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Who are you caring for?
Which best describes their mobility?
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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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Has your parent given you POA? If not, I don't see any reason you can't share your concerns with them. It's just they will not be able to discuss it with you.
I always have a typed list and time of medications and have been known to add my "input" in a BRIGHT color at the top of the Medication list. I understand that the doctor cannot discuss the conditions directly, but has "asked" about some topics I brought up in my little "input" section, as if it were her asking the questions... I just recently got an official "Medical Power of Attorney" form signed... but have used the "input" in many cases with good results and no hurt feelings... Good luck!
Carefully...and possibly broach the subject with the patient in question or go with them to the doctor note your concerns tell them you don't have POA etc, and see what comes of it. You can say things but they are not allowed to even admit the person is a patient so be careful. Do you know why your parent doesn't want you to know their health issues? If you are their main care giver it really is essential that you are in the loop with their providers.
My experience in this situation was that the doc was as frustrated as I was, but bec. of privacy legislation, couldn't talk to me....However, there is no law against the doc LISTENING to YOU, and your parent's physician may be really happy to have your input. We ended up typing (in bullet form) a list of all the issues that my parent was facing, and our hopes for their care, then faxing it to the doc's office. Be prepared for the doc to share this with the patient (but may not, it depends on the sensitivity of the issue). This did really help get things moving in the right direction for us.
So even tho the doc can't share the patient's private info with you, you can go to them with your concerns and if they say the law says they can't even listen to what you are saying, that's not true.
If the MD is not helpful, find the nurse practitioner working on the doc's team. Generally where the MD acts disinterested, the nurse will move in on the issue and figure out a plan of action in the best interests of the patient.
IF your parents rely on you as "Caregiver", you need to sit down, with a POA (Can be printed from any legal site on the web).
IF they refuse to appoint you POA, so you can legally speak with Doctors, etc....Then it's time to be straight forward with them, and stop doing any Caregiving, and suggest they look into private home healthcare or a retirement community.
And you can even have a Social Worker explain to them that a POA is not an invasion by the Caregiver. It's not fair to you, they want you to be Caregiver, you need to be appointed "Power of Attorney".
Or they need to seek different options, sounds harsh...but may wake them up !
Much luck on this, be loving but firm about this situation !
Absolutely ald565! I am POA for my mom however each time I take my mom to her doctor I type up my concerns and bullet points as to what is going on, put it with the receptionist to put with mom's file and then dr. and the nurse read it before we get in the waiting room, addresses the issues with her and I and then - boom - done. Then the doctor becomes the bad guy - not me. Although I still get grief from it all. : )
ABSOLUTELY! I do the same thing! I write a note, slip it to the Receptionist, and she can see it needs to go to the Doctor, the "Doctor then brings up the situation from a Medical angle, and it REALLY can help"!
Send a list of questions to the doctor ahead of time. Ask him/her to answer the questions in front of your parent. If you do not want the parent to know that you send the list, be sure to tell the doctor that. Then ask the doctor to go over the list as part of the exam. Also ask the doctor to tell your parent it is for their safety that they sign the consent form.
My mother's neurologist has an answer for anything when she is surprised by any of his questions which actually often are mine, but he can spin those concerns in such a way that it sounds like he spends hours thinking about her and her life. He is concerned about her, but is also has years of experience with people just like her. She adores the man, and he has the people skill of a well trained and seasoned therapist to the point that you almost forget he is the neurologist. Sometimes his nurse will check with me during check in to make sure those concerns that I faxed are current concerns still.
hI Tamara---yes I am in agreement with many on this query---you do need POA for health issues-to make it easier to find out what is going on. Sliping a note to the doc or a receptionisnt may or may not work, as the doc does not have to respond...Another idea might be is to have your name added to a contact list--that the doctors will have, and in this manner they will be more receptive to your questions. In my estimation-this hippa law-does more harm than good for many family's--and it can be fustrating to the caregiver. My 5 cents worth! Best to you~ Hap
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.
So even tho the doc can't share the patient's private info with you, you can go to them with your concerns and if they say the law says they can't even listen to what you are saying, that's not true.
If the MD is not helpful, find the nurse practitioner working on the doc's team. Generally where the MD acts disinterested, the nurse will move in on the issue and figure out a plan of action in the best interests of the patient.
IF they refuse to appoint you POA, so you can legally speak with Doctors, etc....Then it's time to be straight forward with them, and stop doing any Caregiving, and suggest they look into private home healthcare or a retirement community.
And you can even have a Social Worker explain to them that a POA is not an invasion by the Caregiver. It's not fair to you, they want you to be Caregiver, you need to be appointed "Power of Attorney".
Or they need to seek different options, sounds harsh...but may wake them up !
Much luck on this, be loving but firm about this situation !
Try doing that !
Also ask the doctor to tell your parent it is for their safety that they sign the consent form.
Best to you~
Hap