Are you sure you want to exit? Your progress will be lost.
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?
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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.
Share a few details and we will match you to trusted home care in your area:
Get on hospice. You and your family will get more emotional support. Upon death, you call the agency to send a staff member for the death certificate. Otherwise you will have to call your local EMS which is a bigger production and paperwork.
I say let them sleep. If this is a sign of the Beginning of the End, why prolong it and force them to keep existing this way? If it's not the sign of the beginning of the end, what's the harm in letting them sleep and not have to be awake, enduring this existence? Maybe that sounds cruel to some, but I think it's more cruel to force people to just exist. If they aren't really living anymore, just existing, then keeping them alive as long as you can is for you, not them. My mother tells me all the time that she keeps prayer for God to take her. And I tell her, I pray for that for you, too, Mom.
Sleeping a lot could indicate the beginning of End of Life. It is one of the criteria that Hospice uses to recertify a patient on Hospice. You do not indicate any information about the patient. Illness? How long this has been going on, if this person was active last week and now wants to sleep ALL the time that could be cause for concern. Depending on the patient and how you are responsible will determine how to deal with this. If you are spouse or POA contact the doctor and describe the change in status. If you are a paid caregiver report to the person that is responsible for the patient. AND report the change in status to your supervisor. If you can not get hold of anyone you could call 911 since this is a concern if this is a new symptom. If the patient is on Hospice you contact the Hospice number
Are you an employee of an agency? Or privately paid by the patient/client?
Does this patient have a PoA who is overseeing their affairs?
If you work for an agency, then you must inform the agency.
If you are privately hired and there's a PoA or family member who is responsible for paying you, them you must inform them.
If you are privately hired and were being paid by this patient/client and there's no PoA or family member involved, then call 911 and make sure the EMTs know this person is all alone and an "unsafe discharge". Social workers will take over figuring out this person's future care.
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.
You do not indicate any information about the patient.
Illness? How long this has been going on, if this person was active last week and now wants to sleep ALL the time that could be cause for concern.
Depending on the patient and how you are responsible will determine how to deal with this.
If you are spouse or POA contact the doctor and describe the change in status.
If you are a paid caregiver report to the person that is responsible for the patient. AND report the change in status to your supervisor.
If you can not get hold of anyone you could call 911 since this is a concern if this is a new symptom.
If the patient is on Hospice you contact the Hospice number
Are you an employee of an agency? Or privately paid by the patient/client?
Does this patient have a PoA who is overseeing their affairs?
If you work for an agency, then you must inform the agency.
If you are privately hired and there's a PoA or family member who is responsible for paying you, them you must inform them.
If you are privately hired and were being paid by this patient/client and there's no PoA or family member involved, then call 911 and make sure the EMTs know this person is all alone and an "unsafe discharge". Social workers will take over figuring out this person's future care.
After this, your responsibility ends.