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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?
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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.
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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Get advice from his medical and nursing team. Is he ready for a hospice referral, or is that not something you've discussed?
This isn't as simple a question as you might think - it just leads to lots of other questions, such as - Is he in fact sleeping, or just quiet Is he taking any pain relief, which might affect both his appetite and his alertness Is he able to swallow without discomfort Is he on oxygen
Then there is - what do you mean by "wake" him? Going in to check on him and to offer him food and fluids shouldn't mean disturbing him past the point where he can easily get back to sleep if he prefers to.
So if you're hesitant about waking him, I hope that doesn't mean that you're not going in to his room?
I’ve seen elderly LOs, where it’s much better to wake them up. Loss of appetite leads to more loss of appetite. And some people sleep too much: sad, bored, escaping through sleep.
Sometimes they’re fully awake, with energy, if there’s something joyful going on.
You know best the whole situation, whether you should wake him up or not. Trust your instincts.
If he's hungry he will wake up himself. It sounds like perhaps his body is getting ready to transition from this world to the next. When that starts the digestive system starts to shut down and food and drink are not wanted or needed. Only if he asks for either should you give it to him, as it can be quite painful for him to take either. I hope at this point that you have hospice involved, as they will be a great help and answer any questions you may have. They will supply any and all equipment, supplies, and medications all covered 100% under your fathers Medicare. They will also have a nurse to come check on him once a week to start and an aide to bathe him at least twice a week. Best wishes.
I would let him sleep. As a person declines they require less nutrition. Decreased activity means there is a decrease in the need for calories. You should be changing his position at lease every 2 hours so he is less likely to develop pressure sores. It is also a good chance to change him if he is incontinent. If he is getting up to use the bathroom (if that is the case would probably switch to a bedside commode just for safety) you can offer a snack then. If you do not have Hospice at this point I would strongly encourage it. They can help in so many ways. From supplies, equipment and emotional support for your dad and the rest of the family.
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.
This isn't as simple a question as you might think - it just leads to lots of other questions, such as -
Is he in fact sleeping, or just quiet
Is he taking any pain relief, which might affect both his appetite and his alertness
Is he able to swallow without discomfort
Is he on oxygen
Then there is - what do you mean by "wake" him? Going in to check on him and to offer him food and fluids shouldn't mean disturbing him past the point where he can easily get back to sleep if he prefers to.
So if you're hesitant about waking him, I hope that doesn't mean that you're not going in to his room?
I’ve seen elderly LOs, where it’s much better to wake them up. Loss of appetite leads to more loss of appetite. And some people sleep too much: sad, bored, escaping through sleep.
Sometimes they’re fully awake, with energy, if there’s something joyful going on.
You know best the whole situation, whether you should wake him up or not. Trust your instincts.
I hope at this point that you have hospice involved, as they will be a great help and answer any questions you may have. They will supply any and all equipment, supplies, and medications all covered 100% under your fathers Medicare.
They will also have a nurse to come check on him once a week to start and an aide to bathe him at least twice a week.
Best wishes.
As a person declines they require less nutrition.
Decreased activity means there is a decrease in the need for calories.
You should be changing his position at lease every 2 hours so he is less likely to develop pressure sores. It is also a good chance to change him if he is incontinent. If he is getting up to use the bathroom (if that is the case would probably switch to a bedside commode just for safety) you can offer a snack then.
If you do not have Hospice at this point I would strongly encourage it. They can help in so many ways. From supplies, equipment and emotional support for your dad and the rest of the family.