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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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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
Dad took Mom on a number of cruises when she had early Alzheimers.
Mom wanted to do some of the excursions. Dad would take Mom to the excursion leader. He would tell the excursion leader that Mom had early Alzheimers. Dad tipped the excursion leader generously in advance and told him/her to make sure to bring his wife back. Mom went on excursions and Dad stayed on the ship.
How bad is her dementia? My husband and I are flying internationally for 5 weeks. I made all the arrangements. I am giving us breaks between segments so that he can rest. I will do all the driving, even though he thinks he can and should. He is a little apprehensive, but we are going to visit family and I have brought everyone up to date on how he is in his progression. He has some good days when he is 100% with it, but that means he is aware of his deficiencies and appreciates that I manage everything. Then he has days when he is different and hasn't a clue how to do what he is supposed to do. If your wife is in this stage of dementia, very careful planning can make it a good trip for both of you. 1. Make sure you get the relaxation you need. If you are exhausted and frustrated you will both be miserable. 2. Make sure whatever you do is comfortable and comforting. A lot of people and new things is never a good idea with dementia. They can get overstimulated easily. 3. Consider a trip to visit family and friends that you both hold dear but haven't seen recently. Plan some nice outings in calm, comfortable places. If music calms her take in a concert. If she likes arts and crafts do a paint-your-own-picture day. 4. Don't plan too many events per day. 5. If taking a car trip plan on stopping at minimum every 2 hours. Make this more than just a restroom stop, and make sure there is something to do or see that is pleasant. 6. Keep your plans flexible enough in case you need to go home early. 7. Bring extra personal supplies and medications in case things are lost in transit. 8. Bring her own pillow, to make it easier to sleep in unfamiliar surroundings. The feel and smell will be more restful. 9. If you took a special trip years ago, consider going again "for old times sake" and to relive wonderful memories. (Don't get upset or depressed if she doesn't remember clearly what you remember.) 10 Take LOTS of pictures, especially with her in them. This will help her later to try to recall the good time you had together.
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.
Mom wanted to do some of the excursions. Dad would take Mom to the excursion leader. He would tell the excursion leader that Mom had early Alzheimers. Dad tipped the excursion leader generously in advance and
told him/her to make sure to bring his wife back. Mom went on excursions
and Dad stayed on the ship.
Dad went on the cruise.
I (daughter) stayed at the house with Mom and caregivers for the 3 weeks while Dad was gone on the cruise.
Consider giving yourself a break.
1. Make sure you get the relaxation you need. If you are exhausted and frustrated you will both be miserable.
2. Make sure whatever you do is comfortable and comforting. A lot of people and new things is never a good idea with dementia. They can get overstimulated easily.
3. Consider a trip to visit family and friends that you both hold dear but haven't seen recently. Plan some nice outings in calm, comfortable places. If music calms her take in a concert. If she likes arts and crafts do a paint-your-own-picture day. 4. Don't plan too many events per day.
5. If taking a car trip plan on stopping at minimum every 2 hours. Make this more than just a restroom stop, and make sure there is something to do or see that is pleasant.
6. Keep your plans flexible enough in case you need to go home early.
7. Bring extra personal supplies and medications in case things are lost in transit.
8. Bring her own pillow, to make it easier to sleep in unfamiliar surroundings. The feel and smell will be more restful.
9. If you took a special trip years ago, consider going again "for old times sake" and to relive wonderful memories. (Don't get upset or depressed if she doesn't remember clearly what you remember.)
10 Take LOTS of pictures, especially with her in them. This will help her later to try to recall the good time you had together.