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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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You can unenroll her with hospice. It is easy. I did it with Mom. Call hospice. They will be out in 24 hours. Sign some paperwork. They pick up the black box of morphine.
Ask the nurse for Hopices phone number and call them. Ask them the questions you asked here. First, why did they feel Mom needed hospice? If you are Moms POA or Mom has no problems cognitively, you can stop Hospice.
But first, you need to find out why itvwas felt she needed it. Pneumonia kills, maybe it was felt Mom would not survive.
I hope, along with the other answers you have my response might calm your fears. Hospice does NOT mean a person will die right away. While the general criteria is 6 months or fewer given the current condition of the patient. A patient can remain on Hospice for an extended period of time. (My husband was on Hospice for almost 3 years) The requirement is that: *The person does not seek curative measures. (for the condition that qualified them for Hospice, this does not mean Hospice will not treat infections or other conditions that will impact the quality of life or cause pain or discomfort) *The person has a continued, documented decline while on Hospice. Obviously there are other conditions but I think these are impactful for you now.
The nice thing about having Hospice is a Nurse will check on her weekly. A CNA will give her a bath or shower. (this means that the facility CNA will no longer bathe or shower her, no duplication of billing) The Nurse will order all medical supplies and the CNA will order all personal supplies. There will be no more trips to the ER..unless it is authorized by Hospice. Or the decision is made to withdraw Hospice and then return to Hospice if that is the desire once the condition has been resolved, (example, mom breaks an arm in a fall, this can be treated surgically if needed then she can return to Hospice after surgery. If Rehab is desired she would remain off Hospice until discharged from rehab)
But...if you are mom's POA this should have been discussed and explained and if your POA is active you should have been the one to approve the admission to Hospice. You can ask to see who signed the forms admitting her to Hospice.
Do not let the fact that mom is on Hospice scare you or make you think that she is actively dying.
Who is making her medical decisions for her? If it isn�t a MPoA then maybe she�s in a facility and they are doing it? Or maybe your Mom is directing her own care? A person can come off of hospice if they improve.
Who is the POA for your mother? That person should discuss with the doctor and the current Hospice a discharge from Hospice to home or in-facility care.
So mom is in the NH, recently discharged from hospital and you have been told she is on hospice. Is that correct?
First who signed the paperwork for her to be on hospice?
Are you your mom’s POA? Her next of kin? If you are not, speak to that person.
Sometimes a patient will rally or suddenly seem to improve before death. Sometimes a patient will actually improve enough that they no longer require the oversight of hospice.
if your mom is in the NH she is getting skilled care but hospice is in charge of her meds. You can let hospice know you want mom to remain on her meds.
Know that hospice is often ordered long before a person actually passes. People are on hospice for years sometimes. It only means that they have a terminal illness that they could pass from within 6 months. They will be reassessed on a regular basis. In a NH hospice works with the NH. The NH still passes the meds, their meals, changes the patient, takes care of their room etc. The NH doctor will still make rounds. The hospice will discuss which meds mom might stop. If you don’t want her to stop any meds, say so to hospice.
The person who is responsible for mom should speak with the hospice and/or the Admin office or Director of Nursing to clear up any confusion.
I’m sorry you and mom are going through this. I’m so happy mom is over her pneumonia.
I see mom is in a Nursing Home. You can speak with the Director of Nurses or with the Hospice. Is the hospice an independent company you signed with or did the NH provide then?
More information would be helpful to understand the context of your situation. Sometimes writing out what is going on can help you understand the situation better yourself.
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.
If you have POA you can unenroll her.
But first, you need to find out why itvwas felt she needed it. Pneumonia kills, maybe it was felt Mom would not survive.
Hospice does NOT mean a person will die right away. While the general criteria is 6 months or fewer given the current condition of the patient.
A patient can remain on Hospice for an extended period of time. (My husband was on Hospice for almost 3 years)
The requirement is that:
*The person does not seek curative measures. (for the condition that qualified them for Hospice, this does not mean Hospice will not treat infections or other conditions that will impact the quality of life or cause pain or discomfort)
*The person has a continued, documented decline while on Hospice.
Obviously there are other conditions but I think these are impactful for you now.
The nice thing about having Hospice is a Nurse will check on her weekly.
A CNA will give her a bath or shower. (this means that the facility CNA will no longer bathe or shower her, no duplication of billing)
The Nurse will order all medical supplies and the CNA will order all personal supplies.
There will be no more trips to the ER..unless it is authorized by Hospice. Or the decision is made to withdraw Hospice and then return to Hospice if that is the desire once the condition has been resolved, (example, mom breaks an arm in a fall, this can be treated surgically if needed then she can return to Hospice after surgery. If Rehab is desired she would remain off Hospice until discharged from rehab)
But...if you are mom's POA this should have been discussed and explained and if your POA is active you should have been the one to approve the admission to Hospice.
You can ask to see who signed the forms admitting her to Hospice.
Do not let the fact that mom is on Hospice scare you or make you think that she is actively dying.
How to switch from comfort care to skilled care.
Then she went back and added the first message and then she changed her post.
Hopefully she will give us an update.
It can be shocking when someone first learns a Lo is on hospice.
That person should discuss with the doctor and the current Hospice a discharge from Hospice to home or in-facility care.
So mom is in the NH, recently discharged from hospital and you have been told she is on hospice. Is that correct?
First who signed the paperwork for her to be on hospice?
Are you your mom’s POA? Her next of kin? If you are not, speak to that person.
Sometimes a patient will rally or suddenly seem to improve before death. Sometimes a patient will actually improve enough that they no longer require the oversight of hospice.
if your mom is in the NH she is getting skilled care but hospice is in charge of her meds. You can let hospice know you want mom to remain on her meds.
Know that hospice is often ordered long before a person actually passes. People are on hospice for years sometimes. It only means that they have a terminal illness that they could pass from within 6 months. They will be reassessed on a regular basis. In a NH hospice works with the NH. The NH still passes the meds, their meals, changes the patient, takes care of their room etc. The NH doctor will still make rounds. The hospice will discuss which meds mom might stop. If you don’t want her to stop any meds, say so to hospice.
The person who is responsible for mom should speak with the hospice and/or the Admin office or Director of Nursing to clear up any confusion.
I’m sorry you and mom are going through this. I’m so happy mom is over her pneumonia.
I see mom is in a Nursing Home. You can speak with the Director of Nurses or with the Hospice. Is the hospice an independent company you signed with or did the NH provide then?
More information would be helpful to understand the context of your situation. Sometimes writing out what is going on can help you understand the situation better yourself.