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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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My mom's "sundowning" has changed dramatically. When this whole thing started, she was at least sleeping when she should have, but now she can't determine night or day. She lives alone (I am working on getting her into a memory care unit) and her doctor doesn't want to give her anything else for sleep other than what she already takes, because she feels that Mom could fall, etc. My mom used to call me a couple or 3 times a day, but now that she has no sense of time, she will call me in the middle of the night, scaring me to death!
For my Dad, it didn't matter what time of day. What would "set him off" would be stress. If there was more than one visiting nurse, therapist, etc in that day...by the time the second one was getting ready to leave my Dad would be nearly volcanic...the "blow" happening sometimes even before they had a chance to get out the door. And, oh wow the display would be loud and nasty. God forbit there be a third one that day too.
Yes, it got worse. Over the course of his last year he rarely made it past noon before everything was in total upheaval
Dear Grammyteacher, Thank you for your advice. He is fighting everything that I try to do for him. His Dr. wants him to see a gerontologist but he refuses. I dont know what to do for him.
If he is up all night, I would have a chat with him doctor. Does he sees neurologist or a geriatric psychiatrist? When my mom first started staying up all night, the neurologist gave her Seroquel. For my mom that worked. I think it is different for each person. Share the behaviors with the doctor and see if he/she can help.
Thank you all for your answers. I didn't realize that he needs to be distracted in the early evening. He gets much worse about midnight when I ty to go to bed. I don't know what causes that. Thanks again.
When Mom would exhibit sundowners when she was living with me, I would take her for a short 20 minute stroll around the block, what has helped her tremendously with the sundowning is that she is now in a memory care home, and they have the same routine every evening. I think that same routine really helps. At my house, we had different things going on all the time, kids coming and going, husband coming and going etc.
Sundowners is one manifestation of dementia. Dementia definitely progresses. As Grammyteacher says, as the dementia gets worse, many of the symptoms and behaviors change.
What do you mean by "progress"? My mom is in stage 7 Alzheimer's and we have dealt with sundowners. I found that it was important to reduce simulation in the environment that made it worse. We made sure to reduce shadows and reflections. Use heavy curtains, cover reflective surfaces like mirrors and large pictures. My mom had display cases with reflective backs. We had to use caution when choosing TV shows. Too much noice and activity made it tough too. We had to be sure to keep her safe...make sure to watch her and not let her get in dangerous situations or fall and get hurt. But we also had to allow her to pace etc. As an outlet for the energy. We made she didn't wander...she had a pool in the back yard and lived outside of the city in a desert area.
As her Alzheimer's progressed, the behaviors changed. At the present time she can't wander, she can no longer walk. These days she gets a bit agitated between 1-4 p.m. I think this is her "sundowners" time now. So yes, I guess it does progress in a way... At least the behavior associated with it change. I hope this helps.
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.
Yes, it got worse. Over the course of his last year he rarely made it past noon before everything was in total upheaval
As her Alzheimer's progressed, the behaviors changed. At the present time she can't wander, she can no longer walk. These days she gets a bit agitated between 1-4 p.m. I think this is her "sundowners" time now. So yes, I guess it does progress in a way... At least the behavior associated with it change. I hope this helps.