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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.
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Nitrous used to always work on my mom, but now it doesn't seem to work. It has become more difficult keeping her calm at the dentist and she has several upcoming appointments for crowns and cavities.
How important is this dental work? Does she have pain or discomfort? At some point dental visits are the last thing you should worry about. Especially with any kind of dementia. It's just too hard for the patient to be able to be calm and cooperative for this.
Is there an oral medication your mom uses to help keep her calm? I would use that and skip the nitrous gas, see if she is able to cooperate with just a novacaine injection. She may not be able to do it. If it's a good dentist, and one that knows her, they should be able to make recommendations to accommodate her needs.
My mom finally just said no more dentists period. Unless she gets a fatal infection we will not be doing any more dentist visits. It's far too much stress on them.
Nitrous oxide Is generally considered safe and effective for reducing anxiety in dementia patients during dental procedures, but it may fail or cause paradoxical reactions due to age-related brain changes or cognitive impairment. It can cause confusion or agitation in some patients, though it does not typically cause long-term cognitive decline.
National Institutes of Health (.gov)
Potential Reasons for Reduced Effectiveness Behavioral Resistance: Dementia patients may not understand the mask placement, leading to combativeness, or the sedation level may be insufficient to overcome severe anxiety. Paradoxical Reaction: Rather than calming, it can sometimes increase agitation or confusion in advanced dementia patients. Neurological Changes: Age-related brain changes can affect how the brain responds to sedatives. Metabolic Factors: Vitamin B12 deficiency, which is more common in the elderly, can decrease the effectiveness of nitrous oxide and increase risks. National Institutes of Health (.gov)
Considerations for Dementia Patients Safety: Studies indicate that nitrous oxide does not necessarily increase the risk of dementia progression, though it is not recommended for those with severe vitamin B12 deficiency. Alternatives: If it is ineffective, dentists might recommend oral sedation or, in severe cases, intravenous (IV) sedation for procedures like extractions. Dental Care Approach: A "tell-show-do" approach or simply adapting to the patient's anxiety level is often necessary, sometimes preferring to leave cracked teeth alone rather than attempting complex procedures, say AgingCare.com users.
I myself only took my mother to the dentist for extractions, and while in Memory Care, used the mobile dentist who worked on her in her suite with Novocaine. Nitrous is a diversion only and does not keep pain away. Dental procedures are very stressful for dementia patients and should be kept to a minimum imo. The thought of implants, to me, is sheer insanity.
I am starting to wonder about dental care in dementia patients. My neighbor who has dementia is being dragged to the dentist for numerous visits of several hours while receiving dental implants. He is very agitated every time he has to go. Is there a point where dental care is too much stress for the patient? I know implants and other dental work are big money makers for the dentists. Are there simpler treatments, such as extractions which would be more comfort care? Just seems I am hearing more and more of complex procedures which seem to be too much for a dementia patient to handle. I am a medical professional who believes in conservative treatment, but am not a dentist.
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.
At some point dental visits are the last thing you should worry about. Especially with any kind of dementia. It's just too hard for the patient to be able to be calm and cooperative for this.
Is there an oral medication your mom uses to help keep her calm? I would use that and skip the nitrous gas, see if she is able to cooperate with just a novacaine injection. She may not be able to do it. If it's a good dentist, and one that knows her, they should be able to make recommendations to accommodate her needs.
Nitrous oxide
Is generally considered safe and effective for reducing anxiety in dementia patients during dental procedures, but it may fail or cause paradoxical reactions due to age-related brain changes or cognitive impairment. It can cause confusion or agitation in some patients, though it does not typically cause long-term cognitive decline.
National Institutes of Health (.gov)
Potential Reasons for Reduced Effectiveness
Behavioral Resistance: Dementia patients may not understand the mask placement, leading to combativeness, or the sedation level may be insufficient to overcome severe anxiety.
Paradoxical Reaction: Rather than calming, it can sometimes increase agitation or confusion in advanced dementia patients.
Neurological Changes: Age-related brain changes can affect how the brain responds to sedatives.
Metabolic Factors: Vitamin B12 deficiency, which is more common in the elderly, can decrease the effectiveness of nitrous oxide and increase risks.
National Institutes of Health (.gov)
Considerations for Dementia Patients
Safety: Studies indicate that nitrous oxide does not necessarily increase the risk of dementia progression, though it is not recommended for those with severe vitamin B12 deficiency.
Alternatives: If it is ineffective, dentists might recommend oral sedation or, in severe cases, intravenous (IV) sedation for procedures like extractions.
Dental Care Approach: A "tell-show-do" approach or simply adapting to the patient's anxiety level is often necessary, sometimes preferring to leave cracked teeth alone rather than attempting complex procedures, say AgingCare.com users.
I myself only took my mother to the dentist for extractions, and while in Memory Care, used the mobile dentist who worked on her in her suite with Novocaine. Nitrous is a diversion only and does not keep pain away. Dental procedures are very stressful for dementia patients and should be kept to a minimum imo. The thought of implants, to me, is sheer insanity.