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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.
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His new doctor over doubled his dose 17mg of Coumadin, which resulted in a GI bleed, surgery, hospital stay, a second surgery to fix the sutures, and numerous blood transfusions. Is this the doctors fault?
I don't know whose fault but that sounds like a high Coumadin dosage. My mother took the generic ( warfarin). Her blood was checked routinely to make sure the proper dosage was being taken. As you probably know, the diet affects the amount needed. She only took about 5 mg. daily. She was very consistent with her diet ( vit k intake) and only had to have her blood tested (INR) about once a month. Some require more frequent testing. There are many variables to consider. I'm sure it's possible that his dr prescribed his medication incorrectly. That would be very frightening.
"New doctor" - what kind of doctor? Primary care? Cardiologist? Was this doctor provided a list of medications including what level of Coumadin your father had been on? Did he do a finger pinc test to determine the level of PT/INR before prescribing? Who handled prescription and monitoring of PT/INR before this new doctor, and what was the purpose of seeing him?
I literally gasped at reading that 17 mg was prescribed. What was the specific reasoning for this? Had your father just had a stroke?
More information is really needed to provide a framework of understanding for how and why this occurred, but 17 mg is an incredibly high dose.
If your father needed a drug to thin his blood immediately, Lovenox and Heparin are fast acting drugs that are administered in hospitals; they pass quickly out of the body, while Coumadin is not discharged as quickly so there's more time to become overly anti-coagulated and subject to bleeding.
What other conditions does your father have? More information on what preceded the involvement of this new doctor would be very helpful as well. A better understanding of the whole situation would be helpful in determining whether there are liability issues to pursue.
I think it's time to address all these issues and questions, and get hospital records of the stay.
And what about the pharmacy where the prescriptions were filled? What was the previous dosage before the increased dosage? You should be able to get these records from the pharmacy.
Who monitors Dad's medications? Could he have taken too much? Was he faithful to the dietary restrictions while on the med? Did he have weekly tests for INR? Did he take any over the counter meds that affect Coumadin? Did he ask the MD to double the Rx so he could take half and save money? Many possibilities here.
My dad has been on Coumadin for years and has had an excellent cardiologist doctor who works with someone who regulates his dosage. My mom is an excellent cook and his diet was strictly followed. After my dad got his pacemaker, on request of thenew heart doctor who did the surgery, they changed Coumadin doctors, this doctor kept raising his Coumadin dose eventually prescribing the dose of 17mg of Coumadin, twice the dose he had been taking for years! My parents continued to see this new Coumadin dr every 10 days for the last 3-4 months and she regulated Coumadin each time for him way above a safe limit. After a lengthy hospital stay and finally having my dad stabilized, we all agreed that we should have dad return to his old cardiologist. My dad has not been taking Coumadin since being in the hospital. Today his old cardiologist said they would NOT be putting him on Coumadin and he is on asprin therapy. (GardenArtist) all nurses and hospital staff gasped as well and also asked about the pharmist! Yep it's all in the records. Thanks for all your responses. We have a lawyer now and just trying to get $$ so my dad can have a health home nurse a few days a week to help my mom.
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 literally gasped at reading that 17 mg was prescribed. What was the specific reasoning for this? Had your father just had a stroke?
More information is really needed to provide a framework of understanding for how and why this occurred, but 17 mg is an incredibly high dose.
If your father needed a drug to thin his blood immediately, Lovenox and Heparin are fast acting drugs that are administered in hospitals; they pass quickly out of the body, while Coumadin is not discharged as quickly so there's more time to become overly anti-coagulated and subject to bleeding.
What other conditions does your father have? More information on what preceded the involvement of this new doctor would be very helpful as well. A better understanding of the whole situation would be helpful in determining whether there are liability issues to pursue.
I think it's time to address all these issues and questions, and get hospital records of the stay.
If my husband is a week late with a self test, the monitoring starts harassing him. A couple more days, they harass me. 2 weeks, they cal his doc.