Are you sure you want to exit? Your progress will be lost.
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?
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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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.
Share a few details and we will match you to trusted home care in your area:
Dementia Care Plan Template Basic Information Patient Name: [Your Husband’s Name] Caregiver Name: [Your Name] Date Created: [Insert Date] 1. Medical Care • Primary Physician: [Name & Contact Info] • Neurologist/Geriatrician: [If applicable] • Medications: [List medications and schedules] • Appointments: [Keep a calendar of upcoming visits] • Monitoring: Track changes in memory, mood, appetite, sleep, mobility 2. Daily Routine & Structure • Morning Routine: Wake-up time, hygiene, breakfast • Daytime Activities: Light exercise, music, puzzles, walks, supervised outings • Evening Routine: Dinner, quiet activities, bedtime rituals • Consistency is key: Try to maintain familiar schedules and settings 3. Safety Measures • Home assessment completed: [Yes/No] • Remove fall risks (rugs, cords, clutter) • Use night lights in hallways and bathrooms • Lock medications and cleaning products • Consider ID bracelet or GPS tracker for wandering risk 4. Communication Strategies • Use simple, calm language • Speak slowly and face-to-face • Use visual cues and gentle touch when needed • Avoid arguing; redirect instead • Allow extra time for responses 5. Personal Care Needs • Bathing/Grooming: [Assistance level needed] • Toileting: [Incontinent products? Schedule?] • Nutrition: [Favorite meals, mealtime schedule, supervision] • Mobility: [Assistive devices? Fall precautions?] • Sleep: [Monitor patterns, reduce stimulation before bed] 6. Emotional & Social Support • Engage in reminiscence or meaningful conversations • Involve in simple household tasks • Allow time outdoors or with pets • Provide reassurance during moments of confusion or agitation • Keep family/friends involved with visits or calls 7. Caregiver Support • Join a dementia caregiver support group • Schedule respite care regularly (family, home health, adult day programs) • Practice self-care: rest, eat well, see your own doctor • Use resources like the Alzheimer’s Association, Area Agency on Aging, or local home care services 8. Emergency Plan • Keep emergency contacts visible • Document medical history and medication list • Establish a plan for sudden changes or behavioral crises • Consider advance directives or healthcare power of attorney
1. An independent medical social worker. Ask what they offer.
2. Discuss with your wife's MD / medical team, which may include a social worker.
3. Much depends on if you want to place your spouse in a facility for - more care than you can provide - or 24/7. If you want to keep her at home, you will be paying up to / around $10K+- a month for caregiver services ... and you supervising, finding replacements when they do not show up (if independent).
4. Likely, different organizations / departments in differing states have different service offerings, unless federal or state mandated... although federal 'help' now is either non-existent or very tentative ... or changing daily.
The previous 3 responders gave very good examples of what nurses and aids call a care plan. What you may find useful is to consider that events would cause you to make changes to the current set up. If you do not currently have aides coming to the house, what events would have you bring someone in? Difficulty getting your spouse to shower? His refusal or inability to get out of bed? A short-term (or long-term) illness or debility of your own? What conditions would cause to to believe placement is the safest option for you both? This kind of planning helped me navigate levels of care and resuscitation status for my mother with a clear mind and conscience. Best wishes
Care plans are usually done by RNs in facilities. If your in your own home, why do you feel you need a care plan? Do you have aides coming in to help with husbands care?
Here's what I found for in home careplan:
An in-home care plan is a personalized document outlining the specific care needs, goals, and preferences of an individual receiving care at home. It serves as a roadmap for providing high-quality, tailored care and is often developed collaboratively with the individual, family, and healthcare providers.
Here's a more detailed look at what's typically included in an in-home care plan:
Key Components: Medical Information: Detailed medical history, current diagnoses, treatments, medications, and allergies. Goals: Long-term and short-term goals for the individual's care, including desired health outcomes and improvements in quality of life. Caregiver Team: A list of medical and non-medical caregivers, their contact information, and availability. Responsibilities: A clear outline of which caregiver is responsible for specific aspects of care (medical, functional, emotional, social). Schedule and Routine: A daily, weekly, and monthly care schedule that incorporates both medical needs and personal preferences. Emergency Plans: Procedures for ensuring patient safety and emergency contact information. Legal and Financial Factors: Documentation to ensure compliance with the individual's rights and wishes, such as advanced directives.
Is your spouse in care? If so, then the care plan is made by the facility. The care plan is a simple form that travels with all different caregivers in a facility, to give them a quick eyeball on the needs and idiosyncracies of their clients.
If you are living at home with hubby I am uncertain what you mean by "care plan". If it is of comfort to you to have a sort of diary in which you make a "plan" such as: 7:00 Up. Breakfast. Give Atenolol. 8:00 Shower. 9:00 Walk in the park or gentle exercising, weather dependent That sort of thing......................then go ahead. But normally, when you are caring for someone in a home situation, things needn't be "spelled out" and are more adaptable to circumstances.
