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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
Today we had a big blowout because now she wants to make other arrangements of which she does not have the funds to do. I am sick because all my husband and I have tried to do is make her life more comfortable.
“I heard my 93 yr old aunt Muttering one day. “ At least I remember to wipe. I don’t notice anyone wanting to take that job over”.
Oh my goodness! I am almost rolling on the floor! I can completely picture that and it is cracking me up, although I am sure it was no fun for you at the time. Thanks for ending my day with a laugh:)
Hi Lost I am sorry you are in a rough patch here. This is so hard for you and mom and of course DH. Do your very best to do as mom suggests to find alternate care. You will learn a lot about what is available and what is not. Don’t assume because she doesn’t have big bucks for ALF that its your job to care for her. In fact the best way to get her help is to present her situation just “as she is”. Call your Area Agency on Aging. Have them step in to advise you of which resources are available for you and for mom. Its best to get her name on lists if necessary early rather than late. Read all you can about her condition. Listen to Teepa Snow videos. Read “Being Mortal” by Atul Gawande. Read the “36-Hour Day”. Visit this forum often and you will pick up pointers that will help you along the way. Establish boundaries and take good care of yourself and your husband. That’s best for all three of you. No one wants their kid (or anyone else) telling them what to do. Take a breath. You can’t fix it, you can only manage it and remember that everyone’s feelings matter. I heard my 93 yr old aunt Muttering one day. “ At least I remember to wipe. I don’t notice anyone wanting to take that job over”.
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.
Oh my goodness! I am almost rolling on the floor! I can completely picture that and it is cracking me up, although I am sure it was no fun for you at the time. Thanks for ending my day with a laugh:)
I am sorry you are in a rough patch here.
This is so hard for you and mom and of course DH.
Do your very best to do as mom suggests to find alternate care. You will learn a lot about what is available and what is not. Don’t assume because she doesn’t have big bucks for ALF that its your job to care for her. In fact the best way to get her help is to present her situation just “as she is”. Call your Area Agency on Aging. Have them step in to advise you of which resources are available for you and for mom.
Its best to get her name on lists if necessary early rather than late. Read all you can about her condition. Listen to Teepa Snow videos. Read “Being Mortal” by Atul Gawande. Read the “36-Hour Day”. Visit this forum often and you will pick up pointers that will help you along the way. Establish boundaries and take good care of yourself and your husband. That’s best for all three of you. No one wants their kid (or anyone else) telling them what to do.
Take a breath. You can’t fix it, you can only manage it and remember that everyone’s feelings matter.
I heard my 93 yr old aunt Muttering one day. “ At least I remember to wipe. I don’t notice anyone wanting to take that job over”.
They don’t realize that the roles reverse because they aren’t always able to make the best choices.
Still, it’s extremely difficult for them to lose their independence. I don’t know if their is a good answer for this. I wish I had a solution for you.
I wish you and your family well.