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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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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.
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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.
Remember, this assessment is not a substitute for professional advice.
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This isn't really surgery, at least not the kind to have concerning after effects, it is an outpatient procedure done under local anaesthetic. The doctor would have to take into account that he has dementia and may not be able to stay calm and quiet for the procedure though, so if s/he isn't experienced with dementia that may be a problem.
Even though, my LO had severe dementia, I allowed her to have a cyst removed from her face. It was for comfort reasons. It was swollen and she picked at it and it was getting infected. The removal went fine and they put a very thin plastic adhesive that covered it and she was not so prone to pick at it. It healed well too.
I might discuss the details with his doctor, to make sure that he could tolerate it and that he would cooperate with the aftercare for healing.
I would certainly ask the possible outcome if no surgery is done. And what the aftercare involves. Usually, basal cell cancers take a while to develop and at 89, your dad's body's already slowed down, so I would question whether the cancer will be an issue if it's not treated. I'd probably decline unless the untreated area would be painful for your dad and the surgery would help keep him comfortable. I hate to say it, but doctor's make money with procedures and not all doctors are practical about what their normal treatment plan is for someone close to 90.
My mom's cardiologist talked me into having an ultrasound on her heart when she was about 95 or 96. We already KNEW what her issues were, and the test said nothing except she was getting worse. I was pressured into feeling like I "had" to do it or be a poor caregiver. It was a wasted hour of major effort for both of mom and me.
My mom developed a very nasty looking black spot on her face at age 93. It looked like melanoma, to mom (who had had Melanoma before) to us and to the visiting dermatologist at the NH. We transported mom via Medical transport to his office for a biopsy that was in truth an excision of most of the growth. It was NOT Melanoma but a basal cell. The derm. told us that the choices for follow on treatment were to do nothing, or to do Mohs, or to have the NH use a chemo cream on the remaining "margins".
We opted for the cream.
I can't see a reason to do Mohs on a dementia patient at age 89. Cut the thing off/out. Are we really worried about the cosmetics?
Not sure what Moh is, but dad had yet another skin cancer removed this summer (he is 88). I have lost track of how many he has had done, many different types except melanoma. This time it got infected, because he has an untreated dental infection. He needed weeks of antibiotics to finally heal.
The surgery is a simple one, particularly if the cancer is shallow. I would make a decision based on where the cancer is -- being near the eye or mouth would make me favor it -- and how much longer your father is expected to live. My mother had radiation treatments for a basal cell carcinoma on her nose when she was 87 and had moderate dementia. She handled it well, so I'm glad we did it. However, her new opthamologist wanted to do laser surgery to clean behind the lens this week. My mother is 91 now and nearing death. I said no to it. It may have been useful, but it could have introduced many problems and been of little benefit. We have to judge things based on the circumstances of the moment.
If my mother lives a lot longer I may regret my decision not to have her lens cleaned, but my gut told me not to do it. My brother and SIL agreed with me, which really helped me come to a decision. These decisions can be very difficult. It can help a lot to get input from other family members who understand the circumstances if possible.
Thanks for all of the responses - Mom has POA - but counts on my opinion. I have HIPA access to Dad's Primary Doc - so I have a call in to him to see what he thinks. I appreciate everyone who took time - At this point - I'll wait to hear from the Doc. Thanks again
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 might discuss the details with his doctor, to make sure that he could tolerate it and that he would cooperate with the aftercare for healing.
My mom's cardiologist talked me into having an ultrasound on her heart when she was about 95 or 96. We already KNEW what her issues were, and the test said nothing except she was getting worse. I was pressured into feeling like I "had" to do it or be a poor caregiver. It was a wasted hour of major effort for both of mom and me.
We opted for the cream.
I can't see a reason to do Mohs on a dementia patient at age 89. Cut the thing off/out. Are we really worried about the cosmetics?
If my mother lives a lot longer I may regret my decision not to have her lens cleaned, but my gut told me not to do it. My brother and SIL agreed with me, which really helped me come to a decision. These decisions can be very difficult. It can help a lot to get input from other family members who understand the circumstances if possible.