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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.
Share a few details and we will match you to trusted home care in your area:
That would be a very expensive trip by medical transport . And if the person is in ICU now , it’s likely they are not stable for a long trip like that .
How about transferring the patient to another hospital near where they are now ?
What is wrong with this person ? Are they of sound mind , capable of truly understanding what is happening ? Is there another family member / advocate there ? If so , what is their view of what is happening ? Is there a POA involved ?
Your response is greatly appreciated. POA can't get involved as patient is still of sound mind. Also, POA just left for Somalia as he is in the service. He couldn't stay any longer as his unit needed him (he'll be there for 6 months). There is no one for hundreds of miles to visit him. Family has been there but all have work and home obligations. He is depressed, not trusting medical team due to some errors in care. He just turned 65 and was a very active person and is now a skeleton who can't get out of bed. He had a kidney removed due to cancer. Thanks again.
its important to note that Medicare will not pay to transport a patient across the country to be near family. It would be private pay by patient and family.
Thank you for answering. Family has been traveling across the country to see him but his son is in Somalia (just left as week ago for 6 months in the service). Daughter has a new baby and housing issues from Helene. He has no one to advocate in person for him. He is still of sound mind.
Thank you for your response. He's giving up on life because he doesn't like or trust where he is due to many issues in care. No one is there to advocate for him.
It may be possible to hire a Geriatric Care Manager to help him. My friend used one in FL (she was in MN) and said it worked out great. They aren't cheap but compared to the cost of transferring the patient, it may be the best option.
If this person is elderly (past 75) then the possibility he develops a problem in the hospital (UTI, delirium) is high enough and he'll definitely need advocacy help in this situation. It's essential to have someone there with him because it seems as if no immediate family will be available to help him for a while (and then there's the Helene home displacement to deal with).
Maybe consider paying a different family member (niece, nephew, cousin, etc). to go there. Pay for their expenses and pay them a stipend to work for him there. All receipts would have to be carefully kept and itemized. This person would need to be old enough to know how to navigate working with the medical staff, Medicare, homeowners insurance companies, be tech savvy, and problem solving in general. May be less expensive and faster than finding a GCM.
Patients cannot be transferred unless they are deemed "stable". Simply by virtue of a need for Intensive care, in general ICU patients are considered not stable enough for transport/transfer unless life threatening situation is extant and care can only be found at a distant hospital; this would likely involve airlift and specialized ICU nursing staff and is enormously expensive.
It is very normal for ICU patients to be depressed and unhappy and the fact is that they also have almost universal amnesia about their intensive care stay after they move out of ICU.
So this is a time to say "Everything is going along well. We will talk about transfer when you are more stable and can be moved; right now you are in intensive care and not considered stable for transfer".
I am so sorry the staff was negligent in telling you this simple fact. I wish you the very best of luck and a complete recovery for your loved one.
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.
How about transferring the patient to another hospital near where they are now ?
What is wrong with this person ? Are they of sound mind , capable of truly understanding what is happening ? Is there another family member / advocate there ? If so , what is their view of what is happening ? Is there a POA involved ?
Sounds the a tail wagging a dog.
Can family travel TO the ICU patient instead? Work on reassurance & building trust.
If this person is elderly (past 75) then the possibility he develops a problem in the hospital (UTI, delirium) is high enough and he'll definitely need advocacy help in this situation. It's essential to have someone there with him because it seems as if no immediate family will be available to help him for a while (and then there's the Helene home displacement to deal with).
Maybe consider paying a different family member (niece, nephew, cousin, etc). to go there. Pay for their expenses and pay them a stipend to work for him there. All receipts would have to be carefully kept and itemized. This person would need to be old enough to know how to navigate working with the medical staff, Medicare, homeowners insurance companies, be tech savvy, and problem solving in general. May be less expensive and faster than finding a GCM.
It is very normal for ICU patients to be depressed and unhappy and the fact is that they also have almost universal amnesia about their intensive care stay after they move out of ICU.
So this is a time to say "Everything is going along well. We will talk about transfer when you are more stable and can be moved; right now you are in intensive care and not considered stable for transfer".
I am so sorry the staff was negligent in telling you this simple fact.
I wish you the very best of luck and a complete recovery for your loved one.