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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 acknowledge and authorize
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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:
This is how it worked with my husband. I doubt it would work with someone who doesn't understand they need caregiving. My husband accepted that he had Lewy Body dementia.
"You know I am doing everything I can to keep you at home with me. You have to do your part, too. I need to be able to count on some times during the week when you are safe and don't need me. I can use that time to make my own medical appointments and go into the office and see friends. The Day Health Program is available to us at no cost. We really need to make this work!" He grumbled many days, and he played hooky occasionally, but mostly it worked out. When he insisted "I don't need a babysitter! I can stay home alone," I'd say, "I know you can take care of yourself most of the time. You've been doing it for many, many years. But we never know when ol' Lewy will mess with you. And he is especially likely to intrude if something is going wrong. I love you too much to take the chance."
I am NOT opposed to trickery or creative story-telling to achieve a worthy outcome with people who have dementia. But when it is possible, the simple truth can be effective.
na na na NA weve got cabin fever , im bout to lose my mind . we both need space , both need to rewind . you asked for day care , ive enrolled you in it . get yer ass in the car and cooperate, or we'll take ya to the one we saw on 60 minutes ...
First of all, don't call it "Adult Daycare." Call it "The Senior Center." Has she been there before? If not, go with her the first time and bring fancy-schmancy donuts or bagels and flavored cream cheese for everybody.
Was your mom a fashionista in her younger days? Buy her a few red hat accessories: My Mom has a few fancy hats..the smaller ones...loves them!) The aids will fuss over her when she comes in -- she'll like that. ;)
Be nonchalant about it. Don't talk about it much. The night before: "Oh, we have to get up a little early tomorrow so you can go to the Senior Center." When she gets home? Ask what she did....make a fuss...and cross your fingers. ;) ;)
Mom loves it. She's 87, congestive heart failure, dementia and mild Parkinson's. Good luck!!!!
Will your Mom be going for the first time or has she been there many times before and now doesn't want to go?
If it is for the first time, check with the adult day care center and ask if there is anything that they need for an elder to do, and pretend it is *volunteer* work. I heard that saying to Mom or Dad that he/she will be doing volunteer work tend to make one want to go :)
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.
"You know I am doing everything I can to keep you at home with me. You have to do your part, too. I need to be able to count on some times during the week when you are safe and don't need me. I can use that time to make my own medical appointments and go into the office and see friends. The Day Health Program is available to us at no cost. We really need to make this work!" He grumbled many days, and he played hooky occasionally, but mostly it worked out. When he insisted "I don't need a babysitter! I can stay home alone," I'd say, "I know you can take care of yourself most of the time. You've been doing it for many, many years. But we never know when ol' Lewy will mess with you. And he is especially likely to intrude if something is going wrong. I love you too much to take the chance."
I am NOT opposed to trickery or creative story-telling to achieve a worthy outcome with people who have dementia. But when it is possible, the simple truth can be effective.
na na na NA
weve got cabin fever , im bout to lose my mind .
we both need space , both need to rewind .
you asked for day care , ive enrolled you in it .
get yer ass in the car and cooperate,
or we'll take ya to the one we saw on 60 minutes ...
Was your mom a fashionista in her younger days? Buy her a few red hat accessories: My Mom has a few fancy hats..the smaller ones...loves them!) The aids will fuss over her when she comes in -- she'll like that. ;)
Be nonchalant about it. Don't talk about it much. The night before: "Oh, we have to get up a little early tomorrow so you can go to the Senior Center." When she gets home? Ask what she did....make a fuss...and cross your fingers. ;) ;)
Mom loves it. She's 87, congestive heart failure, dementia and mild Parkinson's. Good luck!!!!
If it is for the first time, check with the adult day care center and ask if there is anything that they need for an elder to do, and pretend it is *volunteer* work. I heard that saying to Mom or Dad that he/she will be doing volunteer work tend to make one want to go :)