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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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I just want to offer a different perspective. Every time anyone posts about the one they care for sleeping excessively people conclude that means they have begun the end of life transition, and while excess sleep and decreased appetite truly is a sign that the end of life may be approaching it is not always the reason, which is why I encouraged a medical evaluation. My mother started sleeping that much and more several years before her death. She mostly lost her appetite and the desire to eat as well, but when food was given she did willingly eat it (although she eventually lost the ability to feed herself I didn't ever "force" food on her).
End-of-Life Signs: What to Expect as a Loved One Nears Death
As end of life approaches for your family member, it is understandable that you may feel apprehensive and have many questions. Facing a loved one’s final moments is scary. But if you know what end-of-life changes to expect, you’ll feel less anxious, and be better prepared.
End-of-Life Signs First, it’s important to note that each person’s end-of-life experience is unique. It is influenced by such factors as the specific illness, medications being taken, and the person’s overall health. In some cases, these changes may occur over a period of weeks; for others, the process lasts just a few days or hours.
However, a number of end-of-life signs are fairly common, as a person’s bodily functions naturally slow and stop. Common changes include:
Less interest in eating and drinking. Not passing fluids regularly. Speaking and moving less, difficulty communicating. Sleeping more than usual.
Here is a link: https://samaritannj.org/hospice-blog-and-events/hospice-palliative-care-blog/end-life-signs-changes-expect-end-life/
It's very difficult to speculate about a loved one's end of life signs, so you'd be best off getting her PCP to weigh in on what s/he thinks is happening with your mom. S/he can then write an order for a hospice evaluation if it's thought your mom is approaching the end of her life within the next 6 months. Oftentimes, hospice is on board for longer than 6 months; an evaluation is performed every 6 months on the patient to reinstate services if it's determined to be needed.
Wishing you the best of luck with a difficult situation. I know how hard it is to witness such a distressing time; I went through it with both of my parents, so I feel your pain. Sending you a hug and a prayer for peace.
If she hasn't been to the doctor recently the first step would be to take her in for a physical and blood work to rule out anything fixable. Any other advice is just going to be us making guesses because we don't know how advanced her dementia is or what other health issues she has beyond epilepsy (Is that new or long standing and has been under control?)
Your profile says your mom is 77, which is not that elderly by today's standards. You also say she has ALZ/dementia... is this from a medical test/diagnosis or your own personal assessment?
Sometime changes in personality, behavior (like confusion) and habits can be a sign of a UTI or other medical problem (dehydration, vitamin deficiency, thyroid malfunction, prescription medication dosage problem, diabetes, stroke, etc.) Best to have her checked by her doctor right away if at all possible. Many of these issues are treatable. After a check-up, the hospice discussion can be had.
Sounds like it may be time to bring hospice on board. They will be better able to let you know what exactly is going on. Sleeping a lot during the day can be a sign that her life is coming close to the end. My husband who was under hospice care in our home for the last 22 months of his life, slept anywhere from 16-20 hours a day the last 6 months or more of his life. And he too had seizures for many years after he had a massive stroke, which always took a lot out of him and made him more confused. I'm glad that at least your mother is pain free for now. Please give hospice a call today, or her doctor to at least order a hospice evaluation. Best wishes.
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.
End-of-Life Signs: What to Expect as a Loved One Nears Death
As end of life approaches for your family member, it is understandable that you may feel apprehensive and have many questions. Facing a loved one’s final moments is scary. But if you know what end-of-life changes to expect, you’ll feel less anxious, and be better prepared.
End-of-Life Signs
First, it’s important to note that each person’s end-of-life experience is unique. It is influenced by such factors as the specific illness, medications being taken, and the person’s overall health. In some cases, these changes may occur over a period of weeks; for others, the process lasts just a few days or hours.
However, a number of end-of-life signs are fairly common, as a person’s bodily functions naturally slow and stop. Common changes include:
Less interest in eating and drinking.
Not passing fluids regularly.
Speaking and moving less, difficulty communicating.
Sleeping more than usual.
Here is a link: https://samaritannj.org/hospice-blog-and-events/hospice-palliative-care-blog/end-life-signs-changes-expect-end-life/
It's very difficult to speculate about a loved one's end of life signs, so you'd be best off getting her PCP to weigh in on what s/he thinks is happening with your mom. S/he can then write an order for a hospice evaluation if it's thought your mom is approaching the end of her life within the next 6 months. Oftentimes, hospice is on board for longer than 6 months; an evaluation is performed every 6 months on the patient to reinstate services if it's determined to be needed.
Wishing you the best of luck with a difficult situation. I know how hard it is to witness such a distressing time; I went through it with both of my parents, so I feel your pain. Sending you a hug and a prayer for peace.
Any other advice is just going to be us making guesses because we don't know how advanced her dementia is or what other health issues she has beyond epilepsy (Is that new or long standing and has been under control?)
Sometime changes in personality, behavior (like confusion) and habits can be a sign of a UTI or other medical problem (dehydration, vitamin deficiency, thyroid malfunction, prescription medication dosage problem, diabetes, stroke, etc.) Best to have her checked by her doctor right away if at all possible. Many of these issues are treatable. After a check-up, the hospice discussion can be had.
And he too had seizures for many years after he had a massive stroke, which always took a lot out of him and made him more confused.
I'm glad that at least your mother is pain free for now. Please give hospice a call today, or her doctor to at least order a hospice evaluation.
Best wishes.