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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.
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Daddy went into a stage of "no fluids by mouth" and lasted about a week. It was Christmas time, and my brother, who is an EMT gave him 2 IV bags of fluids, simply so he would NOT pass at Christmas. He didn't. He lived 45 minutes into New Year's day. He could swallow morphine drops, but that doesn't count as fluid. His urine output completely stopped a couple of days before he died. Hospice as there for us, and they were angels. Once the fluid intake stops, you have only days left. If that. Daddy was NEVER in pain. So grateful for that.
The answer is dependent on many factors. I had a terminal patient survive on around an ounce a day for more than 2 weeks. Outside temperature, exertion rate, fever, quantity taken in (orally, IV, rectally, etc.), sweating, respiration (water lost through breathing) etc. all are factors. In the dying process, the patient refuses or is unable to take fluids in preparation to die. The kidneys shut down when there is no outside fluid ingested and all excess water has been filtered from the blood. Everybody has a different time line for this to happen. If this is during the dying process, IMO, it's better to NOT try to force fluids. It interrupts the transition. Is this difficult? You know it. No one wants to think they withheld needed fluids from a loved one. But if you change your thought that you are assisting/helping the person to have an easier time passing on, then it might make more sense to not give any fluids. My thoughts are with you. I've been there with both my patients and my dad. Talk to a hospice nurse (you can ask for counseling even if your loved one doesn't have hospice or that hospice company) to get more information. This is something that they (we) deal with daily.
Mcdonald, this is a case by case situation. For some people, as cwillie mentioned above, maybe a couple of days, a week at the most.
I hope this patient is on Hospice as not being able to take in fluids due to the organs shutting down could be very uncomfortable. Hospice will help keep that person from being in pain.
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.
Outside temperature, exertion rate, fever, quantity taken in (orally, IV, rectally, etc.), sweating, respiration (water lost through breathing) etc. all are factors.
In the dying process, the patient refuses or is unable to take fluids in preparation to die. The kidneys shut down when there is no outside fluid ingested and all excess water has been filtered from the blood. Everybody has a different time line for this to happen. If this is during the dying process, IMO, it's better to NOT try to force fluids. It interrupts the transition. Is this difficult? You know it. No one wants to think they withheld needed fluids from a loved one. But if you change your thought that you are assisting/helping the person to have an easier time passing on, then it might make more sense to not give any fluids.
My thoughts are with you. I've been there with both my patients and my dad. Talk to a hospice nurse (you can ask for counseling even if your loved one doesn't have hospice or that hospice company) to get more information. This is something that they (we) deal with daily.
I hope this patient is on Hospice as not being able to take in fluids due to the organs shutting down could be very uncomfortable. Hospice will help keep that person from being in pain.