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Which best describes their mobility?
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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.
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If they get to bring some of their own stuff, try to bring what is most meaningful to them - pictures, mementos, etc. I'd try to find out as much about the schedules where your folks will be going - meals, religious services if they go to those, trips out, activities in-house. Put it in a format your parents can understand - large print on paper or on a bulletin board or small white board, whatever would work so that they understand when things will happen. Put that in their apartment so they can see what his happening. Let them know who will be coming in to help them with meds or baths or whatever and what time that will happen and how often. Also write down when they can expect to hear from you or see you. I call my mom every morning at 8 AM and again at 6 PM and she knows to expect that.
Make sure they know where things are in their apartment (even label drawers, etc) and how to get to the bathrooms and use any new things (faucets, air conditioners, etc) in their apartment. Make sure their place is set up for them - get a nightlight since they'll be in a strange place until they get comfortable. My mom keeps a flashlight on her headboard, so she can see at night when she gets up and she has a nightlight in her bathroom since she usually gets up at night. Take them down to the dining room so they can see how to get there or to the hair salon or where ever your folks might want to go. I'm not sure the shape your folks are in and how much help they need, so some of the things I'm suggesting might not work for them. Good luck and keep us posted.
Make sure you introduce yourself to the key staff members, so they know your folks have caring family who will be keeping an eye on them. I have a special hearing assisted phone for my mom that has speed-dial programmed in. So she just pushes a button with my name and it calls me. Maybe something like that if you don't have it already. I'd be over there a lot the first few days, just to make sure they settle in and any bumps are quickly worked out.
Can you give us more info on your parents? Are they mentally sound and just have physical issues, how old are they, etc? Give me more info and I'll tell you what I think. I always have an opinion. :)
I wouldn't stay the night but I would offer to come over the next day and have lunch with them at the AL dining room. Maybe sit at a group table and help with the introductions. This will start off the conversation, and then someone will say "oh your daughter is so nice, so funny, yada yada.." Breaks the ice. Then go back another day and join in at an activity or happy hour, religious service, while they get comfortable with staff and other residents.
They'll adjust soon and hopefully won't just stay to themselves. Please be patient and allow plenty of time to adjust duly, 60 days or so before you panic. Also, beware that they may tell you how unhappy they are but staff may report otherwise. So they might be having more fun then they let on to you...sometimes they will guilt you for "forcing them here".
Know you did the right thing. So many of these places are wonderful and it's nice for them to be able to be there together especially as they age and things happen. Hard when one passes away and then the other has to move into new surroundings by themselves.
At least they both have each other, that's wonderful. Most people move and don't know anyone. I think it's really important to be a good listener at this time, validate their fears and concerns, let them know you are always there for them. That reassurance will go along way :-) They will meet new people and I'm sure once they adjust, they will be fine. Good Luck!
This is all good advice. I would just add to show them where and how to get their mail and how to use the system to call for assistance, whether it is a pendant that they wear or a pull chain on the wall, or both.
The most important thing is get to know the staff and how to contact them if you have questions or concerns.
Blannie, you asked specifics about my parents. But first - thanks to all. I really appreciate all your suggestions. My parents are 86 and 89. My dad has Parkinson's and Diabetes and after some recent surgery has a walker. He is unable to shower or to toilet without help. My mom has been diagnosed with vascular dementia. She has trouble with the phone, remote controls, anything with numbers. Her physical health is good with the exception of her eyesight - she has macular degeneration and glaucoma. They have been living with me the last 3 years and had caregivers during the day for the last 3 months- since they are no longer able to stay by themselves and I have a business. They moved from their Midwest home of 55 years to Florida to live with me. It has been a hard adjustment for them since they left their small town. church and friends to a larger city. My mother is very social - my father is not. He is very self-centered and used to my mother waiting on him for every thing. I am hoping that my mom will be able to have some sort of social life - something that she has been missing for the last 3 years. I am hoping that my dad will have someone to help him other than my mother.
Your mom and dad sound a lot like mine. I moved them from central IL to be near me in the Chicago area. So they left all of their friends (my mom anyway). My dad was in the Air Force, so my family is used to moving around. My dad was never social and my mom did everything for him. They both adjusted very well to independent living. My dad was happy as long as someone had his meals ready and he had his TV and books. :) Mom was happy because she no longer had to cook for them.
My mom made a number of friends in the place. My dad died over 3 years ago after being diagnosed with lung cancer. He moved from the Independent Living are to the Skilled Nursing area, so stayed in the same large facility until he passed away. My mom is still going strong at going on 94. She's at the point now where she's happy to stay in her apt most of the time. I get her books and she reads voraciously. Unfortunately in the 12 years, most all of my mom's new friends have either died or had to leave because of money. So she's more isolated than I'd like to see, but I can't do anything about that. She seems very happy. She's not one to go to activities or church services. So I try to get her out to restaurants and the farmer's market and a bit of shopping when the weather is good.
