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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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The first thing that comes to my mind: Call the facility and ask them that exact question. They must have similar issues with other new residents, and probably will offer you assistance, such as meeting you at the door. I would absolutely not take him there in your car, unassisted. I would ask a reliable family member or friend - preferably male (for the muscle) to accompany you and your Dad to the facility. Perhaps you could appease him with 'we're just going to visit and see what it's like' or 'we're going for some medical tests today'. I know it's a lie, and very unpalatable, but we sometimes have to resort to this when we have no other choice. Don't forget you are dealing with a mentally ill person and they can become very agitated and aggressive without warning. You don't want that to happen while driving. You might also call his doctor to prescribe a mild tranquilizer that you could give him a day or two in advance to keep him calm. The point is to have a plan and try to prepare for any unexpected contingencies. This is a very emotionally wrenching decision that you have been brave enough to make and I commend you for recognizing the time to take this next step in your father's care.
When I was putting my mother into assisted living I faced the same problem. I told her we were going to visit her current caregiver at the time's friend. Once we were in the facility, the staff took over and that was it. She wasn't happy about it and still sometimes remembers that it was me who put her there but I had to do what I thought was right. When dealing with someone with dementia, you can talk about the facility, agree about the facility and decide a date and the person with dementia won't remember any of that when it comes time to move. Good Luck and definitely talk to the facility staff. They will help you as much as they can.
I have often suggested that the facility I work in provide a lunch for the family. That way you aren't going to 'the facility' you are taking your family member to lunch. Then I have the family eat together at a table in the dining area. Then after lunch, we get the family member engaged in something and after a bit the family leaves. Do they just slip out? It depends on the person you are leaving behind. Often, it is possible to say, "We are going and we'd like you to stay here." We'll be back after a while." No matter how much we plan, this transition can be a difficult time. Hang in there. I prefer this method and it creates much less drama for everyone involved. If your Dad is very much against moving, the idea of going out to eat works well as that is a perfectly normal thing to do. In a facility that doesn't appear much as a restaurant, I have used the idea that this is a church and all the nice church ladies fixed this food for us. Don't be afraid to be creative!
The simplest answer is, stop discussing it with him that you're making this move and when the day comes, don't tell the truth about where you're going. Make up a very pleasant story about to you're going to see, or what could even be an animal or something else if he's interested in, or a game you're going in to play. My aunt was an alcoholic with alcohol dementia that we didn't know at the time. But she was having serious urinary problems yet she refused to get in the car on the afternoon I told her we were going to the hospital. NO, NO, NO ! So I let it go, acted really casual the next morning, I told her 'we' we're out of vodka and I needed her to show me where the liquor store was, got her in the car, drove to the hospital, she asked what we were doing there, I said I had to pick up some money to go to the liquor store, she said she'd wait, I said no I don't know my way around you have to help me. We got in the door, the rest was history. It feels repugnant to intentionally lie to her parents, but when you're dealing with dementia and/or mental illness, you don't really have a choice. Actually, you're putting yourself and them in jeopardy when you try to tell them the truth.
If he won't go in the facility, then you take him back home and care for him. Do what you have to do.....even if it disrupts "your life". Quit your job, be at his beckon call 24/7, your life will change as you now know it, but hey, isn't that what care giving is.....it's living hell. All of us care givers have to deal with the "cards we've been dealt"........welcome......to the worst days of your life......it's called care giving. Have a great day!
When it became clear that it was time, I told my mom that I wasn't able to care for her any longer. That way, the focus was on my skills, not her. We had visited the NH 1.5 years earlier, so we had a plan in place. Even so, she wasn't happy, but she was cooperative.
