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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.
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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.
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This is a conversation you will need to have with his providers. As you make your decision please consider the 91 y/o’s quality of life & would inserting a feeding tube prolong the inevitable. Good luck to you!
My Mom had it in her directive "no feeding tube". She was 89 when she passed, healthy other than the suffering from Dementia. My daughter, an RN, said she would never had recommended one at her age anyway.
Daughter is correct, once its inserted, very hard to remove it. And after 3 strokes, what is his quality of life? Why are they suggesting a feeding tube, because he can't swallow? Not being able to swallow is one of the first signs that the body is shutting down. And when it starts this process, food is not digested. Its actually cruel to try and feed a person actively dying.
Doctors have to give you all the options available. Doesn't mean you need to take the advice. What I would do would be to call in Hospice. My SILs Mom was in the hospital and was given comfort care. 3 strokes probably caused a lot of damage. At 91 he is probably ready to go.
My mother was given a feeding tube after a stroke when we were told by several doctors that there was great chance of recovery. Unfortunately, the recovery never came. You need to consult with doctors and find out more about if the feeding tube will help facilitate recovery, what are the realistic chances of that, as well as the risks of aspiration. My mother was fully mentally aware, so once feeding started there was not opportunity to stop it without being cruel. It’s important to know fully what you’re getting into, both in terms of risk and reward
I'd read a lot about it and why it's not what you might think. I researched it a lot when my LO got dementia. There are a whole set of risks associated with it, such as infection. I'd ask the professionals about how it might affect survival and what its like for the person living with the tube Some patients are not good candidates due to that physical or mental condition. I'd also look to his Advance Medical Directive or requests that he gave family before he got sick. If he's still competent, he can make the decision for himself.
Just because you can do something does not mean you should. A feeding tube for someone that age is probably not a good idea. Quality of life is an issue, feeding tubes cause a lot of issues; patients get reflux, they aspirate the feeding liquid and they get diarrhea. And it often seems that they don't get much benefit from the nutrition. You might benefit from hospice eval to explain what other options are available.
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.
As you make your decision please consider the 91 y/o’s quality of life & would inserting a feeding tube prolong the inevitable.
Good luck to you!
Daughter is correct, once its inserted, very hard to remove it. And after 3 strokes, what is his quality of life? Why are they suggesting a feeding tube, because he can't swallow? Not being able to swallow is one of the first signs that the body is shutting down. And when it starts this process, food is not digested. Its actually cruel to try and feed a person actively dying.
Doctors have to give you all the options available. Doesn't mean you need to take the advice. What I would do would be to call in Hospice. My SILs Mom was in the hospital and was given comfort care. 3 strokes probably caused a lot of damage. At 91 he is probably ready to go.
You might benefit from hospice eval to explain what other options are available.