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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 93-year-old mother has Alzheimer's and aggressive behavior and spent a month in a psyche center to get her med's under control. They finally found med's to help her, so she is less anxious during the day and no longer violent, although she is also lethargic from the drugs. Unfortunately, she is still not sleeping at night and is disturbing the other residents. The Memory Care center where she lives wants to keep her so drugged at night that she is a zombie during the day and cannot even hold her head up. I don't want her to be this drugged during the day, so the facility is giving up on her after trying everything else (melatonin, moving her bed next to a wall because she says she is falling out of bed even though she is not, weighted blanket, etc.) and they want her out. They told me that they are not sure any other facility will take Mom. I am not sure where to go from here. Does anyone else have any ideas on what the next step is for us? Does skilled nursing take care of patients like this? I am at a loss.
The way these facilities work, at least in our area, is that the doctors rotate among them and don't have set appointments or even necessarily set days. They go to a facility and might have one patient to see there on that day, or six, and don't know how long it will take to see each one. It is frustrating but on the other hand the patients are seen there rather than having to be taken out, and the doctor can leave instructions for the facility staff.
Also, some residents don't have involved family members who want to be kept in the loop, or there are HIPPA issues/lack of POA, etc., so it's not automatic for the doctors to communicate with family the way it would be if you were going with your mother to an appointment.
The staff should definitely give you an email or phone number at which you can talk with whichever doctor(s) sees your mother so you can find out from him or her whether they're aware of the nighttime issues. It's possible that your mother hasn't been seen by a doctor since this issue arose, or that the doctor did prescribe the meds but hasn't been made aware of the excessive effects, and could change the dosage or the medication. Based on what you learn from them you can be better informed when you get her an outside appointment. But more immediately, this doctor might be able to adjust the meds to be more effective and appropriate for her, and resolve the issue so you don't have to find a new place.
No neurologist. There is a psychiatrist and medical doctor that I have only talked to briefly twice. Oddly, the memory care facility does not seem to want me to talk face-to-face with the physicians that visit there. I have asked the RN in my mother's ward for Mom's doctors' last names and said I would like to schedule a meeting with them, but she always hems and haws and says they come into the facility at different times and maybe I can catch them there. Only once have I been able to "catch" one there.
I have thought about having Mom see a geriatric doctor outside the facility, but had not thought about a neurologist. Is this something that a lot of Alzheimer patients need to do?
Right now, I think Mom is going to be given the heave-ho and told she is no longer welcomed there, and I need to find something else for her.
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.
Also, some residents don't have involved family members who want to be kept in the loop, or there are HIPPA issues/lack of POA, etc., so it's not automatic for the doctors to communicate with family the way it would be if you were going with your mother to an appointment.
The staff should definitely give you an email or phone number at which you can talk with whichever doctor(s) sees your mother so you can find out from him or her whether they're aware of the nighttime issues. It's possible that your mother hasn't been seen by a doctor since this issue arose, or that the doctor did prescribe the meds but hasn't been made aware of the excessive effects, and could change the dosage or the medication. Based on what you learn from them you can be better informed when you get her an outside appointment. But more immediately, this doctor might be able to adjust the meds to be more effective and appropriate for her, and resolve the issue so you don't have to find a new place.
I have thought about having Mom see a geriatric doctor outside the facility, but had not thought about a neurologist. Is this something that a lot of Alzheimer patients need to do?
Right now, I think Mom is going to be given the heave-ho and told she is no longer welcomed there, and I need to find something else for her.