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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.
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My husband is 78 yrs old and often times he has demonstrated poor judgement lacking common sense. I suspect he is in beginning stages of dementia, but I would like for him to get screened by a professional. Someone who knows what to look for.
Make an appt. with his neurologist. He/she can get the ball rolling, by ordering a MRI or CAT scan of the brain, and also send him to a Memory Clinic for the appropriate testing. Best wishes.
I love that idea, but it sure wouldn't be THAT easy for my partner, 80. He's going to need a lot of finessing to get to any appointment with any doctor at all, and especially with a neurologist. You gave me a giggle. I just saw myself walking up tonight and saying "How about you see a neurologist, N.?" Hee hee.
If there IS any recognition by him that things are slipping a bit, he is going to be very resistant. I am 78 and partner is 80. I would do it this way. Hon, I am getting forgetful. It's getting a bit scary for me. I notice that you are as well: for instance these times (tell him two or three). I know it's likely just we aren't 29 anymore. But I wonder if we could both go and get evaluated. We would know if we are baseline for our age group and get some things to watch for." Might not work. Probably won't. But if anything does, that might; and hey, you would both have that baseline. You would use that for the new year to get paperwork and anything else done. Just age recognition. Just knowing anything can happen. You know, at our aqe even anesthesia can send us pretty quickly into a dementia that may or may not leave. We are what we are. (Old Codgers?). It's best to address it head on. And keep active; keep moving. It helps prevent all kinds of problems; the other day I heard it is a preventative thing for macular degeneration. Who knew? Not THIS old nurse.
CT Scans & MRIs won't show vascular dementia, only Alzheimer's and brain shrinkage, things of that nature. Most PCPs can administer a simple MoCa cognition exam which takes about 15 minutes in the office; a few questions, drawing a simple clock face showing a certain time (to test executive brain function) and some memory questions. It's scored on a scale of 30 and gives a baseline of where your DH is at right now. He can be retested yearly (or whatever) to see if he's declined.
Suggesting anything more than a simple MoCa test with his regular doctor can instigate resistance and fear. Heck, the MoCa test itself can spur on a bad reaction, but at least it's quick, simple and doesn't require a special visit or the involvement of a large machine.
The first time my mother was tested she got an 18 on the MoCa exam indicating that she had dementia, but that it wasn't too far advanced. In 2019 after a stroke and a bout with pneumonia, she scored a 10, indicating she'd declined quite a bit and we were able to see it ourselves with her behavior, lack of short term memory, confusion and agitation in general. She did have a brain MRI as well for uncontrolled vertigo back in 2017 which showed no unusual brain shrinkage or Alzheimer's, at least at that time. I'm not willing to send her for ANY further testing at this point; she will be 94 in January and lives in a Memory Care ALF, so there's really no point.
Just try to get him in for a complete physical and let the doctor know in advance what your main concerns are. I've slipped many notes to my mom's doctors over the years, so they're accustomed to it.
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 am 78 and partner is 80. I would do it this way. Hon, I am getting forgetful. It's getting a bit scary for me. I notice that you are as well: for instance these times (tell him two or three). I know it's likely just we aren't 29 anymore. But I wonder if we could both go and get evaluated. We would know if we are baseline for our age group and get some things to watch for."
Might not work. Probably won't. But if anything does, that might; and hey, you would both have that baseline. You would use that for the new year to get paperwork and anything else done. Just age recognition. Just knowing anything can happen. You know, at our aqe even anesthesia can send us pretty quickly into a dementia that may or may not leave. We are what we are. (Old Codgers?). It's best to address it head on. And keep active; keep moving. It helps prevent all kinds of problems; the other day I heard it is a preventative thing for macular degeneration. Who knew? Not THIS old nurse.
Suggesting anything more than a simple MoCa test with his regular doctor can instigate resistance and fear. Heck, the MoCa test itself can spur on a bad reaction, but at least it's quick, simple and doesn't require a special visit or the involvement of a large machine.
The first time my mother was tested she got an 18 on the MoCa exam indicating that she had dementia, but that it wasn't too far advanced. In 2019 after a stroke and a bout with pneumonia, she scored a 10, indicating she'd declined quite a bit and we were able to see it ourselves with her behavior, lack of short term memory, confusion and agitation in general. She did have a brain MRI as well for uncontrolled vertigo back in 2017 which showed no unusual brain shrinkage or Alzheimer's, at least at that time. I'm not willing to send her for ANY further testing at this point; she will be 94 in January and lives in a Memory Care ALF, so there's really no point.
Good luck!