My mother was still as physically fit as I am, but mean, angry and combative. She HAD to get away from her home because she baracaded the door & wouldn't let us in, didn't eat and refused to take her meds. Sis and I had to file for, and get guardianship with the help of an attorney and doctors. Sis and I found an awesome AL, we signed a contract and when a room we ready, we set a plan into motion. On the day of the funeral of a family friend, Sis took mom to the funeral while a brother and I moved her belongings into the AL. When the funeral, lunch and shopping was done. Sis took her to the AL saying, mom, I'd love for you to see the apartments at this facility. The outdoor temperature was 109 degrees and mother refused to get out of the car - she caught onto what we were doing. It took hours, literally, to get her into the building, and that was only because the Administrator kept giving her glasses of icy cold tea. Once inside, we had to hand her over and couldn't see mom for 6 weeks. She became accustomed to her surroundings and the AL schedule and soon forgot about her house. What I'm saying here is that my mother was not safe to be around. She was a danger to society. If she didn't kill somebody, somebody would pull a gun on her in self defense. There would be NOBODY that would be able to care for her at home. What I'm saying here is that not everybody can be kept at home, it can be dangerous for both the family and the parent.
Some of what I read on this site is actually scary. What people have to endure when dealing with the elderly is terrible. Why is it, that there is so much suffering for all involved when a person gets old? The golden years....don't sound so golden to me!
I feel bad for what you are going through, nothing easy for sure, and I guess we all have stuff we must do at one time or another. I agree with not talking about it to him anymore. I know my mother will obsess about anything that I tell her we are going to do, so I don't say anything about it and just do what we must do. She will not remember usually, it is amazing what they pick to remember, I guess it is the things that she places most importance on. Just get it all prepared for him. Stay out of the what ifs, you are literally driving yourself crazy and focus on what you can. When the time comes just take him without any hoopla and go from there.
Is there someone else who can take him? You're his child and even his compromised cognitive state, that relationship is a long-standing one. It's hard for both of you to break out of those roles. He may pull the 'dad card' to bully you into delaying a move and you may play the child role and allow that. So, pick a day for the move, move his essentials there so their waiting for him and carefully choose someone to take him. An ideal situation might be for it to be someone whose company he still enjoys, like an old friend or a nephew. Arrange for them both to have lunch there together so his first experience there is a good one. You can go later and help him settle in and bring a few final things over (to decide when - later that day or later in the week - call the director and ask for advice depending upon how he's adjusting).
Avoid a big, unpleasant scene on his first day by stepping out of the situation. Depending upon how advanced his dementia is, he is likely to react better around those he's still putting on a good face for.
My mom is in a CC and they called me to say it's time she needs to move out of independent living - and I agree. Tomorrow I will meet the staff in the memory care without her and ask all my questions about how to handle the move, but they already told me their policy is for them to be the bad guys and "make" her move to try to preserve the family bonds. Also, just a few days before, I had some great advice from a specialist who told me the same thing and that my role is to agree and pretend to get on the phone and and ask to talk to the boss. ;-)
I'm so sorry, Roscoe888 and I understand what you're saying. My problem was that I simply could not provide the care my Mom needed 24/7 whether I was home or not. I had to call an ambulance to get her to the hospital when she had some kind of "attack" that they never diagnosed and they said she had to go to the NH. I took her from the hospital, where she'd been an awful handful, and did what others suggested above - told her we were going to lunch and to take a tour. The staff were used to patients like my Mom and helped me get her in the door then took over. She was mad and had a difficult adjustment but now she's fine, safe and well-cared for. There comes a time when safety and the best care is all that matters. Also, I heard that it takes a good 6 months before people become used to and comfortable with their new surroundings. It took about that long for Mom.
Plant the seeds that a move will happen at some point in the "future". We moved mom to an AL, on the day of the move, I took her shopping while other family moved her furniture. Then I drove her over to the community. She was very angry, crying,etc. It was a very hard thing to do but we had to do it. We told her it was temporary for about 4-6 weeks. Every time she asks when she gets to go home, we say in about 4-6 weeks. When she asks how long have I been here, we say 1 week. This was in April that we moved her. She still has some bad days where she will yell at us and cry when we visit but she is thriving, eating gaining some weight back, participates in activities and has made a couple friends. It is a big adjustment for everyone involved. Take care and good luck!
I have a hard time with the little white lies I sometimes tell to keep things running smoothly with my dad, but it helps me to know that "validation" is now considered the preferred method of communication with people significantly affected by dementia. "Validation" includes "therapeutic fibbing." The past practice of re-orienting patients has been deemed to be unnecessarily upsetting. Families and professional caregivers are now encouraged to enter the reality of the patient as much as possible instead of challenging them.