The purpose of a care plan is to tell the aids and RNs in care resident that they need their pills crushed and like chocolate pudding in them. That Metamucil should be held if more than 2 stools happen in one day. That resident hates cottage meetings. Etc Etc Etc. Snack at 9 p.m. That sort of thing.
If I am missing something in your question let me know. I will check back in.
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.
Basic Information
Patient Name: [Your Husband’s Name]
Caregiver Name: [Your Name]
Date Created: [Insert Date]
1. Medical Care
• Primary Physician: [Name & Contact Info]
• Neurologist/Geriatrician: [If applicable]
• Medications: [List medications and schedules]
• Appointments: [Keep a calendar of upcoming visits]
• Monitoring: Track changes in memory, mood, appetite, sleep, mobility
2. Daily Routine & Structure
• Morning Routine: Wake-up time, hygiene, breakfast
• Daytime Activities: Light exercise, music, puzzles, walks, supervised outings
• Evening Routine: Dinner, quiet activities, bedtime rituals
• Consistency is key: Try to maintain familiar schedules and settings
3. Safety Measures
• Home assessment completed: [Yes/No]
• Remove fall risks (rugs, cords, clutter)
• Use night lights in hallways and bathrooms
• Lock medications and cleaning products
• Consider ID bracelet or GPS tracker for wandering risk
4. Communication Strategies
• Use simple, calm language
• Speak slowly and face-to-face
• Use visual cues and gentle touch when needed
• Avoid arguing; redirect instead
• Allow extra time for responses
5. Personal Care Needs
• Bathing/Grooming: [Assistance level needed]
• Toileting: [Incontinent products? Schedule?]
• Nutrition: [Favorite meals, mealtime schedule, supervision]
• Mobility: [Assistive devices? Fall precautions?]
• Sleep: [Monitor patterns, reduce stimulation before bed]
6. Emotional & Social Support
• Engage in reminiscence or meaningful conversations
• Involve in simple household tasks
• Allow time outdoors or with pets
• Provide reassurance during moments of confusion or agitation
• Keep family/friends involved with visits or calls
7. Caregiver Support
• Join a dementia caregiver support group
• Schedule respite care regularly (family, home health, adult day programs)
• Practice self-care: rest, eat well, see your own doctor
• Use resources like the Alzheimer’s Association, Area Agency on Aging, or local home care services
8. Emergency Plan
• Keep emergency contacts visible
• Document medical history and medication list
• Establish a plan for sudden changes or behavioral crises
• Consider advance directives or healthcare power of attorney
1. An independent medical social worker. Ask what they offer.
2. Discuss with your wife's MD / medical team, which may include a social worker.
3. Much depends on if you want to place your spouse in a facility for - more care than you can provide - or 24/7. If you want to keep her at home, you will be paying up to / around $10K+- a month for caregiver services ... and you supervising, finding replacements when they do not show up (if independent).
4. Likely, different organizations / departments in differing states have different service offerings, unless federal or state mandated... although federal 'help' now is either non-existent or very tentative ... or changing daily.
Gena / Touch Matters
Here's what I found for in home careplan:
An in-home care plan is a personalized document outlining the specific care needs, goals, and preferences of an individual receiving care at home. It serves as a roadmap for providing high-quality, tailored care and is often developed collaboratively with the individual, family, and healthcare providers.
Here's a more detailed look at what's typically included in an in-home care plan:
Key Components:
Medical Information:
Detailed medical history, current diagnoses, treatments, medications, and allergies.
Goals:
Long-term and short-term goals for the individual's care, including desired health outcomes and improvements in quality of life.
Caregiver Team:
A list of medical and non-medical caregivers, their contact information, and availability.
Responsibilities:
A clear outline of which caregiver is responsible for specific aspects of care (medical, functional, emotional, social).
Schedule and Routine:
A daily, weekly, and monthly care schedule that incorporates both medical needs and personal preferences.
Emergency Plans:
Procedures for ensuring patient safety and emergency contact information.
Legal and Financial Factors:
Documentation to ensure compliance with the individual's rights and wishes, such as advanced directives.
If so, then the care plan is made by the facility.
The care plan is a simple form that travels with all different caregivers in a facility, to give them a quick eyeball on the needs and idiosyncracies of their clients.
If you are living at home with hubby I am uncertain what you mean by "care plan".
If it is of comfort to you to have a sort of diary in which you make a "plan" such as:
7:00 Up. Breakfast. Give Atenolol.
8:00 Shower.
9:00 Walk in the park or gentle exercising, weather dependent
That sort of thing......................then go ahead. But normally, when you are caring for someone in a home situation, things needn't be "spelled out" and are more adaptable to circumstances.
The purpose of a care plan is to tell the aids and RNs in care resident that they need their pills crushed and like chocolate pudding in them. That Metamucil should be held if more than 2 stools happen in one day. That resident hates cottage meetings. Etc Etc Etc. Snack at 9 p.m. That sort of thing.
If I am missing something in your question let me know. I will check back in.