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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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If you can afford a tablet or iPad, buy one. There are apps available that are used for non-verbal people to communicate. They tap on buttons, and it says the words aloud. Where once was frustration for not being understood, you would not believe the relief once they could finally communicate.
nothing frustrates my mother more than anything tablet oriented...she's still able to communicate but just trying to work a big button on the tablet is more than she can handle.
That is not uncommon in the late stages of Alzheimer's. It doesn't matter how well a person is trained in dementia, as us humans are not mind readers, and if the person being cared for is not able to make there voice heard, than the best that can be done is to make sure that your mom is kept clean, comfortable, fed and given something to drink on a regular basis.
We were just having this discussion on my local caregivers support group today, as one of the gentlemen's wife is in a nursing facility with late stage Alzheimer's. He tells how hard it is for him to visit her now, because she has lost all of her communication skills. and he has a hard time trying to figure out what she may need or want. And he has been dealing with her for 17 years with Alzheimer's, and has done more research on it than anyone I know. He himself admitted this morning that with all of his knowledge about the disease, when it comes to her not being able to communicate, he feels like he knows nothing.
So just make sure your mom is being well taken care of, is fed and given drinks, and try and enjoy whatever time you may have left with her. God bless you.
My mother gradually lost speech after a huge stroke. We had to learn to improvise in helping her communicate. She couldn’t write or use any device we found. We used lots of yes and no answer type questions. We talked about all manner of subjects, even when she couldn’t respond it was clear she enjoyed hearing about most anything. Often, it was kindest to simply hold her hand. I wish you both peace
My Husband was non verbal and Hospice dealt with it. They did not expect to get answers from him (he had dementia so asking him questions and expecting answers would have been a problem) I would suggest they do Yes and No questions. But with minimal expectation of getting information. Changes in status should be obtained from the Facility nurse if the nurse has not contacted the Hospice Nurse prior to the scheduled visit. They should be looking for facial cues to determine pain, displeasure, aggravation. There have been some instances where flash card type communication has been used. But with dementia what might be possible today could be impossible tomorrow. They should just talk to her as they normally would talk to anyone else. The CNA should explain to her what is going to be done, before it is done. (" We are going to get you ready for a shower" "I am going to take off your nightgown" "I am going to start the water now". And continue until the CNA is ready to leave.) Any findings the Nurse documents is or should be communicated to the Facility and to you as well if it is unusual. The Nurse could tell mom her blood pressure reading but it would probably not mean anything and if there were a problem you mom would not be able to understand.
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.
Or, is she under Hospice care for a different reason?
Does she have needs that she can’t communicate to the Nursing Home Staff?
https://digitalscribbler.com/blog/5-must-have-aac-apps-for-adults/
We were just having this discussion on my local caregivers support group today, as one of the gentlemen's wife is in a nursing facility with late stage Alzheimer's. He tells how hard it is for him to visit her now, because she has lost all of her communication skills. and he has a hard time trying to figure out what she may need or want. And he has been dealing with her for 17 years with Alzheimer's, and has done more research on it than anyone I know. He himself admitted this morning that with all of his knowledge about the disease, when it comes to her not being able to communicate, he feels like he knows nothing.
So just make sure your mom is being well taken care of, is fed and given drinks, and try and enjoy whatever time you may have left with her. God bless you.
I would suggest they do Yes and No questions. But with minimal expectation of getting information. Changes in status should be obtained from the Facility nurse if the nurse has not contacted the Hospice Nurse prior to the scheduled visit.
They should be looking for facial cues to determine pain, displeasure, aggravation.
There have been some instances where flash card type communication has been used. But with dementia what might be possible today could be impossible tomorrow.
They should just talk to her as they normally would talk to anyone else.
The CNA should explain to her what is going to be done, before it is done. (" We are going to get you ready for a shower" "I am going to take off your nightgown" "I am going to start the water now". And continue until the CNA is ready to leave.)
Any findings the Nurse documents is or should be communicated to the Facility and to you as well if it is unusual. The Nurse could tell mom her blood pressure reading but it would probably not mean anything and if there were a problem you mom would not be able to understand.