If it was me, I'd at least share a few meals with them in the dining room for the first few days. And stop by a couple of times to make sure everything is going OK. You're sure to hear some complaints and hopefully some things they really like. I've found over time I have to assume more and more responsibility and just be on the lookout for things. Like when I last visited, I just happened to notice my mom's clocks had stopped - they had a power failure. She didn't remember to tell me (she has no short-term memory any more). Also her night light was out. So I'm very eagle-eyed when I visit mom to make sure everything looks OK and she's taking her meds, etc.
My parents were in Southern Illinois - where I grew up. Your parents do sound like mine. We have purchased a large flat screen for him - he's a news and market person and some new books on tape for my mom. She appears to be looking forward to meeting people - he is just really angry about the whole situation and more than angry with me. I understand the necessity of meeting staff, etc. Both of my parents were in rehab and it made a difference that I knew all of the staff and was a regular visitor. The move is on Monday - so I will let you know how it goes. Thanks for all of your suggestions. You have been very helpful.
Your dad is probably angry with you the most because he feels closest to you and we always tend to lash out at those we love and know the most... it's not fair, it's just life. Once he settles in and gets a new routine going for himself, he will probably thank you (in his own little way). :-)
Well you sound like a sharp cookie, so I'm sure you'll navigate your parents' move pretty well. My dad was a markets guy too and would have the CNBC ticker tape scrolling all day long (no sound on), so my mom couldn't really watch TV. Your dad is probably really angry and his loss of independence and is just taking it out on you. Hopefully with time, he'll come around.
Blannie, she is a big Cardinals fan - so sorry not a Cubs fan - so we have MLB extra innings for her and are a putting a TV in her room. The big screen TV is going in the living area - I am afraid he will just lay in bed and not get up if we put it in his bedroom. As you can see, I am trying to think this through but am totally stressed. I really appreciate your support.
That's really neat that your mom is into baseball! My late aunt was too. My mom isn't (and I'm not either). Your dad may surprise you once he gets settled in and realizes the positives of where they are. It will just take a bit of time. My dad didn't want to leave their home of 35 years, but my mom and my brother and I made it happen. He was happy where he was, because he didn't have to do anything, my mom did all of the work. My dad refused to lift a finger to help us go through their 35 years of accumulated stuff, and then once they moved, he'd get mad when he'd look for stuff and we'd tossed it, since he didn't help and let us know his wishes. Oh well, too bad so sad. I didn't let that bother me.
It's a hard transition when the roles switch and we become the 'parents' to our parents, who have transitioned to being more like the kids in the relationship. I never had children, but taking care of my mom now is very much (I imagine) like having a child. I always have to be thinking ahead and planning and figuring out how things will work with her, because she's lost that ability. I have to do the thinking for both of us.
Im moving my Mom out of assist to her own place again, cause the food got to be so bad and unhealthy. Any hints moving her from toen she has been in for 62 years. Moving her to a small small town with beauty that is magical. What things shod I be ready to take on...finding the first doctor is the first and most important. Then WhaT??
Tell your parents what my 88-year-old mom said after she moved to an assisted living place: "I wish I'd known how great this is! I wish I'd done this ten years ago!"
She's been there two years now and wouldn't have it otherwise. Loves it.
All of us in the family had the assumption that senior residences were basically nursing homes, the kind everyone's scared of. Were we wrong! My mom's place is great--as much help as she needs and all the independence she enjoys and can handle. Living with one of her children, there was the mother/daughter role reversal complication and pain; my sister was so scared something might happen to my mom that she almost made her a prisoner (or so it felt to my mom--who naturally started rebelling!). My sister meant well, but went too far. Easy to do. But when my mom moved to assisted living and could call the shots, but still had someone interested and available, she started being as sensible as she had been before the conflict with my sister, and she became much much happier. "I feel like myself again," she said. Not someone's charge or prisoner, not someone afraid to cause a stir in the family--just another adult among other adults, with other good people around to help if and when needed, but not to hover.
A key joy for my mom was to be living among OTHER people with walkers or wheelchairs, so she wasn't the ONLY one, the strange one, the old lady to be pitied; she was just "one of us". And more: She now lives with friends from her own generation, her own culture, values, memories...it's a much friendlier world for her than the second decade of the 21st Century!
It means a lot to her for family to visit, but she's got her own life now, thank you, and doesn't need either the cosseting or the anxiety that used to always be there. We're all happier--and tell you what: at 68 myself, I'm thinking how "when I grow up" I hope I get to live the way she's living now!
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.
