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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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When was the last time her eyes were checked by an ophthalmologist?
I know it’s difficult to take her but she may be needlessly going blind. Is she diabetic?
My eyes were checked in the hospital when doctors couldn’t understand my blood work and thought I was having a type of neuralgia, Trigeminal neuralgia. In fact they told me I would go blind. This is an extremely painful type. Thankfully I did not have it. They produced an opthamoligist in the middle of the night so yes, she can be checked.
She may have had a stroke which can affect the vision. Happened to my uncle.
Please don’t wait until she is totally blind to get her medical attention.
Edit to say it can also be that she is having a perception problem and is afraid Of falling, this having to do more with her dementia. But she needs medical attention.
Has she seen an ophthalmologist? An eye specialist could give you more insight, and perhaps solutions.
Was she ever diagnosed with eye conditions that affect sight viability, such as macular degeneration or glaucoma? There are treatments for that; they don't cure, but they can control deterioration.
If she's experienced sudden vision loss, yes. If it has been developing over time then her regular physician should be made aware and they can assess her and determine if she needs a referral to a specialist.
I would not take her to a hospital. She should see an Ophthalmologist who is an MD. Not an Optometrist.
If she hasn't been seeing an Eye Doctor it could be a number of things. She could have cateracts or glocoma. Her Dementia could effect her eyesight. She could have had a stroke in the back of her head. My Mom lost her left peripheral vision. The eye doctor ran tests that showed no strokes. It was determined that her problem was probably caused by the Dementia.
Of course they can--but to what end? I don't really understand what you are asking. Does this person need a higher level of care? A hospital is not the answer.
Come back with more information and you will get better answers.
I'm not quite sure what problem you're anticipating.
Getting the person to the appointment? - shouldn't be insoluble, look at the logistics and plan the route.
The person's being able to interact with the clinician? - most ophthalmologists and ophthalmic opticians will be well used to working with older people, including older people with mental impairments. Call ahead and get advice on how to manage any difficulties the person might have with this.
Really, the worst that can happen is a wasted journey. So if you're concerned about this person's eyesight, go ahead and make an appointment.
Meanwhile, back at the ranch so to speak, if you're concerned about her managing safely at home there are several things you can do. Ideally get an occupational therapist in to assess her living space and make recommendations; but if that isn't possible look at:
trip and slip hazards - remove loose rugs, clutter and so on out of her way lighting - make sure that her usual routes around the house are well lit handles and rails - watch where she normally places her hands as she beetles about and place properly secured handles and rails where she naturally reaches; make them clearly visible, make sure they are comfortable for her to hold on to, make absolutely sure they are properly fitted and secure. If you're no handyperson yourself, get the job done professionally.
Having said that, it's important not to change so much that she can't adapt to it easily - muscle memory and familiarity become ever more important as dementia progresses. Hence this really is a specialist project, so if you can find an experienced OT so much the better.
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 know it’s difficult to take her but she may be needlessly going blind. Is she diabetic?
My eyes were checked in the hospital when doctors couldn’t understand my blood work and thought I was having a type of neuralgia, Trigeminal neuralgia. In fact they told me I would go blind. This is an extremely painful type. Thankfully I did not have it. They produced an opthamoligist in the middle of the night so yes, she can be checked.
She may have had a stroke which can affect the vision. Happened to my uncle.
Please don’t wait until she is totally blind to get her medical attention.
Edit to say it can also be that she is having a perception problem and is afraid Of falling, this having to do more with her dementia. But she needs medical attention.
Was she ever diagnosed with eye conditions that affect sight viability, such as macular degeneration or glaucoma? There are treatments for that; they don't cure, but they can control deterioration.
As MidKid writes, we need more information.
If she hasn't been seeing an Eye Doctor it could be a number of things. She could have cateracts or glocoma. Her Dementia could effect her eyesight. She could have had a stroke in the back of her head. My Mom lost her left peripheral vision. The eye doctor ran tests that showed no strokes. It was determined that her problem was probably caused by the Dementia.
Come back with more information and you will get better answers.
Getting the person to the appointment? - shouldn't be insoluble, look at the logistics and plan the route.
The person's being able to interact with the clinician? - most ophthalmologists and ophthalmic opticians will be well used to working with older people, including older people with mental impairments. Call ahead and get advice on how to manage any difficulties the person might have with this.
Really, the worst that can happen is a wasted journey. So if you're concerned about this person's eyesight, go ahead and make an appointment.
Meanwhile, back at the ranch so to speak, if you're concerned about her managing safely at home there are several things you can do. Ideally get an occupational therapist in to assess her living space and make recommendations; but if that isn't possible look at:
trip and slip hazards - remove loose rugs, clutter and so on out of her way
lighting - make sure that her usual routes around the house are well lit
handles and rails - watch where she normally places her hands as she beetles about and place properly secured handles and rails where she naturally reaches; make them clearly visible, make sure they are comfortable for her to hold on to, make absolutely sure they are properly fitted and secure. If you're no handyperson yourself, get the job done professionally.
Having said that, it's important not to change so much that she can't adapt to it easily - muscle memory and familiarity become ever more important as dementia progresses. Hence this really is a specialist project, so if you can find an experienced OT so much the better.