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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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My sister in law is a physician, she is not a geriatric specialist, nor psychiatrist. She works in hospitals and does work with many elderly patients.
When stepdad was dying we had a conversation about dementia (he had it and cancer). Her comment was that the testing is primarily qualitative, not quantitative. It is not like taking a pulse nor measuring respiration or oxygen concentration in the blood. There are no definitive tests for dementia, they are all subject to interpretation.
NPD people tend to mold reality to their point of view. It can become a he said she said situation. This is where good record keeping, video or audio recordings of 'off' behaviour can help the clinicians make a diagnosis.
We have been recording all conversations. Our problem is he won’t allow us to go in his appts any more and he is trying to change doctors because he thinks we are setting him up.
We have not gotten results back yet but my father is very cunning and narcissistic. I have heard they can fake that they are fine but would like to know if anyone has been able to pass the test but they really do have it.
An astute examiner can use both observation and standardized tools, plus reports by additional sources in a clients life to come up with pretty reasonable evidence of real symptoms as opposed to malingering.
I’m not sure why narcissism in particular would suggest the likelihood of attempting to “fool” an examiner? Why would there be an advantage to “faking”?
It ( their personality and fluctuating mentation) change hourly. Sometimes you wonder was I too hasty? Sometimes it is where did loved one go?
Some days they are "there." An hour later, not so much. Then you have showtiming, cognitive camouflage, and a determined effort by LO to show they are not one if of " those people." My mother did this for years. She was in a geriatric behavioral unit for a week. She was worse than what we thought. She was just clever. Very.
Full testing it might be difficult. There are brain scans that can not be "faked" Written tests are given more than once and the tests are then compared so there can show a difference between the 2 testing phases. Questions are often asked in several different ways over the course of the testing process so it might be difficult to recall each answer and how each question is phrased. Also the way the person responds , the affect of the person being tested, as well as just simple conversation is all taken into account for the results of the testing process.
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.
When stepdad was dying we had a conversation about dementia (he had it and cancer). Her comment was that the testing is primarily qualitative, not quantitative. It is not like taking a pulse nor measuring respiration or oxygen concentration in the blood. There are no definitive tests for dementia, they are all subject to interpretation.
NPD people tend to mold reality to their point of view. It can become a he said she said situation. This is where good record keeping, video or audio recordings of 'off' behaviour can help the clinicians make a diagnosis.
I’m not sure why narcissism in particular would suggest the likelihood of attempting to “fool” an examiner? Why would there be an advantage to “faking”?
Some days they are "there." An hour later, not so much. Then you have showtiming, cognitive camouflage, and a determined effort by LO to show they are not one if of " those people." My mother did this for years. She was in a geriatric behavioral unit for a week. She was worse than what we thought. She was just clever. Very.
Written tests are given more than once and the tests are then compared so there can show a difference between the 2 testing phases. Questions are often asked in several different ways over the course of the testing process so it might be difficult to recall each answer and how each question is phrased.
Also the way the person responds , the affect of the person being tested, as well as just simple conversation is all taken into account for the results of the testing process.
He is not going to be able to fake forever. There will come a time when the desease progresses and they really can't fake anymore.