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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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What is her diagnosis? Doesn't the facility have a Geriatric Specialist on call? Are you her POA? If so, you can request a reevaluation of her medications.
I requested a reevaluation of her meds when it became clear that she is sleeping most of the day. She is on OXCARBAZEPINE and since starting the med, she can't walk unassisted, she can't stand up unassisted, she used very little language. She seems to be dementing before my eyes. The Medical Director of the nursing home is her doctor. We moved here in late August. She walked into the nursing home unassisted, she was feeding herself etc. I don't think the seizures would have this impact!!!! She has only had one. I think we need a second opinion.
I believe you can request one; and if no results from that, call your State Ombudsman. They investigate nursing home claims, etc. What is your mom's diagnosis?
She had a seizure in late Oct. and was in the hospital for five days. She has been diagnosed with Alzheimers/Dementia. I am her POA. I have been told that she represents a "fall" risk and needs the anticonvulsant med. My concern is the impact of the Med. After her hospital stay, she had forgotten how to walk. She seems to be getting weaker and weaker day by day. Should I get a second opinion from a Geriatric specialist? Quality of life is an issue.
My dad had a UTI and was hospitalized for five days. He couldn't walk, talk or feed himself at that time. A neurologist saw him and took him off Risperdol, which stiffened his gait. We thought he was going to die, but recovered, slightly. It was a long process. He did suffer some seizures after that, which is sometimes part of the process. He recovered, but has some good, and some bad days. Sometimes he sleeps more than others. With Advanced Stage Alzheimer's Disease, he is declining in his abilities, and will not be getting better. Don't know what type of medication your mom is on, but have every right to ask for a second opinion and/or reevaluation, and for their prognosis. Is she wheel-chair bound?
She walks with assistance but, we are more and more dependent on the chair. Because she is sitting more, and sleeping in the chair, she is becoming stooped. She is on OXCARBAZEPIN. The side effects include stiffening, lack of coordination, loss of speech etc. She has all of these. I know that her abilities will decline, my concern is that it seems to be happening overnight. I'm not so sure it's the process or the meds. I don't want us to treat the seizure and take away the little independence she enjoyed. She especially enjoyed interacting with the great grandchildren - and they enjoyed her.
Sounds like my dad's symptoms, and his is definitely the disease process. Sad, and seems to be going quickly. I just looked at pictures of him two years ago, still driving. Amazing. He can hardly walk, and can't understand a thing he's saying. I hate Alzheimer's. Sorry you have to go through it, too. We grieve as they lose ground.
He was basically bedridden at the time the seizures occured. That was about a year ago, and I don't know of any since. He has generally declined though, in all aspects. He's still ambulatory, but much slower, and often walks holding the hands of others. He is very repetitive, closing doors, folding things, etc. He stops and reads the names on each door. He can't speak to be understood anymore. A few months ago he could. Dad is starting to have trouble getting up out of chairs, as well. Not looking forward to more decline...
Ask the Administrator to call a geriatrician or you may choose one through her Medicare or Medicare Advantage plan. You are entitled to a second opinion. You are also entitled to call 911 for that matter. You do not need the Ombudsman unless you feel there is a significant problem. Of course, you may introduce yourself if you haven't already - but stay focused on the immediate issue which is her health.
The job of the Medical Director is to be at the facility, but that is no guarantee that they are doing more than a cursory eval from the RN's notes and the DON signoff. Stay at it, you can make more of an impact if you remain calm & objective. You didn't say what other meds she is on or how long she has been at the facility. You might ask to review the medications with the DON and check for interactions and a piggyback effect. Also, a UTI can present as increased dementia - has that been checked.
Work with the staff - ask to see the charts and MDS log. Very probably most of them will be amenable to working with you. As you can see from this board, everyone has their own experience - but you have to focus on the one that is most important - yours in the here & now. Shoot for using a teamwork approach with the staff & build a relationship while asking questions - nice does not mean a pushover. Many of them are thrilled to see family actually care.
Hang in there - there are experts who can give you more technical info or medical info if you ask - look for the Agingcare Expert "A" :-)
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.
The job of the Medical Director is to be at the facility, but that is no guarantee that they are doing more than a cursory eval from the RN's notes and the DON signoff. Stay at it, you can make more of an impact if you remain calm & objective. You didn't say what other meds she is on or how long she has been at the facility. You might ask to review the medications with the DON and check for interactions and a piggyback effect. Also, a UTI can present as increased dementia - has that been checked.
Work with the staff - ask to see the charts and MDS log. Very probably most of them will be amenable to working with you. As you can see from this board, everyone has their own experience - but you have to focus on the one that is most important - yours in the here & now. Shoot for using a teamwork approach with the staff & build a relationship while asking questions - nice does not mean a pushover. Many of them are thrilled to see family actually care.
Hang in there - there are experts who can give you more technical info or medical info if you ask - look for the Agingcare Expert "A" :-)