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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?
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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.
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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.
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I've read on this forum of people advising the hospital (the discharge planner particularly, I think) that there will be no one at the home available to take care of the parent. That it will be an "unsafe discharge" (using those words exactly).
Hopefully more knowledgeable folks will have more info about this for you.
So, the answer is " it depends". I really don't know the legalities of all this and I suspect it depends upon State regulations, etc. But... 1. Hospitals are charged with making sure it's a " safe discharge". 2. If a person with Medicare has been in the hospital for 3 midnights as an admitted patient, you can explore the idea of discharge to rehab, rather than home. 3. It helps if your parent is on board with the idea of not going back to your home. Unless they've been declared incompetent, they can sign for their own discharge. 4. I've been blessed to have worked with a really good discharge planner who made it really clear what our options were and how mom's ability to private pay for two years would allow us to a better grade of NH that would accept her as a Medicaid patient when/if her money ran out.
Can you tell us more about your situation?
I'm told that in some places, you will be guilted into taking your parent back home. That never happened to us, mainly since mom never lived with us. I think the trick is to stand firm and not be swayed by guilt if you know that you can no longer safely caregiver.
If they say " the State will become her guardian" or " well have to send her to a psychiatric hospital", view these as offers of help, not threats. And say " yes, please".
What are your reasons for not taking the parent back. Care becoming too much? For me I am in a split level and my Mom couldn't do stairs and couldn't understand why she couldn't. After almost 2 yrs living in my home I place her in an AL. She had the whole building to walk around.
As I understand it, yes, you can refuse to take her back. If I were you, I would come up with an alibi for "why not", since she was living with you before the hospital admission.
If he/she has dementia, you could say that schedules have changed and there is no one to watch him/her during work hours and no money to pay for hired help.
Also, if the parent is combative, you have small children or grandchildren in your home and it would be a danger to them.
If your parent has mobility issues you could say that you have a bad back and that it's flared up and you can't lift or reposition.
Do you get the drift? Be forewarned that the hospital social worker will try very trick in the book to get you to take them back. Stand firm. State the reason over and over (like a broken record) if you have to. They will be forced to find placement for them, as I understand it.
Be prepared to go through a bunch of questions like your parents' finances, state of health (mental and physical), other family members ability to take him/her in, etc. In essence, prepare to spend a long time with the Social Worker.
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.
Hopefully more knowledgeable folks will have more info about this for you.
1. Hospitals are charged with making sure it's a " safe discharge".
2. If a person with Medicare has been in the hospital for 3 midnights as an admitted patient, you can explore the idea of discharge to rehab, rather than home.
3. It helps if your parent is on board with the idea of not going back to your home. Unless they've been declared incompetent, they can sign for their own discharge.
4. I've been blessed to have worked with a really good discharge planner who made it really clear what our options were and how mom's ability to private pay for two years would allow us to a better grade of NH that would accept her as a Medicaid patient when/if her money ran out.
Can you tell us more about your situation?
I'm told that in some places, you will be guilted into taking your parent back home. That never happened to us, mainly since mom never lived with us. I think the trick is to stand firm and not be swayed by guilt if you know that you can no longer safely caregiver.
If they say " the State will become her guardian" or " well have to send her to a psychiatric hospital", view these as offers of help, not threats. And say " yes, please".
If he/she has dementia, you could say that schedules have changed and there is no one to watch him/her during work hours and no money to pay for hired help.
Also, if the parent is combative, you have small children or grandchildren in your home and it would be a danger to them.
If your parent has mobility issues you could say that you have a bad back and that it's flared up and you can't lift or reposition.
Do you get the drift?
Be forewarned that the hospital social worker will try very trick in the book to get you to take them back. Stand firm. State the reason over and over (like a broken record) if you have to. They will be forced to find placement for them, as I understand it.
Be prepared to go through a bunch of questions like your parents' finances, state of health (mental and physical), other family members ability to take him/her in, etc. In essence, prepare to spend a long time with the Social Worker.