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Are they experiencing any memory loss?
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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.
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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.
Remember, this assessment is not a substitute for professional advice.
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I need some advice on which one of these to utilize... My sister has many chronic diseases... in the hospital now. Has been in and out of Hospitals for last 7 years. Doctor says now shes will need 24/7 care once she is released out of hospital.
Hospice doesn't provide a place to stay indefinitely. There is a charge for the facility, not the services, but the room.
Please speak with the hospice to ensure that you understand exactly what they provide and how it is paid for. I would talk to several.
Also, you have to be approved for hospice, so depending on what is going on she may not qualify, needing 24/7 care doesn't mean she is ready for hospice.
If you take her home please know that hospice does not provide actual care, they provide services, ie, bath aid, nurse, chaplain, social worker that type of thing. Someone else will have to be her caregiver.
Sonya, I suspect there are multiple issues, some conflicting, some controllable, some not. And I'm sorry to learn that you're in this challenging and sad position. It's a hard place to be.
I'll share my experience with Select Specialty Hospitals, which are focused on caring, maintaining and/or curing (if possible) certain long term care conditions. My experience was when my father was intubated, then trached, but suffered from so many complications that it was questionable whether he would survive.
One ICU doctor and a nurse advised that Dad would not live. I challenged that and searched for better care. The more rational staff helped me locate SSH.
SSH focused on the respiratory care, provided limited physical rehab, and brought him to the point of actually progressing toward eventual removal of the trach.
Long story made short, he beat the odds, eventually was able to eat on his own, went back to work building a workshop, lived a full life up until a year or so from his death, and died at 99.5 years of age.
So it depends on (a) the specific chronic conditions (b) whether and/or how well they can be managed (c) whether or not they're terminal (d) other complicating factors, (e) your sister's own individual determination, and (f) support that can be provided for her.
I think what has to be done is to identify the conditions that are chronic, and can or can't be cured, and which has the potential to be life ending. Then assessments on how to manage the former need to be made, and you'll need to research and determine if you and your sister have the available funds and stamina to face these challenges.
Also very important is what quality of life she would have.
If, on the other hand, her conditions are overwhelming and terminal, such as stage IV or end term cancer, and can't be controlled, then I would consider hospice.
I hope this helps. If not, please post again, with detail on the issues that concern you the most.
When my husband faced being on a ventilator and stomach tube for the rest of his life a few months ago, the ICU doctors recommended a skilled nursing facility that offered special care for patients who were intubated. If, at some point his condition had deteriorated to the point that there was not much hope of recovery, then he would have been put on Hospice. I would absolutely speak with her care team to see what they advise.
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.
Please speak with the hospice to ensure that you understand exactly what they provide and how it is paid for. I would talk to several.
Also, you have to be approved for hospice, so depending on what is going on she may not qualify, needing 24/7 care doesn't mean she is ready for hospice.
If you take her home please know that hospice does not provide actual care, they provide services, ie, bath aid, nurse, chaplain, social worker that type of thing. Someone else will have to be her caregiver.
I'll share my experience with Select Specialty Hospitals, which are focused on caring, maintaining and/or curing (if possible) certain long term care conditions. My experience was when my father was intubated, then trached, but suffered from so many complications that it was questionable whether he would survive.
One ICU doctor and a nurse advised that Dad would not live. I challenged that and searched for better care. The more rational staff helped me locate SSH.
SSH focused on the respiratory care, provided limited physical rehab, and brought him to the point of actually progressing toward eventual removal of the trach.
Long story made short, he beat the odds, eventually was able to eat on his own, went back to work building a workshop, lived a full life up until a year or so from his death, and died at 99.5 years of age.
So it depends on (a) the specific chronic conditions (b) whether and/or how well they can be managed (c) whether or not they're terminal (d) other complicating factors, (e) your sister's own individual determination, and (f) support that can be provided for her.
I think what has to be done is to identify the conditions that are chronic, and can or can't be cured, and which has the potential to be life ending. Then assessments on how to manage the former need to be made, and you'll need to research and determine if you and your sister have the available funds and stamina to face these challenges.
Also very important is what quality of life she would have.
If, on the other hand, her conditions are overwhelming and terminal, such as stage IV or end term cancer, and can't be controlled, then I would consider hospice.
I hope this helps. If not, please post again, with detail on the issues that concern you the most.