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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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With dementia, there is no point in trying to convince him (because he can't perform thinking functions that require logic and reason and memory anymore).
You tell him a "therapeutic fib" -- anything that will motivate him to go: "Medicare now requires you have your free annual physical in order to keep receiving benefits." (or change Medicare to Social Security.. whatever works).
Then you go to the appointment with a pre-written note that you discretely hand to the staff or doc, outlining your concerns for your father, and to please give him the cognitive/memory test. They will be happy to do this.
Then, stay in the exam room the entire time (sitting behind your father so that when the doctor asks him a question, if he gives an inaccurate answer, the doc will look at you shaking your head either yes or no. This is what I did with my MIL and it worked out great.
Then before you leave the appointment, ask for the HIPAA Medical Representative form and put your name as the MR and have your father sign it. This will allow the doctor to talk to you about your father's private medical info (test results, etc) without your father having to be present or give consent.
Can you tell us a bit more about why it is important to you that this diagnostic workup be done at this point and at his age? For instance, is he living alone, trying to manage his own finances, in danger in some way?
Have you discussed this with your father, and what has he replied to your suggestions regarding testing?
You can find an MMSE test online and ask him questions informally if you just want to know for yourself how he’d do. It won’t count for anything unless given by a professional, but maybe you want some idea of where he is cognitively. Which I’m pretty sure you must know already.
For instance, there are figures he’ll be asked to draw, copying them. Be sneaky, draw them yourself, then ask him to copy. Maybe he can’t. It gives you something to report to the doctor.
Does he know what day it is? Who is president? His address? And so on.
I convinced my mom to go forward with a neuropsych eval by telling her that she needed a baseline test by which to measure her cognitive skills going forward.
On the day of the exam, in the car, she said to me "well, if they tell me I'm crazy, I won't believe them."
I was shocked. I had no idea that that was her concern. Can you ask dad what he fears from the results?
My mom thought the same thing , didn’t want to be labeled crazy. My Mom only agreed to go to prove she could go back to living alone and get out of AL. Of course that did not happen.
Do you need him diagnosed for some reason? At his age, it is very likely that he does have some level of dementia. What are his living arrangements? Without a diagnosis, you can still proceed with expecting the behavior of someone with dementia. You can ask his primary doctor to do some blood work to rule out some deficiencies that could cause confusion - thyroid is one I remember. Some meds can cause issues as well and could be changed to another class of med sometimes.
If you want him diagnosed, I'd do what a previous poster said about not telling him what he's going for and just have the test done. I would go with my mom and do the shaking yes or no to confirm or deny moms self reporting.
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.
You tell him a "therapeutic fib" -- anything that will motivate him to go: "Medicare now requires you have your free annual physical in order to keep receiving benefits." (or change Medicare to Social Security.. whatever works).
Then you go to the appointment with a pre-written note that you discretely hand to the staff or doc, outlining your concerns for your father, and to please give him the cognitive/memory test. They will be happy to do this.
Then, stay in the exam room the entire time (sitting behind your father so that when the doctor asks him a question, if he gives an inaccurate answer, the doc will look at you shaking your head either yes or no. This is what I did with my MIL and it worked out great.
Then before you leave the appointment, ask for the HIPAA Medical Representative form and put your name as the MR and have your father sign it. This will allow the doctor to talk to you about your father's private medical info (test results, etc) without your father having to be present or give consent.
For instance, is he living alone, trying to manage his own finances, in danger in some way?
Have you discussed this with your father, and what has he replied to your suggestions regarding testing?
For instance, there are figures he’ll be asked to draw, copying them. Be sneaky, draw them yourself, then ask him to copy. Maybe he can’t. It gives you something to report to the doctor.
Does he know what day it is? Who is president? His address? And so on.
On the day of the exam, in the car, she said to me "well, if they tell me I'm crazy, I won't believe them."
I was shocked. I had no idea that that was her concern. Can you ask dad what he fears from the results?
If you want him diagnosed, I'd do what a previous poster said about not telling him what he's going for and just have the test done. I would go with my mom and do the shaking yes or no to confirm or deny moms self reporting.