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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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When was the last time your husband saw his primary doctor and had blood test run? Is he on any medicine where the side effect would be sleepiness, such as blood pressure pills?
If everything comes back normal for someone his age, depending on what his life career has been and how stressful it was, he could be just plain tired.
If he is on diuretics (for heart failure, as an example), that can be a symptom of dehydration. Call his doctor. He may want to do a blood test.
Try always having some ice water at arm's length for him. Don't worry too much about his eating. It's amazing how little the elderly REALLY need. Try giving him very small meals a little more often. A piece of toast/jelly for breakfast; a banana mid-morning; hard-boiled egg and applesauce for lunch; bowl of soup/crackers for dinner. See if you can maybe jump-start his appetite.
But a big plate of food? That can be a turn-off sometimes.
Maggie thanks for the "turn off - big plate of food" I am starting to worry about the same thing MinPat asks, my husband, 83, late stage 6 ALZ just does not want to eat, he is on Exelon 13.3 Patch, 3 level of patches for about 9 months now, his base line weight starting was 172, I have him weigh on our scale every 2 weeks, today 148 with clothes, I checked the weight loss side effect but it states 8% loss, he is way past that. He will eat, but he doesn't recognize any food I cook, makes a face and maybe eat 1/3. Will not drink supplements. So I'll try little plates, thanks.
twopupsmom, when my husband was in the end stage of his dementia journey I offered food but did not insist that he eat. Some things he liked included scrambled eggs with nacho sauce out of a jar and salsa. Some soups. Popsicles. Ice cream based slushies. Bananas (sometimes). He ate very little the couple of days before his death, and he ate a good breakfast the morning he died.
I know this is a difficult decision to face, but I wonder if getting hospice involved in evaluating him would be helpful at this point. If they don't feel that he is quite ready for that yet, that would perhaps encourage you to continue to try to get him to eat. If they feel he is in his last six months, you might want to take a less aggressive approach to encouraging his eating. Not that you would ever deny him food -- just that you might see his disinterest in food in a different perspective.
My heart goes out to you, two pupsmom. This is a very difficult part of the journey!
twopupsmom, My husband had Alz and Parkinson's disease. When our home-health nurse suggested Hospice, I was shocked. I always thought that was only when death was expected in a few months. I found out, it is also for chronic illnesses, with no hope of recovery, regardless of time. It was one of the best things, I could have done for both of us. They came once a week to start and then 2 or 3 times a week , as needed. I found out the desire for food was the first sense to leave a person. It still bothered me, because I could not stand to think he might be hungry ! He always loved sweets, so I gave him puddings or cake , ice cream, milk shakes, whatever he wanted, I gave that to him. Eating was one of the few pleasures in life, he had left . Hospice can answer all your questions as they come up. This is a very hard time for you , just hug him and love on him, every chance you have. My heart is with you twopupsmom.
I never really let " end stage" sink in when the Dr told me last month late stage 6 early 7, he is pleasant most of the time, likes to talk, conversation, same subjects, but it's communication & he still can shower & shave, few prompts & no bathroom problems so far, except he can not find the bathrooms without asking, it's almost like I'm seeing decline on a daily basis, I thought late stage meant bed ridden, incontinent, non verbal, etc, but I can see in his eyes he is slipping. He sleeps 12 hours at night & nap a little during the day. I appreciate your thoughts and suggestions from all of you. I will keep you updated on our progress.
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 everything comes back normal for someone his age, depending on what his life career has been and how stressful it was, he could be just plain tired.
Try always having some ice water at arm's length for him. Don't worry too much about his eating. It's amazing how little the elderly REALLY need. Try giving him very small meals a little more often. A piece of toast/jelly for breakfast; a banana mid-morning; hard-boiled egg and applesauce for lunch; bowl of soup/crackers for dinner. See if you can maybe jump-start his appetite.
But a big plate of food? That can be a turn-off sometimes.
I know this is a difficult decision to face, but I wonder if getting hospice involved in evaluating him would be helpful at this point. If they don't feel that he is quite ready for that yet, that would perhaps encourage you to continue to try to get him to eat. If they feel he is in his last six months, you might want to take a less aggressive approach to encouraging his eating. Not that you would ever deny him food -- just that you might see his disinterest in food in a different perspective.
My heart goes out to you, two pupsmom. This is a very difficult part of the journey!