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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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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.*
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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:
It's honestly entirely a personal decision driven by (among other things):
1. How available you or other family members are to manage care by aids and to check on your elder 2. Age, condition, needs of the elder and ability of agency or aids to address them safely 3. Most of all, assets. In home care is very expensive dependent on how many hours daily are required.
It's ALWAYS good to consider it when you see the need for it rearing its head. So, gather costs, availability, reliability, assets together, explore in facility care places, and get a good idea what you are looking at. This is something for family to do TOGETHER if you all get along, first in DISCUSSING it, and the assigning, taking action, exploring, forming lists of questions and plans, and meeting to reassess thoughts on the subject.
We, as a Forum of strangers who don't know any of you or the needs, assets and availability of care in your area probably won't be a great help just now, but when you are ready to go we can help you form lists of questions for ALFs and MC facilities as well as of agencies.
Good luck. Starting the new year off with a bit on your plates, I think? We are here to help you attempt to think it through.
In our situation with momma - I live out of state being the primary caregiver with no help from siblings that live local. Also once I started adding up her expenses that if we left her in her house with aides she would have burned through her money quickly. She couldn't drive anymore, was not taking her medication correct, wasn't doing anything for herself in her house, couldn't handle a checkbook any more, being taken advantage of my siblings wanting money out of her, the housekeeper was taken advantage of her (wanted more money) and her medical needs were increasing especially after she fell a couple of times and suffered double hemotomas. Dad had purchased her a LTC policy and when she did go into assisted living she got approved. The value of that policy was over $500 thousand and we have been using it for the past six or seven years. She still has some left on it. Of course her and my siblings don't like me very much because I squished the money train and momma didn't want to go into assisted living but she is somewhat better off there then living at home. She will be 91 in May.
when is the right time to start thinking about it ? As soon as you can. Since you raised the question , start looking into it. As to making the decision, first you need to think about the current needs, think about the future needs (they usually increase progressively), and determine whether staying home or AL will be better. It depends on a lot of factors but start looking into it, talking to other pertinent members of the family and support structure about it now!
The decision may be made for you when the person being cared for can't manage without an aide present. We're going through this right now with my 92yr old mother, in our 9th year of home healthcare. She adamantly refuses to go to assisted living, though the social workers and I try to convince her every time she's in the ER-hospital-rehab (regularly).
My mother had worked up to having a CNA from 8am-1 or 2pm daily; since her last return from rehab (2 days before Christmas!) an additional daily CNA has been added from 5-8pm (the rest of the time she's in bed with an emergency call button). The very good agency is struggling to schedule these additional hours, and it's been really rough with the holidays, bad weather, and illness.
The aides are excellent & very caring, and I feel really bad about what they're being expected to do: split shifts with all of the additional driving back in the evening. And they also have to work at the facility. But this has become a big problem, because my mother cannot take care of herself at all. (She now lets the aides in for their shift by pressing her garage door opener while in bed.)
I'm not willing to step in and help with her care - I have a fulltime job and don't have/am not willing to get the training to give my mother the care she requires. I believe (as do her doctors) that she is long past the need for a facility. I'd stop doing her shopping if I thought it would force her into care, but I know if I did, she would simply demand more aide hours to do her shopping for her, and I would feel guilty about having that added to their burden. Fortunately/unfortunately, she has the means to pay for whatever she wants. And in-home care at this level does cost much more than an excellent assisted living facility.
It's important to be aware that health crises usually occur suddenly (e.g. broken hip) and it can be very difficult to pivot to get the additional in-home help that will be needed.
We found using an aide in the home to be a good option for the time period when help was needed on a limited basis. My dad hired a great helper for daily help from 8am-2pm, during which he showered so she’d be nearby if there was a fall, she made breakfast and lunch, prepped a dinner, did laundry as needed, took him on errands and appointments as needed, and whatever else they came up with. We also found that dad’s needs were quickly increasing and the arrangement wasn’t going to remain as an option for long. He couldn’t afford to pay for more helpers to cover the remaining hours, the falls were happening at a faster rate, and his overall health was quickly declining. Had he lived much longer, we’d have had to change to some form of managed care. The right time for assisted living is when the needs of the person overwhelm the help reasonably available, and it’s never fun to reach that point. Caregivers must protect not only those they love, but their own wellbeing in order to continue to advocate and support the person in need
More information is needed. Does this person live alone ? How much help does LO need? Are they safe home alone overnight ? Does this person have dementia ? Is LO cooperative ?
In general 24/7 paid care at home is much more expensive than AL .
She does live alone. She is now needing help with medication as she hasn’t been as diligent taking it as she should. She did have two falls recently but is ok - no rehab needed. Does like to have someone there for bathing (in case she feels a bit uneasy). She is approved for an aid but they have been inconsistent and not reliable. She can prepare her own meals.
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.
1. How available you or other family members are to manage care by aids and to check on your elder
2. Age, condition, needs of the elder and ability of agency or aids to address them safely
3. Most of all, assets. In home care is very expensive dependent on how many hours daily are required.
It's ALWAYS good to consider it when you see the need for it rearing its head. So, gather costs, availability, reliability, assets together, explore in facility care places, and get a good idea what you are looking at.
This is something for family to do TOGETHER if you all get along, first in DISCUSSING it, and the assigning, taking action, exploring, forming lists of questions and plans, and meeting to reassess thoughts on the subject.
We, as a Forum of strangers who don't know any of you or the needs, assets and availability of care in your area probably won't be a great help just now, but when you are ready to go we can help you form lists of questions for ALFs and MC facilities as well as of agencies.
Good luck. Starting the new year off with a bit on your plates, I think? We are here to help you attempt to think it through.
My mother had worked up to having a CNA from 8am-1 or 2pm daily; since her last return from rehab (2 days before Christmas!) an additional daily CNA has been added from 5-8pm (the rest of the time she's in bed with an emergency call button). The very good agency is struggling to schedule these additional hours, and it's been really rough with the holidays, bad weather, and illness.
The aides are excellent & very caring, and I feel really bad about what they're being expected to do: split shifts with all of the additional driving back in the evening. And they also have to work at the facility. But this has become a big problem, because my mother cannot take care of herself at all. (She now lets the aides in for their shift by pressing her garage door opener while in bed.)
I'm not willing to step in and help with her care - I have a fulltime job and don't have/am not willing to get the training to give my mother the care she requires. I believe (as do her doctors) that she is long past the need for a facility. I'd stop doing her shopping if I thought it would force her into care, but I know if I did, she would simply demand more aide hours to do her shopping for her, and I would feel guilty about having that added to their burden. Fortunately/unfortunately, she has the means to pay for whatever she wants. And in-home care at this level does cost much more than an excellent assisted living facility.
It's important to be aware that health crises usually occur suddenly (e.g. broken hip) and it can be very difficult to pivot to get the additional in-home help that will be needed.
In general 24/7 paid care at home is much more expensive than AL .