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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?
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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.
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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.
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Definitiely talk to a pharmacist. Many of the Parkinson meds cannot be taken within a certain length of time with something sugary and/or something with protein. I don't know the reason for this, but my client used to insist on hiding candy in her room, and then she'd take one of her pills and eat a candy bar and wasn't able to talk for a couple of hours. It is quite tricky to take the right doses of meds and then not eat with them, or right after. I think meds for each patient are special to that patient. My daddy also had Parkinsons and he took entirely different drugs than my client. Your pharmacist is your best ally in understanding what a medication can do and the s/e. Drs are often just too busy to explain it, and those inserts in the meds themselves are like a novel.
Check with your doctor and pharmacist on the side effects (actually they should have told you when they were prescribed). What you read here shouldn't supercede the informatiom they provide). If you weren't present when they were prescribed you can still ask a pharmacist.
My husband has had Parkinson's for over 20 years. The side effects he experienced that the doctors told him were from his medications were low blood pressure and the requip causes increased sexual urges and with some people the requip is blamed for gambling additions. Im sure they are different in each case. Check with doctor and you can research on line the side effects of medications too.
My dad takes an abnormal amount of carbidopa-levo 8-9 pills a day and he sleeps a little more but he was on 3 and that did not help and he has so much more flexibility with higher dose so it definitely depends on individual and if benefits out way side effects. Talk with your dr staff or pharmacy.
I agree with all the above. Parkinson's is different for everybody so no one will react the same to any meds. My mom has had Parkinson's for about 14+ years. She currently takes Rytary 4 twice a day. I've noticed, for her, it causes get to not be able to communicate. In other words, I am unable to carry on a conversation with her for 3-4 hours after she takes the meds. At least it gives her more mobility. I'll take that.
What are the medications? Asking what the side effects are without naming the medications makes it rather difficult to tell what the side effects of the specific medication are.
New research suggests that approximately 18% of patients treated with therapeutic doses of dopamine agonists to treat Parkinson’s disease could suffer compulsive behavior side effects, such as gambling and hypersexuality. Dopamine agonists are powerful drugs that are used to control tremors associated with Parkinson’s Disease. The class of drugs include medications such as Requip (ropinirole), Mirapex (pramipexole), Dostinex (cabergoline), Parlodel (bromocriptine), Apokyn (apomorphine), Neurpro (rotigotine) and Permax (pergolide). Researchers evaluated data for 267 patients treated at the Mayo Clinic in Rochester, Minnesota, including 38 patients who were taking therapeutic doses of dopamine agonists. Seven of these 38 users developed a compulsive syndrome, with two starting pathologic gambling, two becoming hypersexual and three developing both conditions. The compulsive behaviors were not seen among those who were not treated with dopamine agonists, or 28 patients who were taking the drugs at doses that were not in the therapeutic range. The Parkinson’s drug side effects tended to resolve when the drugs were stopped or doses of the medications were decreased. However, some of the patients required extended psychiatric treatment, lost substantial sums of money and suffered damage to their family and reputation by the hypersexual and compulsive gambling behaviors. Several hundred dopamine agonist lawsuits are currently pending throughout the United States on behalf of users who have suffered damages caused by these compulsive behaviors. Many of the cases have been consolidated in a Multidistrict Litigation, or MDL, in the U.S. District Court in Minneapolis, where the first trial last year involving a Mirapex lawsuit resulted in an $8.2 million jury award
The gold standard is L-dopa which increases the amount of dopamine in the brain. You won't know the side effects until one takes it, and everyone is unique.
Carbadopa levadopa and requip are the ones he takes Then others for low blood pressure that these two cause are medidrine and fludecortisone. Not sure of the spelling on these without looking. Hope that answers your question. He also had DBS surgery but only got about a year's help from that. It is implants into the brain to stimulate the dopamine. Just in his case I don't think it was worth it but in others we have known it was very helpful
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 think meds for each patient are special to that patient. My daddy also had Parkinsons and he took entirely different drugs than my client. Your pharmacist is your best ally in understanding what a medication can do and the s/e. Drs are often just too busy to explain it, and those inserts in the meds themselves are like a novel.
Dopamine agonists are powerful drugs that are used to control tremors associated with Parkinson’s Disease. The class of drugs include medications such as Requip (ropinirole), Mirapex (pramipexole), Dostinex (cabergoline), Parlodel (bromocriptine), Apokyn (apomorphine), Neurpro (rotigotine) and Permax (pergolide).
Researchers evaluated data for 267 patients treated at the Mayo Clinic in Rochester, Minnesota, including 38 patients who were taking therapeutic doses of dopamine agonists. Seven of these 38 users developed a compulsive syndrome, with two starting pathologic gambling, two becoming hypersexual and three developing both conditions.
The compulsive behaviors were not seen among those who were not treated with dopamine agonists, or 28 patients who were taking the drugs at doses that were not in the therapeutic range.
The Parkinson’s drug side effects tended to resolve when the drugs were stopped or doses of the medications were decreased. However, some of the patients required extended psychiatric treatment, lost substantial sums of money and suffered damage to their family and reputation by the hypersexual and compulsive gambling behaviors.
Several hundred dopamine agonist lawsuits are currently pending throughout the United States on behalf of users who have suffered damages caused by these compulsive behaviors.
Many of the cases have been consolidated in a Multidistrict Litigation, or MDL, in the U.S. District Court in Minneapolis, where the first trial last year involving a Mirapex lawsuit resulted in an $8.2 million jury award
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