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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.
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.
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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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Beatty’s first reply covers another approach: “She does not have the right to enforce a particular person to provide her support”. If an elder currently has great 24 hour care in their own home from a person they know (and love), they are not likely to want to move. If you do less, she may accept a range of alternatives more willingly – an in-home carer, adult day care, or a facility with more social life.
i have not done that 4 my father so i dk but it was close.. we my sister and i had the experience we heard from the independent living facility, very helpful.
Choose a facility get a tour and talk to them they will help. In our tour she said no one wants to come here but after a while they like it...She said that one elderly woman toured it 3 times before she agree move in.
We did not finds it as easy as getting him classified as an unsafe discharge. In WI an elderly persons legal right are fiercely protected. New it diemetia still lives at home alone. Not much experience with this, I may be asking u in the future whar u did.
Hello, The whole process may be hard…and I’m sure you love them but, being of sound mind you’ll have to make sure they are safe and that you are making the hard choices needed! You’ll have to just “bite the bullet “ and do it… knowing what you can and can not handle is the beginning of wisdom and making all and any necessary steps to change what you “ can and can not” handle is wisdom in motion!! That’s faith and faith is and will always be an ACTION word. Gather all information you may need to get things moving and even from this forum which can be very informative ( you may read a whole lot …lol but, only “take what you need.” Wishing you the best outcome💕
Memory Care is a HUGE move. It may be better to try an assisted living first as from what I have seen there is more interaction than in Memory Care Units. If she is able to have a discussion, which I assume because you are saying "against her will" then assisted living may be a better transition. Honestly, the best way to go about it would be to get everything set up, moved in, including some things she is familiar with, then tell her she is going to the "doctor" and just move her in. The only obstacle physically is, memory units are locked down and assisted living typically is not. Prayers for you both.
People with Alzheimer's and other types of dementia can still have discussions and conversations. Dementia or not, no one wants to move into a managed care facility and pretty much all of the time they are going to refuse. When someone has dementia moving them into an assisted living apartment can be a very expensive mistake. If she belongs in memory care that's where he should be placing her.
There's always the classic reason when moving someone into memory care.
'Your doctor wants you to go into rehab for a little while to get stronger'.
Of course you have to make sure you have POA. You might even want to get appointed conservatorship. This way there's no complications getting her placed. Do you have a facility picked out already? If not, check a few out and get her on waiting lists. There are waiting lists for these places. WearyJean in the comments makes a good point. Start sending her to adult day care a few days a week. Even if she fights you on it. She has to get used to you not being with her 24/7. The transition to memory care will be easier.
Be sure that you POA status is in place. The actual move of a parent from one's private home into any type of facility/memory care always bring with it a lot of grief and distress and anxieties and these are all less or more depending on many factors . Begin slowly to get the care option placements available. Moving slowly may help. However, if parent/pt. becomes suddenly more declined and with increased safety needs, folks have had to call 911 and have the family member transported to ER first. Speak with her doctor also for any specific needs she may have. practice good self care.......
If you have POA, you might want to do this gradually. I found a wonderful adult day care place right in my town. I didn't ask my husband, but brought him on a short tour and introduced him to the location and the really nice people who worked there. After he was there for a couple of months for 2 days a week, I increased it to 4 days a week. After another month, I took him on a tour of a Memory Care facility. I told him it was like the Adult Care, but nicer and he would have his own room. It was the hardest thing I have ever done, but I was no longer able to keep him safe at home. I'm praying for you and your wife!
That is a tough call first make sure you get a poa. My personal experience is most of these places are over packed and have little room and the staff is spread too thin. Mainly as a result of our current times. My aunt lived out her life at a very good one but that was before our current healthcare crisis. Same with my mil. My wife (79) was in a facility earlier this year and it was terrible she actually got worse. I brought her back home with home health once a week and she is getting better physically and her mental state seems to be stable. My tip is do your research and get referrals
If you can’t bare the thought of telling her it’s a permanent move (and who can?) maybe get her there by telling her that she needs to be there for a couple of weeks because of something you must do. Maybe tell her the house needs some work and will be unsafe to live in for her until it’s done, or that you need a minor surgery and when you are recovered she can come home. A friend of mine who needed to place her mom made out a fake prescription from her mother’s doctor and said your doctor wants you to have some tests and it will require you to stay overnight to prepare for the test. That got her there and then overnight turned into “just a couple more days”. She brought to just enough of her mom’s clothes for a few days and then over the next week brought the rest of her stuff. It’s awful, but people rarely go willingly. The best you can do is try to get her there will as little stress to her and you as possible.
The doctor told my SIL to bring up her brother to the ER and tell them that she can no longer take care of him. They told her they weren't her babysitter but it got him into a nursing home faster than anything they could have done.
Or like my BIL he fell at his apartment laid on the ground for 30 minutes until someone found him. He went to the hospital then to the nursing home memory care part. He lived alone.
Prayers you find the way to do it because my BIL would not go on his own.
If you are her PoA then read the document to see what causes the authority to become active. If it is a diagnosis of incapacity, then get her in for an appointment on any "therapeutic fib" or pretense that you think will get her there voluntarily.
