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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.
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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.
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More information may help. This site is support for caregivers of the elderly many whom have dementia. It is very expected and anticipated in the case of dementia to wake and not know of remember anything. A very common symptom.
There is a dementia associated with alcohol abuse, so yes in that case it would be expected.
There is nothing normal about dementia. Each person is different.
Stage 4 of liver cirrhosis is a life threatening condition. The liver is almost completely unable to clean the toxins of the body. When poisonous substances accumulate and in the brain, they cause neuro-cognitive symptoms. It's called Hepatic Encephalopathy. 4 stage cirrhosis patients with encephalopathy, are close to dying.
Agree with TChamp. Encephalopathy is probably the cause. But just in case, do have them investigate for a UTI.
Encephalopathy is the end stage of liver failure. I'm sorry. At least it doesn't seem to be painful.
Just as an idea--look at the color of your LO's eyes. The whites of the eyes will begin to turn shades of yellow deepening to orange as the disease progresses.
Please discuss any new confusion with medical doctor involved in this case. We can't know an individual, nor his diagnosis. There is confusion involved with most end stage illnesses, but taking our word for that could miss a new UTI or a change in oxygenation. With legal and medical questions you are best to make a call to the patient's own doctor. I know times are tough getting medical care and answers. I hope you get good advice.
Did this person's doctor not tell him/her what to expect now the person is in stage 4? That they are to call with any changes or concerns? If not, the doctor should have. He should preparer his patient and family with what is to come.
Is this person on Hospice? If so, this is a question for the Nurse and he/she should be available 24/7 by phone if not scheduled for a visit.
The final stages of liver failure are awful--my SIL is an GI specializing in hepatology. He's had many patients show up at the ED in last stage liver failure and they usually just receive palliative care.
So sad--he was home last week while I was tending the kids and he mentioned he was charting a patient who evidently missed the information he gave her, in great detail about how her liver cancer was terminal. She had called him at home to ask for clarification--and he was talking to her--after the call, he was a little blue. Said he wished people would LISTEN to him. I believe the woman died just a few hours after that conversation. She was not on hospice or anything of the sort. Just felt 'really sick'.
He had been incredibly good to this patient, but he couldn't make her understand the severity of her illness. It was truly sad.
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.
There is a dementia associated with alcohol abuse, so yes in that case it would be expected.
There is nothing normal about dementia. Each person is different.
Encephalopathy is the end stage of liver failure. I'm sorry. At least it doesn't seem to be painful.
Just as an idea--look at the color of your LO's eyes. The whites of the eyes will begin to turn shades of yellow deepening to orange as the disease progresses.
Did this person's doctor not tell him/her what to expect now the person is in stage 4? That they are to call with any changes or concerns? If not, the doctor should have. He should preparer his patient and family with what is to come.
Is this person on Hospice? If so, this is a question for the Nurse and he/she should be available 24/7 by phone if not scheduled for a visit.
So sad--he was home last week while I was tending the kids and he mentioned he was charting a patient who evidently missed the information he gave her, in great detail about how her liver cancer was terminal. She had called him at home to ask for clarification--and he was talking to her--after the call, he was a little blue. Said he wished people would LISTEN to him. I believe the woman died just a few hours after that conversation. She was not on hospice or anything of the sort. Just felt 'really sick'.
He had been incredibly good to this patient, but he couldn't make her understand the severity of her illness. It was truly sad.