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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?
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:
Knowing they need it and getting them to agree to it are two different things. You can suggest a tour, you should ask their MD, but mostly it is up to you. When you find yourself needing to care for them on a daily basis, always running over for minor emergencies, it's time.
Sometimes you can see that parents are simply not doing well, but it is hard to put your finger on why. Often times, the holidays are a common time families notice changes in elderly relatives as everyone is reunited after months, or sometimes longer. But whatever point you discover that your loved one needs more help than you knew—for example, your family begins to reevaluate the safety and care needs of your aging loved one as they seem depressed, malnourished or uncharacteristically aggressive or agitated—here are a few things you should look for to help you determine whether it may be time to move to a senior living community:
1. They seem depressed, lonely or isolated. If a senior can no longer drive, their world changes dramatically as they no longer have as much freedom. They can’t make a quick run to the store, drive to the barber or hairdresser on their own, or easily meet their friends for lunch. And, often, at a certain point of life, most of their friends—and spouse—have passed away, which can lead to depression and a lack of interest in normal, everyday activities. Socialization and stimulation are important and if life has changed and the senior is no longer getting these things, their health and personality can be negatively affected. If your loved one doesn’t seem to be acting like him/herself, go with your instinct that something is wrong.
2. They seem confused or forgetful. Health conditions, such as dementia, diabetes and others, can dramatically affect personality and can create confusion and problems with communication. If your loved one seems confused, you need to consult a qualified physician to see whether the change is health-related.
3. They are having problems taking medication. Medication problems are a big warning sign that something is wrong. Some medications are critical to get right, such as blood thinners.
4. They seem malnourished or their physical appearance looks different. Is your loved one eating old food in the refrigerator because they didn’t notice it is not fresh? Take a peek in there. Sometimes they forget to eat, so look for signs of weight loss. What’s in the cupboards and does it seem normal? Are wounds healing? Are they getting sick often? Does your loved one look like themselves? Have they showered and are their clothes clean? These are all important questions to ask.
5. They are not paying bills. Have the bills started to stack up in a big, disorganized mess? Is your loved one getting calls from collection agencies? This is a big sign your loved one may need your help and support and may need to relocate into a less independent environment.
6. Their pets are not cared for. This is pretty straightforward. If your loved ones’ pets seem underweight, sick or not like themselves, they may not be getting proper care because your loved one is no longer capable of caring for them.
Asking neighbors and friends and scheduling a routine doctor check-up is also a good idea to make sure nothing is out-of-the-norm. It is common for people to have a tendency to remember parents how they once were—not see the problems of today. Again, make sure to go with your instincts.
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.
1. They seem depressed, lonely or isolated. If a senior can no longer drive, their world changes dramatically as they no longer have as much freedom. They can’t make a quick run to the store, drive to the barber or hairdresser on their own, or easily meet their friends for lunch. And, often, at a certain point of life, most of their friends—and spouse—have passed away, which can lead to depression and a lack of interest in normal, everyday activities. Socialization and stimulation are important and if life has changed and the senior is no longer getting these things, their health and personality can be negatively affected. If your loved one doesn’t seem to be acting like him/herself, go with your instinct that something is wrong.
2. They seem confused or forgetful. Health conditions, such as dementia, diabetes and others, can dramatically affect personality and can create confusion and problems with communication. If your loved one seems confused, you need to consult a qualified physician to see whether the change is health-related.
3. They are having problems taking medication. Medication problems are a big warning sign that something is wrong. Some medications are critical to get right, such as blood thinners.
4. They seem malnourished or their physical appearance looks different. Is your loved one eating old food in the refrigerator because they didn’t notice it is not fresh? Take a peek in there. Sometimes they forget to eat, so look for signs of weight loss. What’s in the cupboards and does it seem normal? Are wounds healing? Are they getting sick often? Does your loved one look like themselves? Have they showered and are their clothes clean? These are all important questions to ask.
5. They are not paying bills. Have the bills started to stack up in a big, disorganized mess? Is your loved one getting calls from collection agencies? This is a big sign your loved one may need your help and support and may need to relocate into a less independent environment.
6. Their pets are not cared for. This is pretty straightforward. If your loved ones’ pets seem underweight, sick or not like themselves, they may not be getting proper care because your loved one is no longer capable of caring for them.
Asking neighbors and friends and scheduling a routine doctor check-up is also a good idea to make sure nothing is out-of-the-norm. It is common for people to have a tendency to remember parents how they once were—not see the problems of today. Again, make sure to go with your instincts.