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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?
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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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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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We got a good evaluation for my mom at a major rehabilitation center that has a hospital affiliation. The testing included a geriatric neurologist, neuro-psychologist and a nurse practitioner. There was several hours of pencil and paper testing from the neuropsych, which resulted in an IQ score and other cognitive measures; neurological testing from the neurologist which included measures of brain function; and a psycho social workup from the nurse practitioner. Brain imaging was reviewed for evidence of previous stroke. Interestingly, this team saw evidence of a previous stroke that we were never told occurred.
So yes, ask mom's doctor, but call your closest university medical school, inquire about the department of geriatrics and see if they have any recommendations.
Mom was diagnosed 4 yrs ago with dementia by a neuro psychiatrist but im pretty sure she has moved on to alzheimers. I tried to get her retested again recently but have had no luck finding someone to do the testing. Im told by physicians that she will need an MRI before they do paper testing and Medicare will not pay for an MRI. I dont know know where else to turn for this..any suggestions ?
No,not to me it doesnt. .testing isnt going to change any thing for her. I needed to to establish a baseline for where shes at now mentally. Im her caregiver and the rest of the siblings dont take me seriously when i try to express my concerns So my hope was that i could give them something concrete.
It is worth testing because sometimes something besides alzheimers can cause dementia and some of those things can be treated. Once you know it is dementia, she can go on "brain pills" to help preserve brain function. People on those tend to get 2 extra years of relative independence.
There is a simple test you could try giving her. Ask her to draw the face of a clock (the analog type, not the digital type). If her numbers are all over the place, that' can be an indication of Alzheimer's. But maybe that's in the more severe cases.
Print out the test ask one of the doubters to give it to her. It's very simple and you don't need specialized training to know if she can't answer questions or do simple tasks that would not have been a problem earlier.
I don't know how much I really believe in this whether it be true or just a tall tale, but I've heard of the peanut butter test where they hold up a jar of peanut butter from a certain distance from the person they're testing to see how well they can smell it. Again, I don't know how accurate that testing is but there are people who also lose their sense of smell who don't have dementia or Alzheimer's, which is why I'm not sure how well I trust that theory. You can ask her doctor about it and see what they say
I just went for a test at the Boston Center for Memory. Thank God I passed. They told me that the standard neuro-psych evaluation, even in top medical centers, omits the test that is most diagnostic of memory loss. It was a real stress test on memory. The list of words to remember was at least 10 words. The picture to copy was more complicated.
They are in Newton, MA and do drug trials for dementia, and I bet they could recommend somewhere closer to you. Their phone number is (617) 699-6927.
My mother was tested twice so far, and we looked for a Neuropsychologist under Psychologists in the phone book. The testing was 4 hours long and very involved, as another responder indicated. However, Mom has never had an MRI as part of the testing. She did have a CT scan of the head to rule out any other reasons for her memory problems. Her diagosis first time was 'early Alzheimers'...meaning early in the stages....not early onset as Mom was 88 years old the first time tested. Last summer she was tested again at age 90 and was at the moderate stage.. Both testings were covered by Medicare and her Medicare supplement insurance and yes, we did have to have a referral from her primary care MD. I do agree that if you are near a major teaching hospital, to call them first to see if they have any programs. Another thought would be to call your local Alzheimer's Association to ask about MDs or programs in your area.
Ataloss, we took my mom for neurocognitive testing at the behest of the geriatric psychiatrist at the independent living facility where she lived. It helped establish a baseline ( as you say), which was helpful in explaining to mom why i wanted it ( she kept saying "I'm not crazy"). But it also helped quantify what was going on for the doubters in the family. Mom's anxiety was being driven by her very rreal loss of skills, but my brother thought that mom's anxiety was something that she was "bringing on herself". The testing showed him otherwise.
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.
We got a good evaluation for my mom at a major rehabilitation center that has a hospital affiliation. The testing included a geriatric neurologist, neuro-psychologist and a nurse practitioner. There was several hours of pencil and paper testing from the neuropsych, which resulted in an IQ score and other cognitive measures; neurological testing from the neurologist which included measures of brain function; and a psycho social workup from the nurse practitioner. Brain imaging was reviewed for evidence of previous stroke. Interestingly, this team saw evidence of a previous stroke that we were never told occurred.
So yes, ask mom's doctor, but call your closest university medical school, inquire about the department of geriatrics and see if they have any recommendations.
So my hope was that i could give them something concrete.
https://www.uml.edu/docs/Mini%20Mental%20State%20Exam_tcm18-169319.pdf
You will need a PDF reader to open it.
Print out the test ask one of the doubters to give it to her. It's very simple and you don't need specialized training to know if she can't answer questions or do simple tasks that would not have been a problem earlier.
They are in Newton, MA and do drug trials for dementia, and I bet they could recommend somewhere closer to you. Their phone number is (617) 699-6927.