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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?
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.
Share a few details and we will match you to trusted home care in your area:
She now falls asleep while standing with her walker because she doesn't get good sleep during the night. She's independent living now, but needs to move.
Assisted Living. Note, standard intake includes interviewing the incoming resident along with their POA/family member(s) in detail about exactly what types of help are needed and in what frequency. Then they assign a level of care (i.e., level 1 through level 4 or 6 or whatever) and get the right aides and services scheduled. The higher the needs/level, the higher the monthly cost of services, which is usually tallied separately from rent and meals.
I would start with assisted living at a facility with the ability to transition to higher level of care if/when necessary. Then you will not have to search frantically when the need arises. With step care levels withing the campus it will be easier on you and her. Assisted living has multiple levels of care at different levels of cost.
The assisted living director will assess your aunt and determine what level of care is necessary. They will tell you that her needs are more or less than what assisted living can do and guide you to a more appropriate setting.
I would keep her in assisted living with a helper in the morning for shower and dressing, also in the evening to get ready for bed. I would also address with her doctor her sleeping problems. My father had the same issues and the doctor changed his sleeping pill to temazepam which did the trick. I encourage assisted living as long as it is safe, it helps mentally that they can still do things on their own. If in time she needs a wheelchair there are very light weight ones that are motorized now, that I see in my Dads assisted living area. As long as she doesn’t have memory problems that would make it unsafe for other residents and herself to operate.
Why don’t you take mom into your home with additional service aids? Then you could monitor her situation, offer suggestions and be close in case of a fall.
If she falls asleep while standing in her walker, how is it that she doesn't fall?
Since falling seems to be what will happen next if she's falling asleep like that, maybe she should be switched to a wheelchair. Being wheelchair-confined brings about other problems, but she seems to be only one fall away from a broken bone, a brain bleed or worse.
Sometimes there are tough decision m to be made. I suggest you call a meeting of her care team at the facility to discuss ASAP.
I would chose Assisted Living for someone like this. They can still live "independently" but have the option to ask for help or help can be offered. If she needs a "little" help it would be there, if she needs more help than you or even she thinks it will be there. She can still do as much as she possibly can now. But at 94 she will begin to need more help not less. So make the transition easier on her and make a 1 time move not another move in 6 months if you find she does need more help
I would discuss this matter with the facility where she currently resides. They have a history with her and know her. You will be especially lucky if they have choices. You certainly can begin at the level of ALF if she is accepted after evaluation by the facility chosen.
I vote for AL, even if she doesn't agree. Hopefully she has a PoA to help get this in place. If you aren't her PoA and she doesn't have one, you may not be able to transition her easily. In this case, consult with the facility admins for guidance.
Assisted living is where she will get help from nurse assistants with dressing , showers etc . As well as a nurse for medications , falls , illnesses . She is in need of this level of care now .
Independent living is just housekeeping and meals . No help with anything else including if she were to fall.
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.
The assisted living director will assess your aunt and determine what level of care is necessary. They will tell you that her needs are more or less than what assisted living can do and guide you to a more appropriate setting.
I would also address with her doctor her sleeping problems. My father had the same issues and the doctor changed his sleeping pill to temazepam which did the trick.
I encourage assisted living as long as it is safe, it helps mentally that they can still do things on their own. If in time she needs a wheelchair there are very light weight ones that are motorized now, that I see in my Dads assisted living area. As long as she doesn’t have memory problems that would make it unsafe for other residents and herself to operate.
Since falling seems to be what will happen next if she's falling asleep like that, maybe she should be switched to a wheelchair. Being wheelchair-confined brings about other problems, but she seems to be only one fall away from a broken bone, a brain bleed or worse.
Sometimes there are tough decision m to be made. I suggest you call a meeting of her care team at the facility to discuss ASAP.
They can still live "independently" but have the option to ask for help or help can be offered.
If she needs a "little" help it would be there, if she needs more help than you or even she thinks it will be there.
She can still do as much as she possibly can now. But at 94 she will begin to need more help not less. So make the transition easier on her and make a 1 time move not another move in 6 months if you find she does need more help
Independent living is just housekeeping and meals . No help with anything else including if she were to fall.