsafe discharge" and no one is her PoA (if this is true). No one should claim to be her caregiver, no one should pick her up to take her back home. Do not take her back home so matter what the hospital promises (like to help you). It's a lie to just get her out of their hospital.
Ask to talk to a social worker and explain the dilemma. Your family can pursue guardianship for your Mom but it is expensive and will take time. If not, then she will need to become a ward of a court-assigned legal guardian. My family personally had a good experience with this, as the guardians are to act in their wards' best interests. And maintaining contact with family is in her best interests.
As a ward, her legal guardian will immediately block any outside access to her accounts, and will manage all her affairs and make all her decisions for her. They will transition her to a facility of good quality and make an attempt for it to be close to family.
Not sure the guardian will allow an outside cellphone, not sure your Mom would even remember how to use one, or be willing to. This would be a question for the guardian, if it gets to this point.
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.
Ask to talk to a social worker and explain the dilemma. Your family can pursue guardianship for your Mom but it is expensive and will take time. If not, then she will need to become a ward of a court-assigned legal guardian. My family personally had a good experience with this, as the guardians are to act in their wards' best interests. And maintaining contact with family is in her best interests.
As a ward, her legal guardian will immediately block any outside access to her accounts, and will manage all her affairs and make all her decisions for her. They will transition her to a facility of good quality and make an attempt for it to be close to family.
Not sure the guardian will allow an outside cellphone, not sure your Mom would even remember how to use one, or be willing to. This would be a question for the guardian, if it gets to this point.