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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.
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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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It can be very up and down towards the end. It's very hard to go through this. Talk to the hospice nurses about what to expect. These rallys are not uncommon.
Oh gosh, I know this is a scary time for you, but anything is possible when you are dealing with an end stage Hospice patients.
I think 32 Oz of water is a bit extreme, and would recommend you monitor that a little more closely.
Little sips, frequently, and let her bodies reaction be your guide, but never withhold fluids of food for that matter!
Often there is a "last rally", and it can really throw you off, thinking that she's in a rebound of sorts, but that rarely happens, she must have been unusually thirsty, or perhaps scared, maybe overheard someone speaking of her low urine output, and she thought she could remedy that by drinking.
Depending on what her diagnosis is, if it is anything to do with poor kidney function, you be best to discuss this and Any concerns with your Hospice care Nurse, as they have all of the answers, and do be very careful about what you say in front of them, as remember, they are scared too!
I'm so sorry you are having to deal with this, having just been through the Hospice process with my own FIL, who passed in our home about a month ago, their status can change day by day, hour by hour, and sometimes minute by Minute.
I did not expect my FIL to pass the morning that he did, as his decline came on very rapidly, and it was quite shocking to me, so be prepared for anything to happen, and be as calm and clinical as you can be.
There will be plenty of time to break down after she has passed, as it's usually only then that your own feelings can be allowed to surface as you are so busy. In the meantime, Take Care of you, get as much rest as possible, and try to be strong!
As long as your Mom can manage small sips, small amounts of gentleach, easy to digest foods, and she still desires to eat and drink, you should allow her to have them. When she can no longer swallow, then those mouth swab/spongettes should be used to keep her mouth moist, and then you know that you are truly near the end. Take Care.
Thank you, thank you all. The Dr came today. She thinks 3-4 days based on lung and heart function. My mom did tell her she was afraid. Probably why she drank so much and ate. The Dr said, she needed it. That's it. She needed it. Love live this Dr. She is awesome. The problem we have had is that we were without a nurse one night over last weekend and was also told we would only have a nurse from 8-11 tonight. After calling, finally got a nurse for the night. Is this common? Twice in a week n a half?
Thank you, thank you all. The Dr came today. She thinks 3-4 days based on lung and heart function. My mom did tell her she was afraid. Probably why she drank so much and ate. The Dr said, she needed it. That's it. She needed it. Love live this Dr. She is awesome. The problem we have had is that we were without a nurse one night over last weekend and was also told we would only have a nurse from 8-11 tonight. After calling, finally got a nurse for the night. Is this common? Twice in a week n a half?
Is your mom getting meds for anxiety, like Ativan? If not, perhaps you should discuss that with the hospice nurse by phone.
My mom was only on hospice for about 36 hours, so I can advise on frequency of nurse visits. You have a number you can call 24/7, which is answered by an RN, yes?
I think that's the best place to ask those questions right now.
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.
I think 32 Oz of water is a bit extreme, and would recommend you monitor that a little more closely.
Little sips, frequently, and let her bodies reaction be your guide, but never withhold fluids of food for that matter!
Often there is a "last rally", and it can really throw you off, thinking that she's in a rebound of sorts, but that rarely happens, she must have been unusually thirsty, or perhaps scared, maybe overheard someone speaking of her low urine output, and she thought she could remedy that by drinking.
Depending on what her diagnosis is, if it is anything to do with poor kidney function, you be best to discuss this and Any concerns with your Hospice care Nurse, as they have all of the answers, and do be very careful about what you say in front of them, as remember, they are scared too!
I'm so sorry you are having to deal with this, having just been through the Hospice process with my own FIL, who passed in our home about a month ago, their status can change day by day, hour by hour, and sometimes minute by Minute.
I did not expect my FIL to pass the morning that he did, as his decline came on very rapidly, and it was quite shocking to me, so be prepared for anything to happen, and be as calm and clinical as you can be.
There will be plenty of time to break down after she has passed, as it's usually only then that your own feelings can be allowed to surface as you are so busy. In the meantime, Take Care of you, get as much rest as possible, and try to be strong!
As long as your Mom can manage small sips, small amounts of gentleach, easy to digest foods, and she still desires to eat and drink, you should allow her to have them. When she can no longer swallow, then those mouth swab/spongettes should be used to keep her mouth moist, and then you know that you are truly near the end. Take Care.
My mom was only on hospice for about 36 hours, so I can advise on frequency of nurse visits. You have a number you can call 24/7, which is answered by an RN, yes?
I think that's the best place to ask those questions right now.