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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.
Share a few details and we will match you to trusted home care in your area:
Does she have a DNR or POLST? What would be the decision IF she needed to be intubated? Would she understand what is going on? Chances are if she were intubated she would be sedated. People with dementia do not do well recovering from sedation. Whatever "stage" of dementia she is currently at she will decline after an illness, if hospitalized and certainly after sedation. this is a very tough decision. If it were my Husband I would elect to keep him home, or if he were in a Memory Care facility I would elect to keep him there. If the facility is doing everything they can to follow protocol and isolating residents that are ill, providing proper protection for staff and making sure they follow CDC guidelines she is probably safer where she is than in the hospital.
I refused to hospitalize my LO because even if she were offered a ventilator, I would have been refusing THAT, based on HER DNR.
Also, the staff at her AL LOVE her, and she loves them.
Since I couldn’t be with her to comfort and encourage her, I wanted her with the next closest to me.
She was sick for almost 2 1/2 weeks, and is now recovering. It may or may not happen, but my fondest hope is to put my arms around her and whisper in her ear, as I always do, “STOP CUSSING. YOU’RE MAKING A SCENE”.
I love her to pieces, and I’m overjoyed that at least for now she’s doing so well.
This is a big decision. How advanced is her Dementia? If she is hospitalized, would she understand what is go on. Would it be upsetting to be in a different place.
My decision would be to leave her where she is. Personally, I know what its like to watch a person decline and go to the bitter end. I prayed that Mom not be put thru the indignity of Dementia.
When my husband had a fever and accompanying chills in his rehab facility, he was 911-Ed within 24 hours to the local hospital that is accepting possible Coronavirus patients in our area. Luckily, it wasn’t Coronavirus and he was back at the facility within 24 hours. A test was done at the facility, but by the time the test results came back, he was back at the facility. Chances are your sister, if she begins showing signs, will be sent to the hospital. Hospitals are better equipped to test and treat than facilities. Not all Coronavirus patients need hospitalization, that’s true. But facilities are leaving it up to the hospitals to make that decision, especially with a Senior Citizen.
My mother lives in Memory Care; the doctor called me a few weeks ago with questions about her care plan in case she comes down with COVID-19. Do I want her hospitalized or to stay in house with hospice? At 93, we're assuming the worst case scenario if she does contract the virus. I said I wanted her to stay in house & have hospice give her comfort care, but, and here's the big BUT: my mother can speak for herself. She's not THAT far into dementia to where she can't say what she wants to do herself. That said, my mother has an oxygen unit that she needs for sleep; it can be used at any time if the need arises, which it does from time to time.
So, unless your sister is very far advanced with her dementia in that she is non-verbal, then she herself can say whether or not she wants to be taken to the ER if she gets sick. If she's non verbal and you are her POA, then what are her final wishes? My feeling is that being kept alive on a ventilator with dementia is futile. The quality of life is already compromised greatly, and in my mother's case, she's 93 and saying daily (or at least several times a week) that she wants to die. So, if she does contract the virus, then I'll leave her fate in God's hands.
Do whatever you feel is right, and what you feel your sister would want. Good luck and Godspeed.
What were her end of life wishes before the SNF and the dementia? Were her wishes to Allow Natural Death/DNR or were they for CPR?
Not all COVID patients need hospital care. Can she get supplemental oxygen in the SNF? Can they give her Tylenol for a fever? Can she be kept comfortable at the SNF if she gets sick?
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.
What would be the decision IF she needed to be intubated?
Would she understand what is going on? Chances are if she were intubated she would be sedated. People with dementia do not do well recovering from sedation. Whatever "stage" of dementia she is currently at she will decline after an illness, if hospitalized and certainly after sedation.
this is a very tough decision.
If it were my Husband I would elect to keep him home, or if he were in a Memory Care facility I would elect to keep him there.
If the facility is doing everything they can to follow protocol and isolating residents that are ill, providing proper protection for staff and making sure they follow CDC guidelines she is probably safer where she is than in the hospital.
Also, the staff at her AL LOVE her, and she loves them.
Since I couldn’t be with her to comfort and encourage her, I wanted her with the next closest to me.
She was sick for almost 2 1/2 weeks, and is now recovering. It may or may not happen, but my fondest hope is to put my arms around her and whisper in her ear, as I always do, “STOP CUSSING. YOU’RE MAKING A SCENE”.
I love her to pieces, and I’m overjoyed that at least for now she’s doing so well.
My decision would be to leave her where she is. Personally, I know what its like to watch a person decline and go to the bitter end. I prayed that Mom not be put thru the indignity of Dementia.
So, unless your sister is very far advanced with her dementia in that she is non-verbal, then she herself can say whether or not she wants to be taken to the ER if she gets sick. If she's non verbal and you are her POA, then what are her final wishes? My feeling is that being kept alive on a ventilator with dementia is futile. The quality of life is already compromised greatly, and in my mother's case, she's 93 and saying daily (or at least several times a week) that she wants to die. So, if she does contract the virus, then I'll leave her fate in God's hands.
Do whatever you feel is right, and what you feel your sister would want. Good luck and Godspeed.
Not all COVID patients need hospital care. Can she get supplemental oxygen in the SNF? Can they give her Tylenol for a fever? Can she be kept comfortable at the SNF if she gets sick?