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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.
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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Every single case of cancer, no matter what kind, no matter how metastasized, or not, is individual to the patient as his or her own thumbprint. There is no way to tell for us for certain, and even her own MD can only provide a rough guess. You are going to now need hospice and the MD will know when you are looking at a likely time frame of 6 months left to live. I would suggest palliative care, then moving into hospice and comfort care. If no blockages form then you may be looking at a better quality of life, possibly even a better longevity than with chemo which is dreadfully hard on the body. I agree with your assessment. Do discuss with your Mom's doctor how spread, what stage, the likely number of months and your plan for palliative care. Ask about hospice and the prognosis. Wishing you good luck.
Look up hospice companies and their reviews. (Yelp is a decent source for reviews.)
If she's in a nursing home, they likely have a number of patients on hospice and you can ask them which ones already come to the nursing home and perhaps choose one of them since they know the routines of the place already.
Her doctor has to sign off on hospice, which shouldn't be an issue.
Once you sign up with hospice, they'll explain everything they do, what services they provide, and how it all works. It's all paid for by Medicare, including medical equipment like hospital beds
Know that if you don't like the hospice company or how they're doing their job, including how they treat you, the family (because you matter, too), you are free to fire them and get another company to come in. I had to fire the first hospice company I had for my dad because their social worker was nasty and told me -- the exhausted primary caregiver and main contact -- "this isn't about you." (Grrrr.) They also never returned phone calls. I've had excellent luck with the second company I hired, and with the company I'm currently using for my mother.
Good luck, and know that hospice is an absolute lifesaver, because the focus shifts from endless medical care to keep your mom going forever (quantity of life) to quality of life. It takes a huge load off your own mind knowing that nature can take its course, and Mom will be comfortable until her last breath.
It's probably time to get hospice involved. They will have a nurse come once a week to start, and aides to bathe your mom twice a week. They will also supply any and all equipment needed in moms care and any medications as well, all covered under moms Medicare 100%. Now that will still leave 99 % of moms care to you, so hopefully you have family or friends to assist. Only the Good Lord knows when He will call your mom home, and since you didn't share what kind of cancer she has and what the Dr.'s prognosis is, there's no way to know. Just be there for her, let her know she's loved and leave nothing left unsaid. Hospice will try their best to keep her comfortable, until her time comes. God bless you.
You don't say what type of Cancer she has. But really no one can predict how long someone will live with any cancer.
You may want to check out Hospice. You still will do most of the care but you will get an aide to bathe her 3x a week. A Nurse checks in 2 or 3x a week, should be on call 24/7. Mom will be given pain killers probably Morphine when needed. Depends and prescriptions, durable equipment and other things.
There was a member that said she was given an aide more than an hour at a time. It may depend on how many clients a Hospice has to how many hours they can give.
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.
If she's in a nursing home, they likely have a number of patients on hospice and you can ask them which ones already come to the nursing home and perhaps choose one of them since they know the routines of the place already.
Her doctor has to sign off on hospice, which shouldn't be an issue.
Once you sign up with hospice, they'll explain everything they do, what services they provide, and how it all works. It's all paid for by Medicare, including medical equipment like hospital beds
Know that if you don't like the hospice company or how they're doing their job, including how they treat you, the family (because you matter, too), you are free to fire them and get another company to come in. I had to fire the first hospice company I had for my dad because their social worker was nasty and told me -- the exhausted primary caregiver and main contact -- "this isn't about you." (Grrrr.) They also never returned phone calls. I've had excellent luck with the second company I hired, and with the company I'm currently using for my mother.
Good luck, and know that hospice is an absolute lifesaver, because the focus shifts from endless medical care to keep your mom going forever (quantity of life) to quality of life. It takes a huge load off your own mind knowing that nature can take its course, and Mom will be comfortable until her last breath.
Now that will still leave 99 % of moms care to you, so hopefully you have family or friends to assist.
Only the Good Lord knows when He will call your mom home, and since you didn't share what kind of cancer she has and what the Dr.'s prognosis is, there's no way to know. Just be there for her, let her know she's loved and leave nothing left unsaid. Hospice will try their best to keep her comfortable, until her time comes. God bless you.
You may want to check out Hospice. You still will do most of the care but you will get an aide to bathe her 3x a week. A Nurse checks in 2 or 3x a week, should be on call 24/7. Mom will be given pain killers probably Morphine when needed. Depends and prescriptions, durable equipment and other things.
There was a member that said she was given an aide more than an hour at a time. It may depend on how many clients a Hospice has to how many hours they can give.