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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.
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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:
You can ask the Palliative and or Hospice Nurse during the evaluation what the "pro's and con's" are for each. With Hospice you can no longer seek curative treatments. Now with dementia there are none so that is not a game changer. With Hospice you WILL get a nurse that will come in 1 time a week, more often if it is necessary. You WILL get a CNA that will come 2 sometimes 3 times a week to give a bath, shower or if needed a bed bath. The Nurse will order ALL medical supplies and equipment that will be delivered to your home (or where the patient lives) This includes any medication that is prescribed. (Hospice does provide medications, there are some they may ask you to discontinue but if there is a good reason to continue them if it is one they can provide they will, if it is not one covered you can purchase it "out of pocket" The CNA will order all personal supplies briefs, wipes, gloves, ointments and they will all be delivered to you. With Hospice you can ask for a Volunteer that can come and spend time with the patient while you get out. (they can do no "hands on care") Volunteers can also be requested if you need other things done. (I have weeded gardens, taken a dog for a walk, gone shopping) And with Hospice you can ask for Respite. This is covered by Medicare, Medicaid and other insurance.
You can always drop Hospice and return to your original Primary Care Physician. With Palliative you will still work with your PCP.
My dad was on both. With palliative care, a doctor made home visits. He had labs drawn. He had pt come. Once dad was found delirious the palliative doctor recommended hospice. We got enough hygiene supplies to fill a store but unfortunately the RN struggled with dad’s catheter so much that my doctor sister had to place it. That’s the thing with hospice is that you’re usually getting an RN that is not even an np or a pa as your top onsite provider.
No, palliative care does not help someone with advanced dementia, unless having a nurse come to the house/facility once every 6 weeks to check on them counts. Really other than that they do nothing. But if and when your loved one goes under hospice care, they will receive any needed equipment, supplies, and medications all covered 100% under their Medicare or Medicaid. Hospice will also have a nurse come out once a week to start and have aides to come bathe your loved one at least twice a week, along with access to volunteers, their chaplain, and social worker, again all covered 100% under Medicare/Medicaid. You can call the hospice agency of your choice and have them come out to do an assessment to see if your loved one qualifies for their services. They are available 24/7, so you can call them anytime.
Palliative care was very helpful for my mom, who has dementia. The palliative care nurses were much more focused on pain management, fall prevention, and general comfort issues than was mom's primary care physician.
Palliative care and Hospice care both focus on keeping the patient comfortable, not in improving their health. This is for any chronic condition which is not going to get better. Hospice will have more strict criteria for eligibility, and will provide a nurse more often, and may even provide someone for bathing assistance.
If the person is stable, palliative care is probably just fine for now. If they decline, you can ask a hospice provider to do an evaluation. They will tell you if the patient is eligible for their services. This can be helpful for end-of-life 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.
With Hospice you can no longer seek curative treatments. Now with dementia there are none so that is not a game changer.
With Hospice you WILL get a nurse that will come in 1 time a week, more often if it is necessary.
You WILL get a CNA that will come 2 sometimes 3 times a week to give a bath, shower or if needed a bed bath.
The Nurse will order ALL medical supplies and equipment that will be delivered to your home (or where the patient lives) This includes any medication that is prescribed. (Hospice does provide medications, there are some they may ask you to discontinue but if there is a good reason to continue them if it is one they can provide they will, if it is not one covered you can purchase it "out of pocket"
The CNA will order all personal supplies briefs, wipes, gloves, ointments and they will all be delivered to you.
With Hospice you can ask for a Volunteer that can come and spend time with the patient while you get out. (they can do no "hands on care") Volunteers can also be requested if you need other things done. (I have weeded gardens, taken a dog for a walk, gone shopping)
And with Hospice you can ask for Respite. This is covered by Medicare, Medicaid and other insurance.
You can always drop Hospice and return to your original Primary Care Physician.
With Palliative you will still work with your PCP.
But if and when your loved one goes under hospice care, they will receive any needed equipment, supplies, and medications all covered 100% under their Medicare or Medicaid. Hospice will also have a nurse come out once a week to start and have aides to come bathe your loved one at least twice a week, along with access to volunteers, their chaplain, and social worker, again all covered 100% under Medicare/Medicaid.
You can call the hospice agency of your choice and have them come out to do an assessment to see if your loved one qualifies for their services. They are available 24/7, so you can call them anytime.
If the person is stable, palliative care is probably just fine for now. If they decline, you can ask a hospice provider to do an evaluation. They will tell you if the patient is eligible for their services. This can be helpful for end-of-life care.
A doctor or facility would need to assess someone for hospice qualification. You can request this to get the assessment in motion.