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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?
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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.
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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.
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Stands, ask the pulmonologist who's doing the SAT rate checking about multiple checks. As I recall, there was not only a resting SAT check but also a walking one. I think there was a third but I don't recall what it was.
But my best recollection is that the SAT rate wasn't just checked while someone was sitting and inactive.
If he's out of breath in a few minutes, I don't understand why a medical pro isn't checking his rate then.
Try talking to your local hospice and see if they will do an evaluation. If he meets their criteria they will contact his Dr and come to an agreement. He has two definitely life limiting diseases that would qualify him for hospice. The COPD and heart failure, they are usually somewhat skittish about dementia. Once in hospice all his needs like oxygen will be provided but he will only be provided with medications for his admitting diagnosis. If he is not accepted by hospice at this time he would probably qualify for palliative care.
Get a 2nd opinion. There is no cure for COPD or Alzheimer’s disease, even if your relative hasn’t been given 6 months or less to live, they may still qualify for hospice. The 6 month prognosis has changed as Joann said. He has life limiting conditions.
Of course it's hard to say when he will pass...maybe longer than 6 months but he has Alzheimers, COPD, and Congestive Heart Failure that is rendering him pretty much in a prone position 90% of the time unless he's really motivated. (Thank goodness he's eating well and is not incontinent which probably are telling signs that there's still a somewhat strong life-force.) It hurts him to exert himself (breathing) but if he's motivated, he will try. We will be getting another primary soon, so I'll ask then, but also will question the present primary. My loved one refuses to use a nebulizer but will use an inhaler and I buy oxygen for him. (Medicare won't pay for oxygen at this point because his resting is about 94 oxygen count...but out of breath in about 2 minutes or less.) Thank you for all your suggestions.
I think you don't mean " a near death experience". Google that term and you'll see what I mean.
Hospice is the appropriate level of care if your loved one has a life limiting illness, one that cannot be cured, only ameliorated symptomatically, and which is likely to cause death within 6 months. ( There are places in which a different, looser definition is being trialed).
The thing is, you need to determine what treatments/ meds hospice will allow and disallow, since, as I understand it, they get paid a flat rate per patient. While PT, say, may keep your loved one mobile, Hospice may disallow it without a lot of arguing and negotiating on your part.
Talk with the PCP about why hospice isn't the right move. A lot of docs view hospice as their own failure. Perhaps finding a geriatrics doctor to review the case and see your loved one might produce a different opinion.
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.
But my best recollection is that the SAT rate wasn't just checked while someone was sitting and inactive.
If he's out of breath in a few minutes, I don't understand why a medical pro isn't checking his rate then.
He has two definitely life limiting diseases that would qualify him for hospice. The COPD and heart failure, they are usually somewhat skittish about dementia.
Once in hospice all his needs like oxygen will be provided but he will only be provided with medications for his admitting diagnosis.
If he is not accepted by hospice at this time he would probably qualify for palliative care.
Hospice is the appropriate level of care if your loved one has a life limiting illness, one that cannot be cured, only ameliorated symptomatically, and which is likely to cause death within 6 months. ( There are places in which a different, looser definition is being trialed).
The thing is, you need to determine what treatments/ meds hospice will allow and disallow, since, as I understand it, they get paid a flat rate per patient. While PT, say, may keep your loved one mobile, Hospice may disallow it without a lot of arguing and negotiating on your part.
Talk with the PCP about why hospice isn't the right move. A lot of docs view hospice as their own failure. Perhaps finding a geriatrics doctor to review the case and see your loved one might produce a different opinion.