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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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lets say the elder person gets sick really bad and the guardian asks that the hospital put a dnr in place but none of the family member want the dnr order.
I think you would have to go to court. Is this an actual Guardianship, or a medical POA? Do you think the guardian is likely to make such choices? What would the elder person want?
Would you be opposed to a DNR under any circumstances? If a person gets to be really sick, and they aren't ever going to get better, and they are not able to enjoy life, why keep them alive with machines?
What are the wishes of the elder? Has she/he expressed their wishes at the end of life? Is there a living will? What is the overall condition of their health and what has the doctor recommended?
CPR is not always appropiate and in elders the survival rate, most notably the survival rate without significent impairment is very low.
My understanding is that a "Health Proxy" is different from a "Guardianship/Conservator" and are therefore not to be interchanged. Check with you state laws.
When I got a DNR for my sister, the MD had to sign off in agreement, and I am the guardian. If the patient has only minimal chances of getting out of bed and recovering and may require multiple and frequent resuscitations, why prolong the suffering? I know my sister would not want to live in an incapacitated state even though Medicaid would cover it all. It's not an easy decision, believe me.
I think a question unanswered here is what if everyone in the family has a different opinion than the guardian on whether or not the patient would want a dnr? Must all give in to the guardian? Obviously legally only the guardian can make or break the dnr so the question is if they feel storngly enough can they revoke or change the named guardian? yes? that would be MY question, and I do have a similar question not asked yet.
If you are concerned that the DNR will be applied too early, get in touch with the hospital and with the doctor for your relative. Let them know that you will create a fuss if your loved one is not treated appropriately. Let them know if the guardian has a financial interest in the person dying sooner than necessary.
If you can get permission to talk to the doctor, ask what kinds of situations might come up. DNR doesn't mean pulling the plug, in most cases. It means allowing natural death to occur. For someone who is elderly, or extremely ill, or in late, "out of it" stages of dementia, with no hope for a return to an enjoyable life, allowing death to occur may be a kindness. For a young person, it's easier to believe in torturing them by keeping them alive, because they haven't had a "full life" yet.
My mother, not yet ill, told me she wanted to be DNR. I told her, "Mom, the first time, we have to try, in case you can get better and live a good life. But after that, OK." She passed quickly, as she would have preferred. We did try the first time, but quickly gave up when it didn't work, as she wanted.
This is a confusing and upsetting problem. Tell us more about your specific concerns, and the situation your loved one is in.
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.
Would you be opposed to a DNR under any circumstances? If a person gets to be really sick, and they aren't ever going to get better, and they are not able to enjoy life, why keep them alive with machines?
CPR is not always appropiate and in elders the survival rate, most notably the survival rate without significent impairment is very low.
If you can get permission to talk to the doctor, ask what kinds of situations might come up. DNR doesn't mean pulling the plug, in most cases. It means allowing natural death to occur. For someone who is elderly, or extremely ill, or in late, "out of it" stages of dementia, with no hope for a return to an enjoyable life, allowing death to occur may be a kindness. For a young person, it's easier to believe in torturing them by keeping them alive, because they haven't had a "full life" yet.
My mother, not yet ill, told me she wanted to be DNR. I told her, "Mom, the first time, we have to try, in case you can get better and live a good life. But after that, OK." She passed quickly, as she would have preferred. We did try the first time, but quickly gave up when it didn't work, as she wanted.
This is a confusing and upsetting problem. Tell us more about your specific concerns, and the situation your loved one is in.