As a nurse, I can tell you he will go inside once staff greets him and spends some time with him. I don't think anyone WANTS to go into a facility, so regardless of his dementia, maybe mental illness (which encompasses dementia), he will be fine. Maybe at the door, he sees someone who reminds him of someone he knew in his long term memory...relax, all will be well.
Seriously @Roscoe? Did you really mean this or was that sarcasm? if you really meant it I am really sorry for you. it sounds as if you are in a really bad place. i would never want someone with that attitude to care for me. You are never stuck in a caregiving role. There are always choices. you may not like the choices but there are choices. For the sake of your life and the life of the person you "care' for please get the help you need.
The NH near us has a Senior Executive Club. Memberships are "free." Once a month we are invited to lunch and an informational presentation which may be a program on service dogs, new chiropractic devices, local fire dept. benefits for the elderly (lock boxes for emergencies), etc. They also offer Respite Care. When we considered RC for my husband, I made an appt with the Director who invited us for lunch. After lunch, during dessert, she "chatted" with us to obtain necessary information. She then showed us individual rooms with all the amenities. He was impressed with the lunch and the nice room. Now I have him all signed up and he keeps asking when he can go away for the weekend at the NH. He is beginning to experience dementia with parkinson's . He's has been diagnosed with PD for 10+ years.
My MIL has Alzheimer's and living alone was not safe anymore. She was adamant about not leaving her home. In home caregivers went in the morning and afternoon to prepare meals. She was beginning to hallucinate which is part of sundowner affect. Care home called . Room became available. ,first night was a disaster. Late at night she became so agitated my husband had to get her. Doctor prescribed anti-anxiety medication and care home suggested she go during the day and get acclimated . They told her the nice room would be hers and she wouldn't be alone esp at night. This went on for three weeks. She loves it there now. It is a foster home and the other ladies are her age and she loves their company
I'am also going through the same thing with my Dad. It is horrible. Demensia and the mental illness. All our family is in denial and make things worse. He is staying with us at the moment with my mom and hadicapp brother. My mom is much younger than my dad and i feel she is not ready to go with him, but the family feels its his wife and she must go with. We applied for him to go to an facility but i know if that day comes, its going to be tough. The advise that i can give you is to work with a social worker. It helped us alot and we can cope better with things. Just remember that there is nothing you did wrong. Thinking of you and keep strong.
It may be possible to use your father's former occupation to get him inside the building, where, as others have suggested the staff will take over. Let's pretend he was an accountant during his working life. When you get there after no previous discussion tell he they want him to check their books as there have been some irregularities. If he baulks at the front entrance tell him the side entrance is closest to the office so you should walk round there and the financial officer will meet you. Pre-arrange for a social worker to be there not someone in any kind of uniform. Once through the doors which should automatically lock behind you the staff can take over. At this point leave having done all the pre arranging ahead of time. Call in a couple of hours and visit later if the staff thinks it will be helpful otherwise it may be necessary to stay away for a few days while he acclimatizes. These are just ideas as I have no first hand experience of memory care units.
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.
24/7, your life will change as you now know it, but hey, isn't that what care giving is.....it's living hell. All of us care givers have to deal with the "cards we've been dealt"........welcome......to the worst days of your life......it's called care giving. Have a great day!
What I'm saying here is that my mother was not safe to be around. She was a danger to society. If she didn't kill somebody, somebody would pull a gun on her in self defense. There would be NOBODY that would be able to care for her at home. What I'm saying here is that not everybody can be kept at home, it can be dangerous for both the family and the parent.
Avoid a big, unpleasant scene on his first day by stepping out of the situation. Depending upon how advanced his dementia is, he is likely to react better around those he's still putting on a good face for.
Doctor prescribed anti-anxiety medication and care home suggested she go during the day and get acclimated . They told her the nice room would be hers and she wouldn't be alone esp at night. This went on for three weeks. She loves it there now. It is a foster home and the other ladies are her age and she loves their company