Make sure they know where things are in their apartment (even label drawers, etc) and how to get to the bathrooms and use any new things (faucets, air conditioners, etc) in their apartment. Make sure their place is set up for them - get a nightlight since they'll be in a strange place until they get comfortable. My mom keeps a flashlight on her headboard, so she can see at night when she gets up and she has a nightlight in her bathroom since she usually gets up at night. Take them down to the dining room so they can see how to get there or to the hair salon or where ever your folks might want to go. I'm not sure the shape your folks are in and how much help they need, so some of the things I'm suggesting might not work for them. Good luck and keep us posted.
Make sure you introduce yourself to the key staff members, so they know your folks have caring family who will be keeping an eye on them. I have a special hearing assisted phone for my mom that has speed-dial programmed in. So she just pushes a button with my name and it calls me. Maybe something like that if you don't have it already. I'd be over there a lot the first few days, just to make sure they settle in and any bumps are quickly worked out.
They'll adjust soon and hopefully won't just stay to themselves. Please be patient and allow plenty of time to adjust duly, 60 days or so before you panic. Also, beware that they may tell you how unhappy they are but staff may report otherwise. So they might be having more fun then they let on to you...sometimes they will guilt you for "forcing them here".
Know you did the right thing. So many of these places are wonderful and it's nice for them to be able to be there together especially as they age and things happen. Hard when one passes away and then the other has to move into new surroundings by themselves.
The most important thing is get to know the staff and how to contact them if you have questions or concerns.
I really appreciate all your suggestions. My parents are 86 and 89. My dad has Parkinson's and Diabetes and after some recent surgery has a walker. He is unable to shower or to toilet without help. My mom has been diagnosed with
vascular dementia. She has trouble with the phone, remote controls, anything with numbers. Her physical health is good with the exception of her eyesight - she has macular degeneration and glaucoma. They have been living with me the last 3 years and had caregivers during the day for the last 3 months- since they are no longer able to stay by themselves and I have a business. They moved from their Midwest home of 55 years to Florida to live with me. It has been a hard adjustment for them since they left their small town. church and friends to a larger city. My mother is very social - my father is not. He is very self-centered and used to my mother waiting on him for every thing. I am hoping that my mom will be able to have some sort of social life - something that she has been missing for the last 3 years. I am hoping that my dad will have someone to help him other than my mother.
My mom made a number of friends in the place. My dad died over 3 years ago after being diagnosed with lung cancer. He moved from the Independent Living are to the Skilled Nursing area, so stayed in the same large facility until he passed away. My mom is still going strong at going on 94. She's at the point now where she's happy to stay in her apt most of the time. I get her books and she reads voraciously. Unfortunately in the 12 years, most all of my mom's new friends have either died or had to leave because of money. So she's more isolated than I'd like to see, but I can't do anything about that. She seems very happy. She's not one to go to activities or church services. So I try to get her out to restaurants and the farmer's market and a bit of shopping when the weather is good.
If it was me, I'd at least share a few meals with them in the dining room for the first few days. And stop by a couple of times to make sure everything is going OK. You're sure to hear some complaints and hopefully some things they really like. I've found over time I have to assume more and more responsibility and just be on the lookout for things. Like when I last visited, I just happened to notice my mom's clocks had stopped - they had a power failure. She didn't remember to tell me (she has no short-term memory any more). Also her night light was out. So I'm very eagle-eyed when I visit mom to make sure everything looks OK and she's taking her meds, etc.
Good luck and keep us posted!!
It's a hard transition when the roles switch and we become the 'parents' to our parents, who have transitioned to being more like the kids in the relationship. I never had children, but taking care of my mom now is very much (I imagine) like having a child. I always have to be thinking ahead and planning and figuring out how things will work with her, because she's lost that ability. I have to do the thinking for both of us.
She's been there two years now and wouldn't have it otherwise. Loves it.
All of us in the family had the assumption that senior residences were basically nursing homes, the kind everyone's scared of. Were we wrong! My mom's place is great--as much help as she needs and all the independence she enjoys and can handle. Living with one of her children, there was the mother/daughter role reversal complication and pain; my sister was so scared something might happen to my mom that she almost made her a prisoner (or so it felt to my mom--who naturally started rebelling!). My sister meant well, but went too far. Easy to do. But when my mom moved to assisted living and could call the shots, but still had someone interested and available, she started being as sensible as she had been before the conflict with my sister, and she became much much happier. "I feel like myself again," she said. Not someone's charge or prisoner, not someone afraid to cause a stir in the family--just another adult among other adults, with other good people around to help if and when needed, but not to hover.
A key joy for my mom was to be living among OTHER people with walkers or wheelchairs, so she wasn't the ONLY one, the strange one, the old lady to be pitied; she was just "one of us". And more: She now lives with friends from her own generation, her own culture, values, memories...it's a much friendlier world for her than the second decade of the 21st Century!
It means a lot to her for family to visit, but she's got her own life now, thank you, and doesn't need either the cosseting or the anxiety that used to always be there.
We're all happier--and tell you what: at 68 myself, I'm thinking how "when I grow up" I hope I get to live the way she's living now!