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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.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Hi Carol! I was having some problems with my mom's sundowner's that seemed to be getting worse, especially after 6:30 P.M. but sometimes as early as 3:30. She started the "I want to go home" and occasionally would try to leave. Then when the caregiver started coming later she became more and more agitated and combative even, so the caregiver suggested that I call the doctor and see if they could prescribe a medication to calm her down as the symptoms were becoming more and more unmanageable and every night was like a battle zone! The doctor prescribed Lorazepam which is the same thing as Ativan. She has taken it for the past 2 nights. Since then she has been much more pleasant to be around and we have had no issues with her becoming scared, agitated, combative, or wanting to leave. Best of luck to you and I hope this helps!
My husband, age 84, was having sundowning. The Doc discontinued his Aricept, Ativan and Wellbutrin and added Namenda, Seroquel and Zoloft. He takes Namenda, Zoloft and 1 Seroquel (25mg) in AM and 1 Seroquel around 5:00pm. This really helps the sundowning. He also takes 100mg at night to sleep. I think it is like others are saying; everyone is different so what works for one may not work for another.
My sister wasn't sun downing, but she had delusions that everyone (neighbors, the dentist, me, etc) was stealing from her. She obsessed about the imagined stealing day and night, and was always scowling and accusing A tiny dose of risperidol has removed her paranoia, and she is much much happier and more relaxed. She smiles and is pleasant all the time now. No apparent side effects. I wish I had known about this when my mother went through a paranoid period.
My mom takes namenda and it works well. Plus other stuff I am not sure what. Also, ativan for anxiety, she has a lot of that. When she had audio hallucinations she was taking clonopin and risperdol. both worked fairly well but didn't calm her down enough for long.
My mother-in-law developed Sundowners from her sleeping pills. The doctor prescribed another medication and the problem was solved. Your friend is lucky to have you for a buddy!
I have to say, my husband came home from a hospital stay w/scrips for Namenda and Seroquel. He had classic sundowners until we dc'd the seroquel. He did well on Namenda and Arosept.
My mother gets sundowners and they gave her risperdol and some other meds, but everything seemed to agitate her so we took her off those meds as the doctor said at her age they were not good for her any way, we now use Sunny Day, its a natural and it seems to calm her
Sometimes mood stabilizers are helpful. Sundowning often culminates in violent behaviors in the afternoon or evening. Depakote is an anti seizure medication that is frequently used for mood stabilization with few side effects. Risperdol is another good one as mentioned above. I have also seen Seroquel used if there is are symptoms of psychosis. I have seen Xanax used for intense anxiety for distressing delusions which has a longer time of therapeutic effect than Ativan. You will have more success with this type of problem from a Psychiatrist with Geriatric experience than from your Primary Care Physician.
My Dad is on Depakot, along with Namenda, & Aracept. The Depakot is for bi-polar and seems to even out his moods. He still gets some anxiety late in the day, but otherwise, he doesn't get overly angry anymore. I am so thankful for that!
They changed my mother in law to Namenda XR because insurance would not cover the Namenda twice a day. Hallucinations started after the first day. They got worse as the days went on. We stopped the Namenda XR and the sundowners has not reappeared. She is more interactive. We just brought her out of assisted living to our home so I am not sure if the regular Namenda caused the same problems since we were not around 24-7. She is less disoriented now. The dementia is getting worse but we no longer are up and down all night.
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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