If no one is her PoA, then you can consider pursuing guardianship through the court. Talk to an elder law attorney about how this may be done, and the cost.
If she goes to the ER for any reason make sure they know she is an "unsafe discharge" and do not bring her home no matter what promise they make to "help" you care for her in your home -- they won't. They just want her discharged. Talk to the hospital social worker about taking her directly to a Memory Care facility.
So sorry for your situation. Has she been deemed incompetent? If so, are you her POA? If she's not been deemed incompetent, do you think she is and would a doctor say she is to activate a POA?
I think you could try to shift the conversation to "I'm sorry it's not safe for me to take care of you at home anymore." Or that your health is failing and you just can't physically do what needs to be done. You may have to tell some fibs, exaggerate a bit, etc. But you need to take control and tell her what is happening, whether she likes it or not. Don't ask, kindly tell.
If you don't want to be that heavy, you can hire lots of at home care so that it may become tolerable.
If she ends up in the hospital for ANY reason, you will have your golden opportunity to tell the staff that you can NOT take her home under any circumstances and they will help get her placed in an appropriate setting.
I think the most common way to overcome a refusal is telling hospital social worker, on a hospital admission, that it is no longer safe for the patient to be at home.
This creates an unsafe discharge, remember that term, and kicks the system into helping you find a facility that can meet her needs.
Best of luck. This step is a challenge for everyone that is/has gone through placement against the patients wants.
Welcome. I am sorry your wife & yourself are faced with this awful problem.
My Mother is deemed able to legally make lifestyle decisions, yet lacks insight & refuses Non-Dad caregivers & respite care regularly. Doctor said it simple: She does not have the right to enforce a particular person to provide her support. If he can't do it, an alternative is required. Either in home or in a facility.
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.
Choose a facility get a tour and talk to them they will help. In our tour she said no one wants to come here but after a while they like it...She said that one elderly woman toured it 3 times before she agree move in.
We did not finds it as easy as getting him classified as an unsafe discharge. In WI an elderly persons legal right are fiercely protected.
New it diemetia still lives at home alone. Not much experience with this, I may be asking u in the future whar u did.
The whole process may be hard…and I’m sure you love them but, being of sound mind you’ll have to make sure they are safe and that you are making the hard choices needed!
You’ll have to just “bite the bullet “ and do it… knowing what you can and can not handle is the beginning of wisdom and making all and any necessary steps to change what you “ can and can not” handle is wisdom in motion!!
That’s faith and faith is and will always be an ACTION word.
Gather all information you may need to get things moving and even from this forum which can be very informative ( you may read a whole lot …lol but, only “take what you need.”
Wishing you the best outcome💕
Dementia or not, no one wants to move into a managed care facility and pretty much all of the time they are going to refuse.
When someone has dementia moving them into an assisted living apartment can be a very expensive mistake. If she belongs in memory care that's where he should be placing her.
'Your doctor wants you to go into rehab for a little while to get stronger'.
Of course you have to make sure you have POA. You might even want to get appointed conservatorship. This way there's no complications getting her placed.
Do you have a facility picked out already? If not, check a few out and get her on waiting lists. There are waiting lists for these places.
WearyJean in the comments makes a good point. Start sending her to adult day care a few days a week. Even if she fights you on it. She has to get used to you not being with her 24/7. The transition to memory care will be easier.
Or like my BIL he fell at his apartment laid on the ground for 30 minutes until someone found him. He went to the hospital then to the nursing home memory care part. He lived alone.
Prayers you find the way to do it because my BIL would not go on his own.
If no one is her PoA, then you can consider pursuing guardianship through the court. Talk to an elder law attorney about how this may be done, and the cost.
If she goes to the ER for any reason make sure they know she is an "unsafe discharge" and do not bring her home no matter what promise they make to "help" you care for her in your home -- they won't. They just want her discharged. Talk to the hospital social worker about taking her directly to a Memory Care facility.
I think you could try to shift the conversation to "I'm sorry it's not safe for me to take care of you at home anymore." Or that your health is failing and you just can't physically do what needs to be done. You may have to tell some fibs, exaggerate a bit, etc. But you need to take control and tell her what is happening, whether she likes it or not. Don't ask, kindly tell.
If you don't want to be that heavy, you can hire lots of at home care so that it may become tolerable.
If she ends up in the hospital for ANY reason, you will have your golden opportunity to tell the staff that you can NOT take her home under any circumstances and they will help get her placed in an appropriate setting.
Best of luck!
I think the most common way to overcome a refusal is telling hospital social worker, on a hospital admission, that it is no longer safe for the patient to be at home.
This creates an unsafe discharge, remember that term, and kicks the system into helping you find a facility that can meet her needs.
Best of luck. This step is a challenge for everyone that is/has gone through placement against the patients wants.
My Mother is deemed able to legally make lifestyle decisions, yet lacks insight & refuses Non-Dad caregivers & respite care regularly.
Doctor said it simple: She does not have the right to enforce a particular person to provide her support. If he can't do it, an alternative is required. Either in home or in a facility.