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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
menos daughter. Until my young dad of 64 in September became afflicted I observed his patience with my children and his other grandchildren. Dad always included them in his projects and gave them tasks that were within their range of capabilities. He always said there is no such thing as accidents so if Freddie squeezed out all the glue he would say things like: that is okay-I've made those errors myself and learned from them so lets try not to do that again. I also watched how he cared for his elderly father-patience is key and my dad sometimes deliberately made correctable errors and would say uh oh-I must be having a senior moment-lets try that again. Simple tasks like tying a tie. Dad would notice gramps having a hard time and he would say you know-I must be getting old too-I forget that tuck all the time or my fingers just don't work like they used to -do you have that problem? In other words he let his much older father de-fuse the frustration by drawing attention to the fact that getting older is nothing to be ashamed of or worth getting worked up over. My dad helped his father get dressed for church or when they did some project together my dad always sang this song: There is nothing whatever the matter with me. I'm just as healthy as I can be. I have arthritis in both of my knees and when I talk I talk with a wheeze. My pulse is weak and my blood is thin, but I'm awfully well for the shape I'm in. I think my liver is out of whack and a terrible pain is in my back. My hearing is poor, my sight is dim
most everything seems to be out of trim, but I'm awfully well for the shape I'm in. I have arch supports for both my feet. or I wouldn't be able to go on the street. Sleeplessness I have night after night, and in the morning I'm such a sight, my memory is failing, my heads in a spin, I'm peacefully living on aspirin, But I'm awfully well for the shape I'm in. The moral is, as this tale will unfold, that for you and me who are growing old, It's better to say, I'm fine with a grin, than to let them know the shape we're in.
My dad sang this to his dad as he dressed him, shaved him, bathed him. They would laugh and giggle. I sing this song to my dad now every day when I bathe him and brush his hair. I tickle him behind his knees when I pull up his socks just like he did with his dad and before we know it he is dressed and ready to go for our daily shuffle down to the mail box or to a doctors appointment. I remind him that not just him but all of us are growing old and we can laugh about it, kid about it but only in my room alone do I cry about it. My children are learning this little song. I don't know where it came from. All I know is he sometimes finds the words to sign thank you and if I don't sing it when we are getting ready he makes sure that I do. It takes away the sting for both of us. It has become our mantra, if you will.
I'm doubtful that if ego has been a problem in someone's earlier years, it is not likely to get better in their later life. In my experience, about the best you can hope for is that whatever assistance is required will be accepted with a minimal amount of resistance. My experience with this is that this doesn't usually happen until things are so far gone that the person who is having the difficulties accepting help and acknowledging need really has no choice any longer, due to accident, illness, hospitalization, etc. At that point, call in whatever supports you, a senior care center, adult day care, assisted living, other friends and family, whatever is available, and hope for the best. It sometimes takes a village to maintain a frail elder.
Accepting that a family member is getting older is difficult for that individual and the family. I hear over and over again, I used to be able to do this, or he used to be able to do that. Certainly we all do that at some point in our lives. The fact is that time and life moves forward, and we need to accept that things change. Not to suggest we should "give in" to growing old, but without respecting and accepting the changes that might go along with it, a person is more likely to make bad decisions for him or herself.
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.
My pulse is weak and my blood is thin,
but I'm awfully well for the shape I'm in.
I think my liver is out of whack
and a terrible pain is in my back.
My hearing is poor, my sight is dim
most everything seems to be out of trim,
but I'm awfully well for the shape I'm in.
I have arch supports for both my feet.
or I wouldn't be able to go on the street.
Sleeplessness I have night after night,
and in the morning I'm such a sight,
my memory is failing, my heads in a spin,
I'm peacefully living on aspirin,
But I'm awfully well for the shape I'm in.
The moral is, as this tale will unfold,
that for you and me who are growing old,
It's better to say, I'm fine with a grin,
than to let them know the shape we're in.
My dad sang this to his dad as he dressed him, shaved him, bathed him. They would laugh and giggle. I sing this song to my dad now every day when I bathe him and brush his hair. I tickle him behind his knees when I pull up his socks just like he did with his dad and before we know it he is dressed and ready to go for our daily shuffle down to the mail box or to a doctors appointment. I remind him that not just him but all of us are growing old and we can laugh about it, kid about it but only in my room alone do I cry about it. My children are learning this little song. I don't know where it came from. All I know is he sometimes finds the words to sign thank you and if I don't sing it when we are getting ready he makes sure that I do.
It takes away the sting for both of us. It has become our mantra, if you will.