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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 sister was very recently diagnosed with Lewy Body . Last year , they believed it was early vascular dementia , an MRI last year showed chronic moderate ischemia of white matter .
She also has been having some mild Parkinson’s like symptoms , however a Dat scan last year was normal . The past 6 or so months her cognitive symptoms were more like Lewy Body with the good and bad days and delusions . The Dat scan last week highly suggestive of Lewy Body . Maybe my sis has both Lewy and Vascular .
When these symptoms started 2 years ago they thought maybe ALS or Parkinson’s due to her gait and at times slurred speech etc . No tests supported these guesses , nor enough symptoms . She hasn’t fit any one diagnosis well . Although the Lewy seems to be more evident now . She also had metabolic encephalopathy last year and almost died .
Hi to all who have answered my question. My sis does not have Alzheimer's and most likely has vascular dementia. She has had quite a few minor strokes and a more serious one in February. As you all know, the ups and downs can be horrific. She has had palliative care since February and I can't thank them enough for all their care and concern. We thought Hospice might be in order but then my sis "perked" up even surprising the palliative care team who were impressed and surprised by the communication they had with my sis. I guess it's the extremes that are so frustrating. On her birthday (last Sunday) the family was there and sang happy birthday to her. She was in her "catatonic" phase and never acknowledged anything. Just so very sad.
You have posted under Alzheimer's. Is that the type of dementia your loved one is diagnosed with. Fluctuation are more common to some types of dementia than to others. My brother suffered with Lewy's dementia, and the fluctuations were profound. One day quite out of it with many hallucinations and another day almost perfect. That is common to Lewy's I learned, it being a type of dementia in which the trajectory is up, down and sideways, whereas in Alzheimer's it tend to trend downward, sometime with stairstep of stability.
It's all quite impossible to predict, but the more information you have the more it may help you. One thing I do know, and particularly with any of the dementias that have a sort of anger or acting out component, is that anxiety is a trigger that is BOUND to worsen a day. The more calm and steady and predictable things are, the better for the person involved.
Wish I had more. I always say "expect the unexpected".
It's called the "joys" of dementia. Welcome to it. It's not unusual for someone with dementia to be able to "showtime" for a good while until they can't any longer, and then the truth comes out about how they really are. There is nothing "normal" about dementia, and if you've met one person with dementia, you've met just one person with dementia. Everyone is different. The best thing you can do at this point is educate yourself more about this horrific disease, so you will be better prepared for what the future holds.
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.
She also has been having some mild Parkinson’s like symptoms , however a Dat scan last year was normal . The past 6 or so months her cognitive symptoms were more like Lewy Body with the good and bad days and delusions .
The Dat scan last week highly suggestive of Lewy Body . Maybe my sis has both Lewy and Vascular .
When these symptoms started 2 years ago they thought maybe ALS or Parkinson’s due to her gait and at times slurred speech etc . No tests supported these guesses , nor enough symptoms . She hasn’t fit any one diagnosis well . Although the Lewy seems to be more evident now . She also had metabolic encephalopathy last year and almost died .
Fluctuation are more common to some types of dementia than to others. My brother suffered with Lewy's dementia, and the fluctuations were profound. One day quite out of it with many hallucinations and another day almost perfect. That is common to Lewy's I learned, it being a type of dementia in which the trajectory is up, down and sideways, whereas in Alzheimer's it tend to trend downward, sometime with stairstep of stability.
It's all quite impossible to predict, but the more information you have the more it may help you. One thing I do know, and particularly with any of the dementias that have a sort of anger or acting out component, is that anxiety is a trigger that is BOUND to worsen a day. The more calm and steady and predictable things are, the better for the person involved.
Wish I had more. I always say "expect the unexpected".
It's not unusual for someone with dementia to be able to "showtime" for a good while until they can't any longer, and then the truth comes out about how they really are.
There is nothing "normal" about dementia, and if you've met one person with dementia, you've met just one person with dementia. Everyone is different.
The best thing you can do at this point is educate yourself more about this horrific disease, so you will be better prepared for what the future holds.