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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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The medication seems to be too strong and contributing to my dad's increasing aggression and anxiety. We want him off the med. The neurologist says he doesn't recommend doing so. What to do?
Mom has been on Rivastigmine patch (Exelon) for 3 months now. She has experienced nausea and vomiting to the point of having to visit ER 3 times in 1.5 months. These are possible side effects of the drug. Waiting to hear from her neuro if we can stop this ASAP. I can't deal with seeing her go through that agony again. She's 78 with mild to moderate dementia.
My husband was on the Exelon patch prescribed by a psychiatrist in addition to anti-depressants for only a short period of time. We didn't think it made any difference at all, had no problems stopping cold turkey and it definitely wasn't worth the money for sure. Later a neurologist prescribed generic Aricept (donepezil, taken orally and much cheaper) and we stopped the anti-depressant and saw improvement. I think the anti-depressant was making him groggy and less alert. You have to weigh the benefits and disadvantages of each medication as it interacts with the others prescribed by different doctors. I've been told that a geriatrician who handles all the medications can coordinate things better than going to a lot of different specialties.
I have had my dad (90 yrs. old) on the Exelon Patch for two years now. He has been so much better about remembering and confusion that I feel the patch has helped him a great deal. Before he was forgetting how to get from room to room and saying things unrelated to anything. The patch goes on every morning in a different place on his chest or back. No problem with itchy or red skin. I am very thankful that we discovered the Exelon Patch and that he has responded so well with it.
My mother was on it for about 5 months before she passed. For her, it made her so much better. She was bi-polar (with anxiety, I believe).
The fist dose was lower, then she had the 25 mg dose. To answer your question, maybe stepping down to the lower dose for a while before stopping would work.
As for the effects, if we don't have the health problem, the effects could be quite different for us. I advise caution.
My husband, who is responsible for the care of his 96 year old aunt requested, that her care givers stop using the Excelon patch about 6 weeks ago. She had been on it for about 18+ months. He discussed it with her doctor, who mentioned nothing about the side effects of stopping, but did say if we wanted to continue some sort of treatment a switch to the generic Aricept was a more cost effective Rx. The key in the decision was that we did not see that it was really doing anything for her. Her dementia is not severe but her quality of life is not great. She has no family or friends and she had in essence "given up" on life a couple of years ago. Since removing the medication we haven't seen a dramatic difference, she is a bit more confused, but the most noticeable problem with linking up words in sentences is about the same and she still recognizes my husband. Being mindful of her dwindling assets, the huge cost of the patch vs. what benefit it had, didn't seem right. I know others may disagree, but each situation is different.
we took my mother off of fentanyl patches months ago. i licked the leftover residue from a couple of them and imo its a horrid drug. it makes the skin crawly and causes spikey, random itching. it caused both of us physcological "discomfort / un - ease ". she was only on 25 ug patches and suffered no noticable withdrawal. even the docs and nurses who prescribe them probably have never tried them. perhaps they should..
My husband was on the patch for quite some time with no reaction but we found it really didn't seem to be doing anything for him. The Neurologist told us to just stop using it and he switched him to Namenda. Haven't noticed a difference with it but am keeping him on it. He just stopped the Exelon patch completely and had no side effects whatsoever. Everyone is different though so what works for one person won't necessarily work for another. Good luck!
The excelon patch was so damaging to my mother's skin even when we changed the site everyday, the red itchy patches it left stayed on far longer than the two weeks the instructions say. She had no more possible places for the patch and we asked the doctor to change her from the meds. They were able to give her something different... but it was hard to tell if it really did much to help her, either way.
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.
The fist dose was lower, then she had the 25 mg dose. To answer your question, maybe stepping down to the lower dose for a while before stopping would work.
As for the effects, if we don't have the health problem, the effects could be quite different for us. I advise caution.