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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.
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Are they living with you and your family? If they are living on their own you can't "force or make" them move. Why do you think they need a Skilled Nursing facility? Would not an Assisted Living or Memory Care facility be better? Mom with dementia should be in Memory Care. In most places a spouse that has not been diagnosed can live with the partner with dementia either in Memory Care or in Assisted Living as long as the spouse with dementia will not wander off. Have they seen any Assisted Living or Memory Care facilities? They are a far cry from what many people think of as "nursing homes". A friend of mine recently moved into one and I call it a "landlocked cruise ship" with the movie theater, activities, buffet meals I can tell you my Husband would have LOVED that! If they are living with you it is more difficult. If they will not move out you may legally have to evict them. Mom can not sign a POA, with the diagnosis of dementia she legally can not make that decision. You could try to file for Guardianship of your mom. Then you could place her in Memory Care. I can tell you this would be difficult and would drive a wedge between you and your parents and any siblings you have. Not to mention it is not easy or inexpensive. (although cost comes from their assets not yours) If they are in their own home you can do what you can to help them realize that they would be "safer" in AL. If you are helping them (propping them up) in any way STOP. Unfortunately sometimes it takes an incident that forces the change.
Big jump from living at home straight snf skipping as al.
Yes the law supports ur parents decision over urs. the law only responds to after something happened not what might happen.
Draw a flow chart of each step in aging process and what u can do to make every step work. And when current step fails they have to move to be next step
Living at home without accomadation - living at home with accomadations -al-snf
U going too my fast.. now u should be asking how can I make them safer/asier living at home.. When that fails go to next step
Its very difficult when parents need help. Maybe have someone talk to them. You can File for guarandianship, so you can help place them Or just wait until something happens, like a fall. Call paramedics. Tell case manager they can't live alone.
Call social services for their county to discuss options and consequences of reporting them to APS. My stepFIL became a ward of the county because he had Parkinson's, was broke and wouldn't give anyone in the family legal authority to help him. He was expecting us to be orbiting around him, driving over at midnight on a work night to pick up his 6'4" body off the floor. Refused to fill out the Medicaid paperwork. Once there is a court-appointed guardian, no one else has insight or control over that person's financial or medical affairs. So, one day I discovered I was locked out of the joint account we had to pay his bills. There's much more "backstory" than what I've written. It was sad, but also a relief.
your choices are limited to waiting until an event disables one or both of them (fall in or outside of the home, dangerous use of household equipment, wandering and being unable to remember how/where to return home) OR acquiring legal documentation that one or both of them are unable to safely manage and provide for themselves.
If you see ANY careless or dangerous actions in their current home life, call their local emergency services. Do that as often as you feel they are in danger. Local legal codes vary, but they may be able to direct you to the next step in acquiring care.
You may contact one of their medical providers but unless you send a note requesting “screening” for geriatric cognitive loss, you will not be given information on your first try because of HIPPA.
If you are able to provide specific, objective information to their medical specialist(s), it MAY help you to further your case that THEY are unsafe and THEY need support that they are refusing.
I could have “disarmed” my tiny LO, but believe me she could do some damage when she swung that heavy four footed cane at me, until her anxiety FINALLY forced her to leave the little farm house with the almost totally inaccessible SINGLE BATHROOM, to enter a REALLY NICE Assisted Living facility, where her disabling anxiety/dementia was ultimately revealed.
Hothousflower and I share the same misery, and we understand FULLY, where you are. BE STRONG, BE LOVING, BE FAIR, realize that you are not able to do this without the anger and in my case, shrieking and yelling insults that come from being “outed” as too frail or sick to manage on their own.
Thinking of you and hoping that you can pull things together for them before worse happens.
My brother and I had to sit tight and wait, finally my mother had a slight stroke and was afraid to be alone at night, we sprang into action. I think it is even worse when there are 2 involved both thinking they can help each other, reality being neither can.
They are just being stubborn and if like my mother thought that the homes were like they were 50 years ago.
Here is the irony, my mother loves it where she is, new friends, activities, no cleaning, she says "I wish I would have done this years ago"...groan!
