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Are they experiencing any memory loss?
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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.
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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.
Share a few details and we will match you to trusted home care in your area:
Yes, mom had a UTI 3 weeks ago, but was given antibiotics. That was the beginning of this steep decline and pain. I'll ask hospice to check for UTI again to see if it's gone. Thank you!
If your mom is under hospice care and is at end of life, of course she's going to be in pain as all her organs are now starting to shut down, and that in itself can be quite painful. And if food or drink is being forced on her that too can be very painful as the digestive system is the first to shut down in the dying process. My late husband who had vascular dementia was in excruciating pain for about the last year of his life, and it continued right up to the end, and hospice couldn't get it under control even with the highest dosages of fentanyl. It was heartbreaking to watch the man I loved suffer so right up to the end. If the painkillers are helping your mom be comfortable and pain free, please by all means continue them so your mom can die in peace.
"If your mom is under hospice care and is at end of life, of course she's going to be in pain as all her organs are now starting to shut down, and that in itself can be quite painful."
As am RN I assure you that Funkygrandma is absolutely correct. Please encourage hospice to medicate to a level of comfort even should it hasten death by some minutes, hours, or even days.
If mom is in pain and the "painkillers" are not working for her Hospice should prescribe something else for her pain or if it can not be managed at home then the transport her to a Hospice In Patient facility and manage the pain.
Urinary tract infections may spread to the kidney, causing pain & even sepsis.
My LO had abdo pain. UTI, constipation & kidney stones found - not sure which came first. Not sure which issue was causing the pain (or if all three were). Surgery for kidney stones, then IV antiobiotics finally cleared infection after weeks. Was grueling & lengthy.
With end stage dementia, I would imaging you want to avoid invasive treatments. Therefore comfort care may be the best you can do. I am so sorry.
Mom did have kidney stones years ago that sent her to the hospital, but thankfully she recovered. It could be that again, something else, or the end stages. Wish mom could say exactly what it is. Thank you💗
Rose, a UTI was the beginning of the end for my father who did not have dementia. He went from being fine to getting a UTI and dying 19 days later. Even after a round or 2 of antibiotics, his body could not recover. Hospice did administer pain meds during the last week of his life.
My mother, with advanced dementia, was fine too, hanging around in the activity room all day long in her Memory Care Assisted Living facility. Then one day, she went to bed and became semi comatose. She died one week later, to the day. Hospice did give her morphine for pain the last few days of her life. She died peacefully, as did dad.
We're never expecting the end to come when it does, and it's always difficult and traumatic. Wishing you peace and strength as you go thru this,
Rose, I wrote recently about hospice not killing my mother, though probably shortening her life by a couple of days, and said that many people don’t realise how close to the end their LO actually is. My mother was talking quite rationally to me on Wednesday and Thursday, declined over several hours and died on Saturday at about midnight. The end can come very quickly, for which be thanks.
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.
But also there is no rhyme or reason why some linger in one stage for a long period of time and some decline quickly.
So sorry 😞 🙏
And if food or drink is being forced on her that too can be very painful as the digestive system is the first to shut down in the dying process.
My late husband who had vascular dementia was in excruciating pain for about the last year of his life, and it continued right up to the end, and hospice couldn't get it under control even with the highest dosages of fentanyl.
It was heartbreaking to watch the man I loved suffer so right up to the end.
If the painkillers are helping your mom be comfortable and pain free, please by all means continue them so your mom can die in peace.
As am RN I assure you that Funkygrandma is absolutely correct.
Please encourage hospice to medicate to a level of comfort even should it hasten death by some minutes, hours, or even days.
Urinary tract infections may spread to the kidney, causing pain & even sepsis.
My LO had abdo pain. UTI, constipation & kidney stones found - not sure which came first. Not sure which issue was causing the pain (or if all three were). Surgery for kidney stones, then IV antiobiotics finally cleared infection after weeks. Was grueling & lengthy.
With end stage dementia, I would imaging you want to avoid invasive treatments. Therefore comfort care may be the best you can do.
I am so sorry.
My mother, with advanced dementia, was fine too, hanging around in the activity room all day long in her Memory Care Assisted Living facility. Then one day, she went to bed and became semi comatose. She died one week later, to the day. Hospice did give her morphine for pain the last few days of her life. She died peacefully, as did dad.
We're never expecting the end to come when it does, and it's always difficult and traumatic. Wishing you peace and strength as you go thru this,