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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.
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My mother refuses to take her medicine some days. Since it is things like anti seizure and thyroid, it’s important she have them. Anything to make the process easier would help!
Start by asking your pharmacist if the meds come in patch form. Please know that some medications say to never crush or break them in half as this impacts any time-released aspect and the patient may get too much medication all at once. Also, many medications are incredibly bitter when crushed and no foods cover up that taste (learned this the hard way when trying to give adult son pain meds after tonsillectomy-from-h*ll). Ask the pharmacist for ideas.
Off the main subject, but I had a tonsillectomy at 27. “From H*ll” is putting it mildly! I knew it would be bad, but I had no idea how bad. I didn’t eat for a month aside from water, maybe some applesauce, and pain pills.
DH aunt, 94 and with dementia, takes quiet a few pills each morning. Over the years we have had some issues that created a need to change things up. Currently we have them divided up into three pill planners and pace them a bit.
First Thyroid. Wait at least 30 min. While waiting, go to the bathroom, get dressed, tend to hair, teeth and eye drops.
Next check vitals. “Oh I see your blood pressure is a little high”. She doesn’t want high blood pressure so she takes those. We are still in the bedroom.
Now at this point if she doesn’t take the next group, I don’t care. They are memory pills, multi vitamin, antidepressant. Allergy.
I invite her to the kitchen where the last group of pills are waiting in a little bowl. I busy myself with making her decaf and chatting. She sees the pills in the dish and starts taking them. I don’t mention them.
I find it much easier for her to not present them all at one time, to lead with the most important and to not offer food until they are taken. If she eats too soon she feels too full to drink a lot of water taking the pills. That’s my theory anyway. your mom’s meds May need to be taken differently but it works well for aunt.
Sometimes a silly song helps adjust her mood. That’s usually related to getting dressed. We will talk about the need to get dressed before heading out to a fantasy day. Chattanooga choo choo or New York, New York whatever comes to mind. Once she makes it into her chair (her goal for the day) she feels more empowered to reject her meds.
So I try to keep it all upfront “your chores for the day are almost done” until we get the pills done and get her dressed.
If the pills are offered after she gets in her chair, they may sit there all day and when they are gone you wonder if she really took them. She takes about a dozen so I know it can be a challenge.
Thyroid medication must be taken with water and no food. You may crush her thyroid medications and mix with water. Have her drink it down. Time release medications cannot be crushed. Most other medications can be crushed and mixed with pudding or applesauce. Check with your pharmacist first before doing so. Also check with your doctor if there are liquid versions of medications which she might take more easily.
Sometimes a doctor can presribe medication in liquid form and it gets mixed into a food the patient likes. Or, a caregiver can mash meds and mix them into food.
You have to be careful about putting meds in food because there are many kinds that cannot be split or crushed or are capsules and must be taken in tact. Talk to her doctor and see if some of her meds come in liquid form. That will certainly help if you want to try putting them in food or drink. Also, you can use a little white lie to get her to take them. Tell her that they're vitamins. Sometimes seniors will get fussy about taking medications because they think they don't need them. Last resort if she refuses to take them is tell her that if she doesn't take her medicine she will get sick and will have to go to a nursing home. This one always works.
This has been a continual issue with my dad. Now that he's in skilled nursing, you'd think they'd be able to get him to take them. Nope! I do know they have crushed them up and put them in his favorite beverage or some pudding.
I just cleaned out the dresser drawers in mom's house (she passed in July). I found so many pills in amongst the clothes. Apparently she was hiding them instead of taking them. Dad did not watch mom to make sure she took them, just placed them in a cup on the nightstand. But, I think if he had watched her, she had just enough of a determined independent streak that she probably would have refused to take them at all and there would have been horrible fights. It is a tough spot to be in.
I agree that many pills should not be crushed or capsules opened. I would definitely look into the patch if it is available for any of your mom's important meds.
My husband has dementia. I think he is in the later stages and has regressed a lot in the past year. Now it is becoming more difficult to feed him, so I have to put pudding on the tip of the spoon and then put the regular food towards the back. This often works quite well. Also, it is very difficult to get him to take his meds. I have tried coaxing him and have even used the hospital threat with him but none of this registers. What works best with him is mixing his crushed medications with pudding. This way, he will take all his meds without a hassle!
Always check with pharmacist to know if meds can be crushed. Some meds can become toxic when crushed as they release too much med too quickly and other reasons. Good tip about pudding to assist with ease of swallowing meds. My dad had to have meds not crushed but pudding helped, one pill at at time.
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.
First Thyroid. Wait at least 30 min.
While waiting, go to the bathroom, get dressed, tend to hair, teeth and eye drops.
Next check vitals. “Oh I see your blood pressure is a little high”. She doesn’t want high blood pressure so she takes those. We are still in the bedroom.
Now at this point if she doesn’t take the next group, I don’t care. They are memory pills, multi vitamin, antidepressant. Allergy.
I invite her to the kitchen where the last group of pills are waiting in a little bowl. I busy myself with making her decaf and chatting. She sees the pills in the dish and starts taking them. I don’t mention them.
I find it much easier for her to not present them all at one time, to lead with the most important and to not offer food until they are taken.
If she eats too soon she feels too full to drink a lot of water taking the pills. That’s my theory anyway.
your mom’s meds May need to be taken differently but it works well for aunt.
Sometimes a silly song helps adjust her mood. That’s usually related to getting dressed. We will talk about the need to get dressed before heading out to a fantasy day. Chattanooga choo choo or New York, New York whatever comes to mind. Once she makes it into her chair (her goal for the day) she feels more empowered to reject her meds.
So I try to keep it all upfront “your chores for the day are almost done” until we get the pills done and get her dressed.
If the pills are offered after she gets in her chair, they may sit there all day and when they are gone you wonder if she really took them. She takes about a dozen so I know it can be a challenge.
I agree that many pills should not be crushed or capsules opened. I would definitely look into the patch if it is available for any of your mom's important meds.