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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 and I disagree on the mental capacity of my mom. She lives nearby and I do not. I think my mom will comply with an objective test. Any recommendations for what to use?
Do you take her to the doctor, ER, or have home health aids? I would suggest in any of these situations you let your mother answer the questions asked by the medical professionals. Remind them she is the patient to ask her, get it documented. They are to document if she is having trouble thinking or speaking.. WORKED like a charm for me.
For driver's license: Check your state law. Virginia allows a 1st degree relative to report that their relative is unsafe to drive, and DMV will schedule a driving test for them. DMV will not provide the name of the informant. Another option is to report your concerns to the doctor of the person and ask them to request that DMV take away their license or call them in for a driving test. Another idea is to report your concerns to the auto insurance company and see if they will cancel the insurance.
For drivers license: When my husband's license expired I was relieved, but the DMV told me he could renew it any time. So I picked up a drivers manual from them and told my husband that he would have to retake the test if he wanted to renew his license. Being unable to comprehend the writing he gave up after 2 hrs - thank God - and I have been his chauffeur ever since.
If there is a rehab facility or university hospital, call them and ask to be referred for geriatric neuropsych testing. This generally includes brain imaging, a mental status exam and neuropsychological testing. My mother also thought that this was going to be used to declare her "crazy". I insisted we needed it as a baseline, and boy, am I glad we got her to go. We were able to document what her cognition was before her stroke. It was much easier for the rehab docs to see what was stroke related and what was related to her previously documented cognitive decline.
Use a complete neuro-psych exam conducted by a specialist Neurologist who treats dementia patients. You can expect the patient will refuse to go because they suspect you want to "put them away" forever.
DMV just gave Dad a new lisc. This is the person who was driving in town with the door open, has had the car in the back yard several times etc. Scary really.
Can you say that the neuro testing is a good idea to make sure she's getting all the benefits she's due from...wherever. I would love to get my mom into a real neuro-psych eval. The name alone makes her noncooperative bcause she's afraid she will end up in a mental hospital. Which she wouldn't with whatever form of dementia she has.
The test my mom's GP gave her was like a 7th grade reading comprehension test. Mom failed enough questions she walked away with the dementia label, no instructions for followup, second opinion, further investigation, or how to prepare for the future. She would have gotten more instructions with a case of pink eye. I think it's a HUGE disservice to people to do a half-baked diagnosis and let it go at that. It's like landing on the beach and believing you've conquered the continent.
My unsolicited advice is to maybe start with the GP to get mom to understand they see a problem, then go to a neurologist next. It's a specialty just like any other.
Knowing what I do about the medical care in the community where mom lived then, I'm not surprised though. It's still 1970 there. Mom would never do the kind of proactive research and follow up a dementia diagnosis requires. That's not her personality, and she has no way to do it. If she needed to know, the doctor would tell her, right? I could never move back there.
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.
Another idea is to report your concerns to the auto insurance company and see if they will cancel the insurance.
My unsolicited advice is to maybe start with the GP to get mom to understand they see a problem, then go to a neurologist next. It's a specialty just like any other.
Knowing what I do about the medical care in the community where mom lived then, I'm not surprised though. It's still 1970 there. Mom would never do the kind of proactive research and follow up a dementia diagnosis requires. That's not her personality, and she has no way to do it. If she needed to know, the doctor would tell her, right? I could never move back there.