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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?
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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.
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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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Not a lot of information here so can't be specific. Call the social worker at the facility. Ask for a care plan or care team meeting at the nursing home, explaining that you are concerned about your father's comfort. Discontinuation of some types of medications are appropriate for someone who is 89 and in poor health. Pain can be hard to assess, and elders in nursing home can have a lot of trouble accurately interpreting their environment.
How is your sister able to apparently counteract medication orders presumably issued by a doctor at the nursing home? Have you raised this issue with admins, especially those dealing with meds?
Nursing homes usually give meds directly to the patient. Not sure how your sister is getting in the middle of this. What kind of pains? Is he on hospice?
So she has told us she has papers saying she has power of attorney over him. I’m trying to get a copy of them but have not been successful. She has moved him three times in the past year clamming the nursing home was over meding him. Now this nursing home says they can’t give him meds if she requests them not to. When on his meds he sleeps a lot which I think is normal for someone 90 with a Alzheimer’s. He has pancreatic cancer and several pined together joints from serving in Korea. Without his meds he is now groaning all the time and fighting nurses. He is on hospice and has a VA nurse. Not sure why the nursing home hasn’t stepped in or if they even can.
MIke, the thing for you to do here is to call the Ombudsman for the nursing home and explain the problem to them. See if they will take action and investigate what is going on.
The information about how to contact the Ombudsman is clearly displayed in the NH.
If he is on hospice he will not be given meds that will extend his life. But he should not be in pain, hospice should give him enough medication so he is comfortable.
BigMike, since your father is a Vet and has combat service, has he registered with the VA? There would be more professional care through the VA than by your sister.
In addition, it's erroneous to interpret being proxy under a POA as "having power over" someone. The proxy serves to facilitate the principal's needs, not control him or her. Your sister apparently doesn't understand the purpose of being proxy.
In addition, is this a Living Will, or medical POA? If not and it's a financial one, I don't see how she has authority to control his meds.
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.
Ask for a care plan or care team meeting at the nursing home, explaining that you are concerned about your father's comfort.
Discontinuation of some types of medications are appropriate for someone who is 89 and in poor health.
Pain can be hard to assess, and elders in nursing home can have a lot of trouble accurately interpreting their environment.
Can you tell us the whole story? We'd be happy to hear it!
The information about how to contact the Ombudsman is clearly displayed in the NH.
In addition, it's erroneous to interpret being proxy under a POA as "having power over" someone. The proxy serves to facilitate the principal's needs, not control him or her. Your sister apparently doesn't understand the purpose of being proxy.
In addition, is this a Living Will, or medical POA? If not and it's a financial one, I don't see how she has authority to control his meds.