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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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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
Hospice allows for natural death. The chances of someone at the end of life successfully being resuscitated, surviving, and having any meaningful quality of life afterward are slim to none.
Hospice provides the support and pain management necessary to prevent suffering at end of life. In my opinion, it is best to make it clear that the person wants a dignified and painless natural death. A DNR achieves that goal.
The Hospice I used did not require it but it was encouraged. The form that I completed for my Husband was a POLST it goes into more detail than a DNR. It addresses CPR first. There is a choice of Attempt Resuscitation or Do not Attempt Resuscitation. (I chose No CPR) Then It specifies Medical Interventions ranging from Full Treatment, Selective Treatment and Comfort Focused. (This is the option I chose. ) Then it addresses Medically Administered Nutrition. That ranges from Long-term, Trial and No medically administered nutrition. (This is the option I chose)
Hospice does not insert Feeding Tubes or IV's so if this is something that you would want the person would go off Hospice and can have a feeding tube placed then they could go back on Hospice. Hospice would then care for the tube, provide supplies needed. Hospice will accept a patient with a feeding tube and will provide the care that is needed. The IV would be different as that generally is not a permanent placement, once the IV was removed they could return to Hospice.
As far as the CPR goes. (personal opinion) It works on TV. It works on younger healthy people. Done correctly CPR will most likely break the sternum and several ribs. Possibly puncturing a lung. Someone that is in a weakened state due to illness quite possibly would not survive the CPR and if they did would be in pain for weeks if not months while broken bones healed.
You can elect to not sign a POLST or DNR and Hospice will still accept the patient. This is a discussion that the admitting nurse will have with patient and family.
The whole purpose of Hospice is no resuscitation. The person is on Hospice because they are entering the final stage of their life. Hospice is to make sure the client is comfortable and pain free.
Please, make sure you understand what Hospice is. They do not hasten death. Yes, because of pain management the client may be out of it. Yes, the client has a right to be involved in their care. People have stated on this forum that the client said they didn't want any morphine at the time and the nurse gave it to them anyway. To me this was wrong.
If this is home hospice the family will do most of the care. There will be a Nurse and she should be there 2 or 3x a week. An aide comes about 3x a week to bathe. The Nurse orders the supplies needed and should be available by phone 24/7. If you do not care for the Hospice you can bring in another one.
When the client is admitted to the service, make sure two family members are there. I say this because what one doesn't hear the other may. This is a stressful time and we always don't hear everything said.
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.
Hospice provides the support and pain management necessary to prevent suffering at end of life. In my opinion, it is best to make it clear that the person wants a dignified and painless natural death. A DNR achieves that goal.
The form that I completed for my Husband was a POLST it goes into more detail than a DNR. It addresses CPR first. There is a choice of Attempt Resuscitation or Do not Attempt Resuscitation. (I chose No CPR)
Then It specifies Medical Interventions ranging from Full Treatment, Selective Treatment and Comfort Focused. (This is the option I chose. )
Then it addresses Medically Administered Nutrition. That ranges from Long-term, Trial and No medically administered nutrition. (This is the option I chose)
Hospice does not insert Feeding Tubes or IV's so if this is something that you would want the person would go off Hospice and can have a feeding tube placed then they could go back on Hospice. Hospice would then care for the tube, provide supplies needed. Hospice will accept a patient with a feeding tube and will provide the care that is needed. The IV would be different as that generally is not a permanent placement, once the IV was removed they could return to Hospice.
As far as the CPR goes. (personal opinion) It works on TV. It works on younger healthy people.
Done correctly CPR will most likely break the sternum and several ribs. Possibly puncturing a lung. Someone that is in a weakened state due to illness quite possibly would not survive the CPR and if they did would be in pain for weeks if not months while broken bones healed.
You can elect to not sign a POLST or DNR and Hospice will still accept the patient. This is a discussion that the admitting nurse will have with patient and family.
Please, make sure you understand what Hospice is. They do not hasten death. Yes, because of pain management the client may be out of it. Yes, the client has a right to be involved in their care. People have stated on this forum that the client said they didn't want any morphine at the time and the nurse gave it to them anyway. To me this was wrong.
If this is home hospice the family will do most of the care. There will be a Nurse and she should be there 2 or 3x a week. An aide comes about 3x a week to bathe. The Nurse orders the supplies needed and should be available by phone 24/7. If you do not care for the Hospice you can bring in another one.
When the client is admitted to the service, make sure two family members are there. I say this because what one doesn't hear the other may. This is a stressful time and we always don't hear everything said.