Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
"Just arthritis pain" can be very painful indeed, to watch my mother's expereince. The side effects from narcotics for her prevent them from being useful, but I certainly wish she could have morphine or anything else that would help. The patch for pain is somewhat effective, but Ma can't use it often because of skin sensitivity.
If less "dramatic" measures work, that is the route to take. But I'd be in favor of doing whatever it takes to minimize pain.
I think sometimes we don't acknowledge how much pain dimminishes the quality of life.
Two schools of thought. 1. At 90 yrs old confined to NH and MS provides pain relief, why not keep her comfy. Primary concern. with MS respiratory depression pneumonia. Addiction at 90 who cares. BUT now withdrawal is a concern
2. there are many other less powerful opiates available that may provide relief without as much sedation and respirtatory depression. At 90 yrs old treating the arthritis aggressively is not the prime concern. I doubt a rheumatologist will be able to offer much more than palliative care . Keep in mind the length of time she's been receiving morphine, sudden withdrawal could be fatal to a 90 yr old.
My Mom (92) is on a Fentanyl transdermal patch (changed every 72 hrs) for back pain from a failing old fusion. Would that type of medication also help with arthritis? She has Percocet to take over & above, but rarely wants that... She started on the patch when her deteriorating fusion (no titatium screws 50 years ago!) caused such pain she suddenly couldn't move - walk, sit down, MOVE). Transport to ER/doc said for pain control couldn't hospitalize, & would "refer" to an appropriate nursing home... NOT ON YOUR LIFE! Doc sent a Social Worker to "convince" us, but instead the SW suggested maybe the patch would help & talked to the doc. That was 3 years ago...
When my father-in-law was 94, he was on morphine and was asking when he could have his next dose. His hip was extremely painful and he could barely walk to get to the bathroom. He eventually had a partial hip replacement and has done quite well until recently - he is 101 now! I agree that comfort is of extreme importance and do what is necessary to attain as much pain control as possible.
I don't know if going to see a doctor who specializes in pain control - usually an anesthesiologist - might be of help but worth checking into.
Countrymouse, You are correct. Even thought the initial post was years ago, it has currently helped me since my mother is in the current situation. I found this post while googling online. So it is never too late to offer advice and provide your experience. thank you Aprildp
Any kind of pain should be treated appropriately. When you think of morphine non professionals tend to think of giving it by injection or IV. In the case of arthritis pain it is given in pill form either combined with Tylenol or by itself as a tiny pill. Doses of morphine are always or should be titrated to the amount of pain the patient is experiencing. It does not have to be given continuously, but should be available to take before the patient is exposed to activity known to cause distress. For example if riding in the car and going to the Dr gives the patient pain it is a good idea to use pain relief 1/2 hour prior to embarking on the journey. Same applies to exercising which is so important to arthritis sufferers. If joints are not kept moving the joints will stiffen and be fixed in a bent position. As a retired hospice nurse I am a great advocate for effective pain relief even if it means using doses usually regarded as normal. As long as the dose is increased gradually till the pain is eased no harm should come to the patient. yes they may become sleepy but they will be comfortable and of course should not drive or operate dangerous machinery. Morhine is the swear word of the narcotics family so inparts fear whenever it is mentioned and blamed for many untoward affects. It is a fact of life that most drugs can be dangerous and naturally caution must be used . Do not deny someone pain relief.
I would think it depended on how severe the arthritis is. Also I would think what type of arthritis the person has would be a factor. As an arthritis sufferer myself and also a retired nurse, I can assure you arthritis CAN BE agonizing. But also many days are better than others. Weather affects arthritis pain severity. So I’m sure a doctor is closely monitoring the arthritis patient and apparently the patient is in severe pain.
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 less "dramatic" measures work, that is the route to take. But I'd be in favor of doing whatever it takes to minimize pain.
I think sometimes we don't acknowledge how much pain dimminishes the quality of life.
2. there are many other less powerful opiates available that may provide relief without as much sedation and respirtatory depression. At 90 yrs old treating the arthritis aggressively is not the prime concern. I doubt a rheumatologist will be able to offer much more than palliative care .
Keep in mind the length of time she's been receiving morphine, sudden withdrawal could be fatal to a 90 yr old.
I don't know if going to see a doctor who specializes in pain control - usually an anesthesiologist - might be of help but worth checking into.
You are correct. Even thought the initial post was years ago, it has currently helped me since my mother is in the current situation. I found this post while googling online. So it is never too late to offer advice and provide your experience.
thank you
Aprildp
Doses of morphine are always or should be titrated to the amount of pain the patient is experiencing. It does not have to be given continuously, but should be available to take before the patient is exposed to activity known to cause distress. For example if riding in the car and going to the Dr gives the patient pain it is a good idea to use pain relief 1/2 hour prior to embarking on the journey. Same applies to exercising which is so important to arthritis sufferers. If joints are not kept moving the joints will stiffen and be fixed in a bent position.
As a retired hospice nurse I am a great advocate for effective pain relief even if it means using doses usually regarded as normal.
As long as the dose is increased gradually till the pain is eased no harm should come to the patient. yes they may become sleepy but they will be comfortable and of course should not drive or operate
dangerous machinery.
Morhine is the swear word of the narcotics family so inparts fear whenever it is mentioned and blamed for many untoward affects.
It is a fact of life that most drugs can be dangerous and naturally caution must be used . Do not deny someone pain relief.
See All Answers