Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
She has moderate to late stage dementia, we really don't want to go with the Anesthesia, due to past experiences this has put her through. We are not sure she would allow or understand the Novocaine. Any advice?
I was going to suggest Nitrous oxide gas as well. I agree with ferris1 that if the stage of dementia is advanced and pain isn't the issue it's best just to leave it alone. However, abscesses can be a problem. My mother-in-law needed surgery for that reason. They used a combination of local anesthetics and nitrous. Good luck making this decision. It's a tough one. Carol
I am a dental hygienist an an educator in a dental school. There are several options. One is to take an anti anxiety medication before the appointment at home...most dentists prescribe Valium in low dose. The anesthetic injections ( they no longer use Novocaine) are perfect for extraction. and will wear off and not affect her mentally. You do not say why your concern so more info would be helpful. Is she easily frightened, combative? Nitrous oxide gas (known as laughing gas) is a wonderful sedative and the patient is awake but just sedated and the gas immediately is flushed out with 100% oxygen before she leaves. And therefore she is totally in control and no longer under any influence. I like others would advise against the general anesthetic. But I doubt that is what they would use. I would get an actual name (s) of what they would use as an anesthetic. It may be what is used for procedures like a colonoscopy. The doctor needs a full list of her medications before seeing her that day also. It would be nice if she had already met the doctor first as well.
Hopefully, you are going to an oral surgeon, and not just a dentist!
My mom, with drug-induced dementia from anti-cholinergic meds, was unable to take sedatives. She also experienced significant pain due to joint problems. She'd already had an ankle fusion, both hips replaced, and one new knee. If not for it being age inappropriate, 93 at the time, she would have needed the other knee replaced as well as both shoulders. I couldn't stand to see her in even more pain and fear from worrying about AND having teeth removed. Fortunately, she'd had good experiences with oral surgery, so calm, matter of fact reminding her of that allowed what memory she had left to kick in and allay any fears.
In prior consultation with the OS, I explained her history and suggested that I dose her with her normal pain medication of acetaminophen + tramadol (she also could not take narcotics) along with her soma about 1/2 hour prior to surgery and ask if it would be acceptable that he use nitrous oxide. I asked the OS to please confer with her doctor if necessary. He felt that nitrous in addition to what she was already used to taking would work fine; that nitrous was relatively safe with virtually no side effects and, consequently, he did not feel he needed to conference with her doctor.
So, THAT is what ended up happening, and all went smoothly.
Someone mentioned if the teeth aren't hurting leave them alone. Did you all know that any infection in the mouth has access to the entire body via the vessels that supply and drain the tooth? Therefore that same infection can affect the heart, brain, etc. You can get a fatal infection of the heart. Infections can also raise the level of CRP (C reactive protein) in the blood which can lead to strokes. So removing infected teeth with a poor prognosis, whether hurting or not is wise. One British study showed that the same bacteria that we find in periodontal disease (used to be called pyorrhea) can be found in the brains of people with Alzheimers. Our teeth are connected to the body. Ok...off my soapbox now. (can't help it, it's the dental educator in me)
Why put her through the trauma of a dental procedure? Unless the teeth have an absess, or they are painful, do not do anything. She has a terminal illness. Try to make her time left as pleasant as possible.
Agree with Pam. Anesthesia with her dementia is not a good idea. Preferably a sedative that she has tolerated well before, possibly in a larger dose. Dr will advise not just the dentist involve her PCG
My wife would not permit (she would push the dentist hand away) the dentist to inject novocaine. We found a dentist that used a IV sedation (using a certified anesthesiologist -not an MD). This procedure was approved by my wife's family doctor and her neurologist. We used this procedure when a tooth was removed. Also used at lesser time (15 minutes) for general cleaning every 4 months. It has worked fine without any negative results. While I would prefer the use of injected novocaine in lieu of the IV sedation, the need to keep her teeth in good condition ruled the day. Jim W.
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.
Carol
My mom, with drug-induced dementia from anti-cholinergic meds, was unable to take sedatives. She also experienced significant pain due to joint problems. She'd already had an ankle fusion, both hips replaced, and one new knee. If not for it being age inappropriate, 93 at the time, she would have needed the other knee replaced as well as both shoulders. I couldn't stand to see her in even more pain and fear from worrying about AND having teeth removed. Fortunately, she'd had good experiences with oral surgery, so calm, matter of fact reminding her of that allowed what memory she had left to kick in and allay any fears.
In prior consultation with the OS, I explained her history and suggested that I dose her with her normal pain medication of acetaminophen + tramadol (she also could not take narcotics) along with her soma about 1/2 hour prior to surgery and ask if it would be acceptable that he use nitrous oxide. I asked the OS to please confer with her doctor if necessary. He felt that nitrous in addition to what she was already used to taking would work fine; that nitrous was relatively safe with virtually no side effects and, consequently, he did not feel he needed to conference with her doctor.
So, THAT is what ended up happening, and all went smoothly.
While I would prefer the use of injected novocaine in lieu of the IV sedation, the need to keep her teeth in good condition ruled the day.
Jim W.
See All Answers