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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.
Share a few details and we will match you to trusted home care in your area:
It’s a condition relative to dementia/Alzheimer’s. People who Sundown become very confused during the transition of day to night. It manifests itself in different behaviors for everyone. My mom had no concept of day or night. She wound up pulling down the shade in her room so she was less confused. She understood the time but not whether it was AM or PM. People can become anxious and act out. There are medications that can help.
Marystj, for my Dad with his sundowning, he would get into his time machine and transport himself back to the 1940's.
Dad would call me from his senior housing saying he won't be home for dinner because the business meeting ran over-time and he missed the last bus to come home... so he will stay at the nice hotel.
Well, the last time Dad took a bus to work was back in the 1940's when he lived in a rooming house, and the hotel he was referring was his room at Assisted Living. For me it was easy to just play along. Thankfully Dad sundowning was manageable.
Sundowning can happen as early as mid-afternoon for some folks, others it can be bothersome when it actually become dark outside. With "standard time" changing changing here in the States on November 4th, it will be interesting to see what happens for those seniors who are new to sundowning.
My mother will pack her things and insist I pick her up from the nursing home. She is ready to go! She called 911 once and reported elder abuse because they wouldn’t let her leave. She didn’t remember a thing the next day until it was later in the evening then she’d pack up again. Sundowners seems to make her miserable wherever she is! It made her very angry and annoyed. Accusing me of stealing her money calling 911 to report me. Very confrontational with everyone - fighting and threatening roommates (she’s had 8). Constantly accusing staff of stealing her meds and threatening to have them fired. Just a very high anxiety level. Sundowners for her has been rough-never feeling home. She is doing much better now that she is moved to a facility that keeps her busy. She’s a few hours away and knows I can’t come get her every night. The facility knows how to deal with typical to Alzheimer’s behavior without calling me everyday. She even has a gentleman that’s her boyfriend.
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.
Dad would call me from his senior housing saying he won't be home for dinner because the business meeting ran over-time and he missed the last bus to come home... so he will stay at the nice hotel.
Well, the last time Dad took a bus to work was back in the 1940's when he lived in a rooming house, and the hotel he was referring was his room at Assisted Living. For me it was easy to just play along. Thankfully Dad sundowning was manageable.
Sundowning can happen as early as mid-afternoon for some folks, others it can be bothersome when it actually become dark outside. With "standard time" changing changing here in the States on November 4th, it will be interesting to see what happens for those seniors who are new to sundowning.
Sundowners for her has been rough-never feeling home.
She is doing much better now that she is moved to a facility that keeps her busy. She’s a few hours away and knows I can’t come get her every night. The facility knows how to deal with typical to Alzheimer’s behavior without calling me everyday. She even has a gentleman that’s her boyfriend.