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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.
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.
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He can shower, he will be then a chair he just gets out of breath walking. They're not doing anything he's been there for 4 days. Can I just bring him home he's miserable he's been gone for 3 months after heart surgery.
It’s been only four days. Give it time. Yes he wants to go home, but it is dangerous for him to go home without being fully ready.
Also some insurance companies will not cover the expense if you check him out AMA. Unless you can hire therapists and a nurse and pay out of pocket, don’t sabotage his recovery like this.
It is a rough time to be in rehab, around the holidays, many out on paid leave. Be patient so he can be patient, things will be back to normal soon.
He had heart surgery three months ago? Was he in the hospital this whole time? That is definitely serious illness. Do not take him home or you may be kicking yourself, drowning in guilt, if something were to cause him to die after getting home.
Let the pros do what they do, they will be back on Monday.
If you believe that his needs are being neglected report the place to the state Department of Human Services and the ombudsman through the Area Agency on Aging.
It sounds that your father has severe congestive heart failure. Sure you can take him home, but he is not going to get better and most like will continue to go downhill. How old is your father? What type of heart surgery did he have? Coronary bypass? Valve replacement?
Hello, Your dad's in the best place he can be right now. You're not going to be able to provide the kind of progress assessment and conditioning he requires. All facilities are short staffed right now, and it's the week between Christmas and New Year's. They likely aren't staffed up to initiate a new intake's first sessions. Since they get reimbursed for his sessions, those are likely to start soon. If they haven't done any work with him after the end of the first week in January, you should address your concerns to the facility director. He should have a care plan that either he or his POA signed that outlines their goals for him. You might want to see if you can review that.
Tinfen, you need to have a chat with someone at the admin level, or with one of the nurses if admins aren't available. The purpose would be to share your concerns, acknowledge the Covid situation and that facilities including rehab are short staffed, but express your concern that time is passing and NO progress is being made. Then ask what the plan is for your father.
He should a least have some attention given to his shortness of breath. Has he been diagnosed with any pulmonary condition? Has he been on oxygen?
Share your concerns, and also suggest that perhaps you can meet with the physical therapy staff, and others, so that you can understand how they plan to address his condition before the Medicare paid period runs out.
I share your concerns, and would be upset as well. But I've learned over the years that you have to get the staff on your side, acknowledge their difficult situation, and work with them.
If you took your father home, you could get a script from one of his doctors, but home therapy isn't as thorough and helpful (partly b/c of time and also b/c you wouldn't have access to therapy equipment) and he wouldn't progress as much as if he got PT and OT in a rehab facility.
If you don't get support from the staff, ask his cardiologist if you should consider switching rehab places.
Good luck; let us know how this works out after you have a discussion with staff.
You need to ask for care plan meeting with family. There is a reason he "isn't doing anything" and now is the time to find that out. This isn't a prison. If your father is of sound mind and doesn't wish further rehab he can leave the facility. However, there is much to be gained in rehab. Time for a care plan meeting with the POA for your Dad, your Dad, the PT, Dietary, Social Worker, Nursing, all involved in his care. In my brother's case years ago rehab for a month made an ENORMOUS difference in his stamina, his balance, his confidence, his mobility and so many other things. Check this out.
I would question why nothing is being done. I would think Medicare would require he get therapy within a certain period of time after being admitted. He has already used up 4 days of the 20 that Medicare pays 100%.
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.
It’s been only four days. Give it time. Yes he wants to go home, but it is dangerous for him to go home without being fully ready.
Also some insurance companies will not cover the expense if you check him out AMA. Unless you can hire therapists and a nurse and pay out of pocket, don’t sabotage his recovery like this.
i would say, bring him home. make sure you know everything he’ll need to recover.
soon-new-year hug!!! :)
hugs!!!!
He had heart surgery three months ago? Was he in the hospital this whole time? That is definitely serious illness. Do not take him home or you may be kicking yourself, drowning in guilt, if something were to cause him to die after getting home.
Let the pros do what they do, they will be back on Monday.
If you believe that his needs are being neglected report the place to the state Department of Human Services and the ombudsman through the Area Agency on Aging.
Your dad's in the best place he can be right now. You're not going to be able to provide the kind of progress assessment and conditioning he requires. All facilities are short staffed right now, and it's the week between Christmas and New Year's. They likely aren't staffed up to initiate a new intake's first sessions. Since they get reimbursed for his sessions, those are likely to start soon. If they haven't done any work with him after the end of the first week in January, you should address your concerns to the facility director. He should have a care plan that either he or his POA signed that outlines their goals for him. You might want to see if you can review that.
He should a least have some attention given to his shortness of breath. Has he been diagnosed with any pulmonary condition? Has he been on oxygen?
Share your concerns, and also suggest that perhaps you can meet with the physical therapy staff, and others, so that you can understand how they plan to address his condition before the Medicare paid period runs out.
I share your concerns, and would be upset as well. But I've learned over the years that you have to get the staff on your side, acknowledge their difficult situation, and work with them.
If you took your father home, you could get a script from one of his doctors, but home therapy isn't as thorough and helpful (partly b/c of time and also b/c you wouldn't have access to therapy equipment) and he wouldn't progress as much as if he got PT and OT in a rehab facility.
If you don't get support from the staff, ask his cardiologist if you should consider switching rehab places.
Good luck; let us know how this works out after you have a discussion with staff.