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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?
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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Your profile says that you're thinking about taking your mom with dementia out of her assisted living facility and into your home. I don't believe you completely understand exactly what you're in for if you choose to do that. She will only get worse and palliative care is a nurse coming only once a month to check on her and that is about it. You will need pretty much 24/7 caregivers coming to help you. Can your mother afford that? And even when your mother qualifies for hospice care, that will only mean a nurse coming once a week to start to check on her, and aides to come twice a week to bathe her. 99% of her care will still fall on you. Please think long and hard before you make such a drastic decision.
I brought my dad home from rehab on palliative care. It has been 7 weeks and it has been the hardest and longest 7 weeks of my life.
My dad is mostly bedridden. He is in heart failure but that has been ongoing for years and years. At this point, he could live like this for YEARS.
I am his only caregiver. We do have OT and PT coming 2x's a week. A nurse and a CNA once a week. Otherwise, it is just me and my dad in this house 24 hours a day.
Everyone that NEEDS a caregiver is different. Everyone PROVIDING care is different.
What can you do? What can't you do? What won't you do? Everyone has a "line in the sand" That is when it is no longer safe to YOU to care for someone or if it is no longer safe for the care recipient. That is the point where they can not continue being a caregiver.
The cost of hiring a caregiver is high. And who is going to pay for caregivers? You or mom's assets? Are you hiring privately or going through an agency? both have advantages and disadvantages. It gets higher the more care that is needed. As a person declines the needs become greater.
If you are thinking about taking mom out of a facility and into your home you need to look closely at what that entails. 1. Her needs will increase 2. Is your house set up for caring for someone? Accessible with a walker? A wheelchair? for equipment like a Sit to Stand or a Hoyer Lift. Are there stairs? Carpet? Accessible bathroom? 3. Is this person at risk of "escaping" (just say yes because the possibility is high). How are you going to ensure that they are safe? 4. Are you married? If so is your spouse on board with this idea?
This is just the tip of the iceberg.
Why was she denied Medicaid? Is that a problem that can be corrected? I do not mean hiding assets. But continuing to pay for her care then when assets are to the point where she would qualify apply again.
And unless you are VERY close to retiring DO NOT QUIT YOUR JOB TO CARE FOR ANYONE!!!!
And side note I do not think someone with dementia should be in Assisted Living. There is more of a risk of the person leaving the facility and getting "lost".
Hi Jamie! Similar situation: my MIL is home with us on hospice and we have caregivers that we have hired. She is bedbound as well. I'm glad to share any insights I have gained on this journey. Ask away!
Leave Mom where she is and let Hospice come there.
I would say she was turned down by Medicaid because she has too much money, especially being in an AL paying privately. In home Medicaid works similar to LTC medicaid in that you cannot have more than 2k in assets and your monthly income can't go above the income cap for that State.
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.
What are your concerns?
Do you know why your mom was denied Medicaid?
Medicare will not cover custodial care.
Did you have help filing for her? Medicaid is state specific.
Here is a NE link that lists resources for finding help.
https://www.payingforseniorcare.com/nebraska/medicaid-waivers/aged-and-disabled
This link also has contact info for your Area Agency on Aging which might be worthwhile to check with for services.
I don't believe you completely understand exactly what you're in for if you choose to do that.
She will only get worse and palliative care is a nurse coming only once a month to check on her and that is about it.
You will need pretty much 24/7 caregivers coming to help you. Can your mother afford that?
And even when your mother qualifies for hospice care, that will only mean a nurse coming once a week to start to check on her, and aides to come twice a week to bathe her. 99% of her care will still fall on you.
Please think long and hard before you make such a drastic decision.
My dad is mostly bedridden. He is in heart failure but that has been ongoing for years and years. At this point, he could live like this for YEARS.
I am his only caregiver. We do have OT and PT coming 2x's a week. A nurse and a CNA once a week. Otherwise, it is just me and my dad in this house 24 hours a day.
Everyone PROVIDING care is different.
What can you do?
What can't you do?
What won't you do?
Everyone has a "line in the sand" That is when it is no longer safe to YOU to care for someone or if it is no longer safe for the care recipient. That is the point where they can not continue being a caregiver.
The cost of hiring a caregiver is high.
And who is going to pay for caregivers? You or mom's assets? Are you hiring privately or going through an agency? both have advantages and disadvantages.
It gets higher the more care that is needed.
As a person declines the needs become greater.
If you are thinking about taking mom out of a facility and into your home you need to look closely at what that entails.
1. Her needs will increase
2. Is your house set up for caring for someone? Accessible with a walker? A wheelchair? for equipment like a Sit to Stand or a Hoyer Lift. Are there stairs? Carpet? Accessible bathroom?
3. Is this person at risk of "escaping" (just say yes because the possibility is high). How are you going to ensure that they are safe?
4. Are you married? If so is your spouse on board with this idea?
This is just the tip of the iceberg.
Why was she denied Medicaid? Is that a problem that can be corrected? I do not mean hiding assets. But continuing to pay for her care then when assets are to the point where she would qualify apply again.
And unless you are VERY close to retiring DO NOT QUIT YOUR JOB TO CARE FOR ANYONE!!!!
And side note I do not think someone with dementia should be in Assisted Living. There is more of a risk of the person leaving the facility and getting "lost".
I would say she was turned down by Medicaid because she has too much money, especially being in an AL paying privately. In home Medicaid works similar to LTC medicaid in that you cannot have more than 2k in assets and your monthly income can't go above the income cap for that State.