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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.
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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I have family members that have worked in elderly facilities where patients have no known family, some inappropriately try and cozy up to the patient for financial benefit. A couple actually did this to my granddaddy once my grandmama passed, he was giving away all sorts of possessions to them in his last days. I’d be real careful with a dementia patient, some things can appear like taking advantage and elder abusive, family has a way of popping up outta nowhere.
Get out the paperwork that you think names you as her medical decision maker and read it. If you still don't understand your role, then see what attorney or law office created the document and call to set up a consultation so that you can learn what you're supposed to be doing and when.
I'm confused by this situation. Can you provide more details? (1) If you are the "medical decision maker," that is the same as being a health-care POA agent. Do you mean that there is no financial POA? (2) Medical decision makers are typically not named in a will or a trust; both of those documents focus on financial things, not health care. A will or a trust typically is not looked at (other than by the person for whom the will or trust was created and the lawyer, if any) before a person's death. How do you know you're named as the decision maker? (3) Whatever the document is in which you're designated as the medical decision maker, were you not asked first whether you were willing to serve in that role?
Who hired you? Not enough information. There’s a conflict of interest here. You’re not a family member. You shouldn’t be in the will are you from an agency? A million questions unanswered…sounds very fishy 🐠
You work for your patient privately? Or work in a facility where this patient resides?
Maintaining correct professional boundaries is VERY important. Ensure no conflict of interest.
As a Medical Decision Maker, your role is to communicate for the 'patient' if they cannot - communicate THEIR known wishes/values.
To keep this clear & honourable, I would be very careful here.
IF it is appropriate to have a Living Will / End of Life Wishes document and IF the patient has capacity to express their wishes - I would have either a Legal or Medical Professional assist them to complete it.
No family. Family members have a way of popping back up. Especially if they hear a non-family gets noted in a will..
I will assume you are privately hired? As said Wills and Trusts are set up for after death. DPOA stops at death so does medical proxy. Both have to be assigned by the principle.
Really Medical Proxy only makes sure the principles wishes are carried out. Usually to do this, the principle needs to be declared incompetent to make informed decisions. If confident, proxy is not invoked. I would say if this person has no one, then Adult Protection Services needs to be called in.
That’s a tough spot. If there’s no POA or family, usually the next step is going through the legal system for guardianship or conservatorship, depending on your state. Since you’re named in her trust/will, it may give you some standing, but it’s best to consult an elder law attorney or social worker at the hospital to guide you on the right process.
A Will is only meaningful AFTER a person is dead. For you to be a "medical decision maker" in her Will means nothing. I would contact the attorney that drew up the initial paperwork and have clarified what exactly your role is. If the patient has dementia and is not able to make a choice of POA now then a Guardian will have to be appointed.
This reeks of taking advantage of a vulnerable elder.
You need to remove yourself from the situation to avoid conflict of interest accusations, which are bound to come from some distant relative who comes out of the woodwork to find out what happened to so-and-so's estate.
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.
(1) If you are the "medical decision maker," that is the same as being a health-care POA agent. Do you mean that there is no financial POA?
(2) Medical decision makers are typically not named in a will or a trust; both of those documents focus on financial things, not health care. A will or a trust typically is not looked at (other than by the person for whom the will or trust was created and the lawyer, if any) before a person's death. How do you know you're named as the decision maker?
(3) Whatever the document is in which you're designated as the medical decision maker, were you not asked first whether you were willing to serve in that role?
You work for your patient privately? Or work in a facility where this patient resides?
Maintaining correct professional boundaries is VERY important. Ensure no conflict of interest.
As a Medical Decision Maker, your role is to communicate for the 'patient' if they cannot - communicate THEIR known wishes/values.
To keep this clear & honourable, I would be very careful here.
IF it is appropriate to have a Living Will / End of Life Wishes document and IF the patient has capacity to express their wishes - I would have either a Legal or Medical Professional assist them to complete it.
No family. Family members have a way of popping back up. Especially if they hear a non-family gets noted in a will..
Really Medical Proxy only makes sure the principles wishes are carried out. Usually to do this, the principle needs to be declared incompetent to make informed decisions. If confident, proxy is not invoked. I would say if this person has no one, then Adult Protection Services needs to be called in.
worker? Please provide our forum more details to help you and your patient. Thank you.
For you to be a "medical decision maker" in her Will means nothing.
I would contact the attorney that drew up the initial paperwork and have clarified what exactly your role is.
If the patient has dementia and is not able to make a choice of POA now then a Guardian will have to be appointed.
You need to remove yourself from the situation to avoid conflict of interest accusations, which are bound to come from some distant relative who comes out of the woodwork to find out what happened to so-and-so's estate.
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