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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.
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Have a doctor that specializes in alzheimers and elderly patients. avoid the issue i just had with her primary where he went outside his lane and prescribed a very controversial drug for someone in late stage alzheimers. Isn't it better to see a specialist doctor who focuses on the type of patient as opposed to one that typically sees younger patients
I agree with the strategy of finding an older doctor who can relate to an olde patient. I did this for my Mom and she was a very good primary BUT now she is retiring and we have to find another doc.
Medications, especially to treat cognitive or brain-related issues, can act very differently in different people. It's a guessing game. My Mom is a retired RN and she has always said that gerontologists just spend their time figuring out drug interactions in patients.
I saw your other post and had asked the question of who was with your Mom when this drug was prescribed, or if anyone was with her at all and I don't think this was ever answered. The antidote is for her to have a good care manager. Doctors can only do so much.
This is my opinion. PCPs/GP know a little about everything and a lot about nothing. I had a Neurologist for my Mom who did not believe in medicating if not really needed. I was lucky, in that Mom was fairly easy. She went without meds until her last two weeks when anxiety set in. Her anxiety started out humming that got louder by the day so they medicated her.
There is nothing much a doctor can do for a Dementia patient in the last stages. You can try a geriatric doctor and tell him your experience. See how it goes or try to get into a Neurologist. Mom does need something to calm her down.
You could try. But as with many areas of medicine, geriatric physicians probably are in short supply, and it might be hard to find one who will take on the individual (your parent?) as a patient. I think it's important for all patients (or their decision-makers) to be willing to educate themselves and not necessarily take a physician's or other health-care provider's recommendations at face value. This is true whether the physician is a general practitioner, an internal medicine physician, or a geratric physician (or anything else).
Mom had alzheimers. She lived in a rural area that was under doctored. We ended up sticking with her PCP. The real value that he offered was that he would do remote doctor appointments the last several years when she was bedbound in the home.
If you can find a local practitioner that will do remote doctor appointments there is real value in that for late stage.
I can tell you my experience with my mom's long time non geriatric doctor PCP. While he wasn't an expert geriatrician, by the time she was nearing the end of her life it was actually more important that he knew her when she was "all there". He knew what her baseline was, and that is something tough to recreate for a new doctor. So that is one thing to consider, if only because the patient may only show changes in behavior or mentation in response to an infection or other stressors.
For us this was very important, along with his willingness to prescribe her certain medicines that other doctors were not sure about. We had a long term relationship and we'd discussed the pros and cons of various meds. Going to new doctors and explaining things over and over again got tiring. Mom was also familiar with the doctor and felt comfortable with him. The office was easy to get in and out of and it was close to mom's home. There really wasn't much that could be done for my mom at the end anyway. When she went on hospice they handled all of her 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.
Medications, especially to treat cognitive or brain-related issues, can act very differently in different people. It's a guessing game. My Mom is a retired RN and she has always said that gerontologists just spend their time figuring out drug interactions in patients.
I saw your other post and had asked the question of who was with your Mom when this drug was prescribed, or if anyone was with her at all and I don't think this was ever answered. The antidote is for her to have a good care manager. Doctors can only do so much.
There is nothing much a doctor can do for a Dementia patient in the last stages. You can try a geriatric doctor and tell him your experience. See how it goes or try to get into a Neurologist. Mom does need something to calm her down.
We ended up sticking with her PCP. The real value that he offered was that he would do remote doctor appointments the last several years when she was bedbound in the home.
If you can find a local practitioner that will do remote doctor appointments there is real value in that for late stage.
For us this was very important, along with his willingness to prescribe her certain medicines that other doctors were not sure about. We had a long term relationship and we'd discussed the pros and cons of various meds. Going to new doctors and explaining things over and over again got tiring. Mom was also familiar with the doctor and felt comfortable with him. The office was easy to get in and out of and it was close to mom's home. There really wasn't much that could be done for my mom at the end anyway. When she went on hospice they handled all of her meds.