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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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My 83 year old mum who has vascular dementia sleeps very little. Lucky if we get 3 hours a night. Her poor mind is racing and in another time warp. Any hints or help
She probably sleeps all day. Try to keep her up during the day. What really helps me is giving my mom green tea during the day. Usually one cup does it in the morning. That helps keep her up--do NOT give it during the evening! In fact I would say 3 pm is the cut off time no more green tea. I also take my mother on walks--everyday weather permitting, we go to the park and walk with her walker a few minutes. That does her a lot of good. I also REMIND my mother of the time, and tell her it's time to go to bed. Usually after I get her to brush her teeth that signals her it's bedtime. Sometimes they just forget the time. You mother may have a worse kind of dementia. If that's the case you may have to see your doctor and start her on medications - BUT also realize those psych medications will increase the risk of falling.
Talk to her dr. Working with mom's dr. we have had some luck here having mom use a sun light for 30 minutes in the morning and using some melatonin at night as needed.
My mom also has vascular dementia and has gone through periods of poor sleep. The suggestion to talk to her doctor is a good one. There are some medications that may help with the racing mind. My mom is on Risperdal and it's off-label use, but it made a positive difference for mom.
What I have noticed is that the more mom is active during the day, the better she sleeps. She ended up in a wheelchair and getting her one her feet to walk challenges and exhausts her. I've also noticed that when she's more engaged in the community activities the better she sleeps. If she's at home this might be hard. The socialization during the day will help keep her awake and in turn she might sleep better at night.
I don't know what your mom is like during the day, but my mom (and I) benefited greatly from mirtazapine, helped her sleep all night and made her more herself during the day.
Silly question but are you checkcing to see how much caffeine she drinks? coffee? Coke, Pepsi.? Tea? Even diet drinks have a chemical called Phenylalanine that disturbs sleep.
Giving a cup of coffee in the morning is good! - it helps keep her awake during the daytime. Never in the evening though. Cut off would be 3 pm. However, if you have to use medications, be aware the risk for falling is much greater. but if they are wandering around at night that can also be a risk in itself.
But wait--no one wants to believe me but coffee has a very long staying power in the body. I know lots of people who stop drinking coffee at 3;00 and still can't sleep. Of course, it all depends on how strong the coffee is but it is such an easy fix. And so often overlooked.
I've had the same issue with my mom for quite some time. She has a wonderful doctor and when I asked about melatonin he had mixed feelings. He said works great for some but the problem is in some people it begins working in 30 minutes, in others it doesn't kick in for 8 hours, so could cause her to sleep all day. He suggested sunlight. Getting out in the sun at least 15-20min everyday will help her brain better produce it's own melatonin and reset her internal clock(I believe I'm explaining correctly). Now that the weather is pretty I've noticed it has made a major difference for her! She still doesn't sleep all night but typically wakes up only 2x versus every 30min like before. Lately she's becoming more agitated and scared, waking up more often so her doctor decided this week to try her on Zoloft. Hope these suggestions help.
If you're needing more suggestions, I have resource page on sleep. Many of my suggestions point right back here because this is such a wonderful resource. Since AgingCare won't allow us to post links for some reason, search for TogetherInThis Activities of Daily Living.
Is your mom in any pain? My mom is always in pain. She has trouble with pain medications too so we never have great coverage. At her PCP's suggestion, we now give her a Nucynta ER before bed. She is able to get up and use the bathroom without any issue but can go back to sleep easily. Since she has less pain, her sleep is better and her attitude tends to be better as well. Bonus is I also get to sleep better.
Play soft soothing music or chimes if she likes that sort of thing, make sure she is comfortable, not to hot or cold, coffee in am but not in pm, try to keep her active in the day time, go on sort walks several times a day even if it's in the house, do chair exercises, make sure she goes to the bathroom before bed, if all else fails, speak with her doctor regarding medications (a mild sedative etc. ). Keeping her active, moving around will burn up some energy but it may not take care of the entire problem.
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.
What I have noticed is that the more mom is active during the day, the better she sleeps. She ended up in a wheelchair and getting her one her feet to walk challenges and exhausts her. I've also noticed that when she's more engaged in the community activities the better she sleeps. If she's at home this might be hard. The socialization during the day will help keep her awake and in turn she might sleep better at night.