I’m in the exact same situation. I did tell my mother that their situation was not sustainable and they needed to consider alternatives, AL or nursing home. She was livid with me, still is. My parents refuse to leave their home. Accept there’s nothing you can do and just wait. I did insist that my parents have a medical alert system. There is a lock box with keys on the door for EMS. They did finally agree to 8 hours of help a day, not enough but something. So we wait. I just wish this situation was over already. I can’t stand it anymore. It’s been around 7 years now that my sisters and I have been dealing with this situation which is getting grimmer snd more depressing as each day passes.
I have a glass-half-full outlook relative that says to celebrate the fact people can choose how they wish to live.. so yay them 🎉😶 (Yeah, you probably guessed right - that person has NOT had to lift a finger in the caregiving world yet). It's TOUGH in the awaiting the crises club.
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.
If they are living on their own you can't "force or make" them move.
Why do you think they need a Skilled Nursing facility? Would not an Assisted Living or Memory Care facility be better? Mom with dementia should be in Memory Care. In most places a spouse that has not been diagnosed can live with the partner with dementia either in Memory Care or in Assisted Living as long as the spouse with dementia will not wander off.
Have they seen any Assisted Living or Memory Care facilities? They are a far cry from what many people think of as "nursing homes". A friend of mine recently moved into one and I call it a "landlocked cruise ship" with the movie theater, activities, buffet meals I can tell you my Husband would have LOVED that!
If they are living with you it is more difficult. If they will not move out you may legally have to evict them.
Mom can not sign a POA, with the diagnosis of dementia she legally can not make that decision.
You could try to file for Guardianship of your mom. Then you could place her in Memory Care. I can tell you this would be difficult and would drive a wedge between you and your parents and any siblings you have. Not to mention it is not easy or inexpensive. (although cost comes from their assets not yours)
If they are in their own home you can do what you can to help them realize that they would be "safer" in AL. If you are helping them (propping them up) in any way STOP. Unfortunately sometimes it takes an incident that forces the change.
Yes the law supports ur parents decision over urs. the law only responds to after something happened not what might happen.
Draw a flow chart of each step in aging process and what u can do to make every step work. And when current step fails they have to move to be next step
Living at home without accomadation - living at home with accomadations -al-snf
U going too my fast.. now u should be asking how can I make them safer/asier living at home..
When that fails go to next step
I must wait for my mom to have a life-threatening health emergency to be forced into Assisted Living or nursing home
This will also allow me and my brother to untether ourselves from our mom while making sure her needs are being adequately met!
You can File for guarandianship, so you can help place them
Or just wait until something happens, like a fall. Call paramedics.
Tell case manager they can't live alone.
If you see ANY careless or dangerous actions in their current home life, call their local emergency services. Do that as often as you feel they are in danger. Local legal codes vary, but they may be able to direct you to the next step in acquiring care.
You may contact one of their medical providers but unless you send a note requesting “screening” for geriatric cognitive loss, you will not be given information on your first try because of HIPPA.
If you are able to provide specific, objective information to their medical specialist(s), it MAY help you to further your case that THEY are unsafe and THEY need support that they are refusing.
I could have “disarmed” my tiny LO, but believe me she could do some damage when she swung that heavy four footed cane at me, until her anxiety FINALLY forced her to leave the little farm house with the almost totally inaccessible SINGLE BATHROOM, to enter a REALLY NICE Assisted Living facility, where her disabling anxiety/dementia was ultimately revealed.
Hothousflower and I share the same misery, and we understand FULLY, where you are. BE STRONG, BE LOVING, BE FAIR, realize that you are not able to do this without the anger and in my case, shrieking and yelling insults that come from being “outed” as too frail or sick to manage on their own.
Thinking of you and hoping that you can pull things together for them before worse happens.
Best thoughts to you and your husband!
They are just being stubborn and if like my mother thought that the homes were like they were 50 years ago.
Here is the irony, my mother loves it where she is, new friends, activities, no cleaning, she says "I wish I would have done this years ago"...groan!
I have a glass-half-full outlook relative that says to celebrate the fact people can choose how they wish to live.. so yay them 🎉😶
(Yeah, you probably guessed right - that person has NOT had to lift a finger in the caregiving world yet).
It's TOUGH in the awaiting the crises club.