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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.
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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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From your profile:About MeI am a RN and POA for my friend Jo. She is 85 and experiencing dementia symptoms. She was recently hospitalized for broken ribs from a fall when she was ill with COVID type symptoms but refuses to admit she was in the hospital and accuses me of making it up. She also had pneumonia and end stage heart failure. Friends have stayed with her for a month and now that she has a life alert system are leaving her alone for periods. She won't allow me to stay with her. She has no family, no children, husband and brother deceased. NP told her she cannot drive which upset her. Her mother died in her 90's in MC because she became too violent to care for at home. Her insurance is a MC HMO and the only neurologist in the network cannot see her until September for competency testing. She recently did a new will but it is not finalized yet and not signed. HH nurse did the competency testing and she scored 6 out of 15. She has funds but won't spend for caregivers. Lives in a large home which is paid for on acreage, relying on a friend for upkeep. She doesn't take her medications when she is alone despite reminder calls. How else can we determine competency before September?
Your friend is obviously suffering from dementia as evidenced by her behavior and scoring on the cognitive exam. A 6 out of 15 would translate to about a 12 out of 30 on the standard MoCA or SLUMS test indicating moderate to advanced dementia at play. I'd get her to the ER the next time ANY out of the ordinary behavior occurs and exaggerate her symptoms if necessary. Call 911, speak to the EMTs about the situation and have her transported to the hospital for evaluation. At that point, get the social worker involved to say it'd be an unsafe discharge to allow this woman to go back home alone. As her POA, you can make some decisions for your friend based on her obvious deficits.
If you are concerned about safety issues at this time, call and tell the physician that there appear to be safety issues and you need the appointment for competency assessment now... they may either accommodate you or may refer you to take person to ER.... You can always without any referral take or have person transported to an ER, if you are observing questionable safety issues...related to competency....once at ER, you can confer with staff there for a competency assessment....there are some very simple ones that an appropriate licensed professional can administer....then follow up with other professionals as needed....
If you are needing legal proof to enact your POA and etc. then you will be waiting for this month. Her own MD can certain give you a beginning idea of where things stand. Wait times are getting worse and worse for all right now, and over the last year.
PatLocke: It is evident per your profile that your friend is well into dementia. Perhaps her PCP can recommend a neurologist in Chesapeake, VA who has appointments available before September.
You might have to get guardianship once she has a diagnosis which can be expensive but added to her own bills. Only thing is that your profile lists you as a friend and that complicates things. Open enrollment starts in October for Medicare. You can go to Medicare online as a guest and look up better plans for her. Plug in her medications and zip code to look at offerings. If she is using advantage plans, scope out the bigger insurers rather than an HMO. The generally have huge networks of providers who care for geriatric issues.
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.
Your friend is obviously suffering from dementia as evidenced by her behavior and scoring on the cognitive exam. A 6 out of 15 would translate to about a 12 out of 30 on the standard MoCA or SLUMS test indicating moderate to advanced dementia at play. I'd get her to the ER the next time ANY out of the ordinary behavior occurs and exaggerate her symptoms if necessary. Call 911, speak to the EMTs about the situation and have her transported to the hospital for evaluation. At that point, get the social worker involved to say it'd be an unsafe discharge to allow this woman to go back home alone. As her POA, you can make some decisions for your friend based on her obvious deficits.
Best of luck.
You can always without any referral take or have person transported to an ER, if you are observing questionable safety issues...related to competency....once at ER, you can confer with staff there for a competency assessment....there are some very simple ones that an appropriate licensed professional can administer....then follow up with other professionals as needed....