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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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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
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Vascular dementia covers a few different things, dementia that develops from the damage caused by a stroke is probably the most well known but anything that compromises the blood flow to the brain can be included. Multi infarct dementia can result from cumulative damage from years (or decades) of TIAs (silent strokes that only last a few minutes and leave no visible damage). Diabetes, high blood pressure, and high cholesterol are some other things that might cause invisible but cumulative damage. The cause of the dementia, how well controlled the underlying condition is, as well as the part of the brain that is damaged can all affect the symptoms as well as the progression of the disease.
I don't believe that there is any "definite progression" with any of the dementias, but as I'm sure you're aware vascular dementia is the most progressive, meaning things progress rather quickly because the life expectancy is just 5 years. I know that with my late husband who had vascular dementia his symptoms started with really bad incontinence(pee only), unsteady gait, meaning he was falling a lot and mild cognitive decline. As things progressed his comprehension of the spoken word got much worse and his cognitive decline got much worse as well. He was diagnosed in July of 2018, though was showing signs a good year before, and he died Sept. 2020. So just make sure that you're enjoying your loved one while they're still here.
Unlike Alzheimer's, vascular dementia doesn't always follow a smooth, steady decline. It typically progresses in a "step-like" pattern, where cognitive and physical abilities noticeably drop after a stroke or other vascular event. [1, 2]
Medical experts usually break the progression down into three general stages, though some models utilize a 7-stage scale. [1, 2]
1. Early Stage (Mild)
Brain changes: Small vessel disease or a mini-stroke (TIA) begins to impair blood flow. [1, 2] Key symptoms: Unlike Alzheimer’s, early vascular dementia often affects problem-solving, planning, and focus rather than just short-term memory. Slower thinking and changes in mood (e.g., depression or apathy) are common. [1, 2] Independence: The person can usually still manage daily tasks, but they may need reminders or help with complex activities like managing finances. [1, 2, 3, 4]
2. Middle Stage (Moderate)
Brain changes: More widespread brain tissue damage from ongoing blood vessel issues or successive strokes. [1, 2] Key symptoms: Noticeable confusion, significant memory loss, difficulty communicating, and personality shifts. Physical signs, like an unsteady gait (walking) or incontinence, frequently emerge. [1, 2, 3, 4] Independence: Independent living becomes difficult. The person will require increasing day-to-day support, help with personal hygiene (dressing, washing), and supervision for safety. [1, 2, 3, 4]
3. Late Stage (Severe)
Brain changes: Usually follows a major vascular event, leaving the brain severely compromised. [1] Key symptoms: Severe memory decline (failing to recognize loved ones), complete loss of communication skills, inability to walk without assistance, and difficulty swallowing. [1, 2] Independence: The individual requires full-time, round-the-clock care to assist with all daily activities and prevent complications like bedsores and infections. [1] For comprehensive information, management tools, and caregiver support, visit the Alzheimer's Society or review the Cleveland Clinic's Overview. [1, 2]
Google offers a wealth of information on this subject.
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.
I know that with my late husband who had vascular dementia his symptoms started with really bad incontinence(pee only), unsteady gait, meaning he was falling a lot and mild cognitive decline.
As things progressed his comprehension of the spoken word got much worse and his cognitive decline got much worse as well.
He was diagnosed in July of 2018, though was showing signs a good year before, and he died Sept. 2020.
So just make sure that you're enjoying your loved one while they're still here.
Medical experts usually break the progression down into three general stages, though some models utilize a 7-stage scale. [1, 2]
1. Early Stage (Mild)
Brain changes: Small vessel disease or a mini-stroke (TIA) begins to impair blood flow. [1, 2]
Key symptoms: Unlike Alzheimer’s, early vascular dementia often affects problem-solving, planning, and focus rather than just short-term memory. Slower thinking and changes in mood (e.g., depression or apathy) are common. [1, 2]
Independence: The person can usually still manage daily tasks, but they may need reminders or help with complex activities like managing finances. [1, 2, 3, 4]
2. Middle Stage (Moderate)
Brain changes: More widespread brain tissue damage from ongoing blood vessel issues or successive strokes. [1, 2]
Key symptoms: Noticeable confusion, significant memory loss, difficulty communicating, and personality shifts. Physical signs, like an unsteady gait (walking) or incontinence, frequently emerge. [1, 2, 3, 4]
Independence: Independent living becomes difficult. The person will require increasing day-to-day support, help with personal hygiene (dressing, washing), and supervision for safety. [1, 2, 3, 4]
3. Late Stage (Severe)
Brain changes: Usually follows a major vascular event, leaving the brain severely compromised. [1]
Key symptoms: Severe memory decline (failing to recognize loved ones), complete loss of communication skills, inability to walk without assistance, and difficulty swallowing. [1, 2]
Independence: The individual requires full-time, round-the-clock care to assist with all daily activities and prevent complications like bedsores and infections. [1]
For comprehensive information, management tools, and caregiver support, visit the Alzheimer's Society or review the Cleveland Clinic's Overview. [1, 2]
Google offers a wealth of information on this subject.