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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.
Remember, this assessment is not a substitute for professional advice.
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cwillie.....Your Mom sounds like my MIL,lol Tough birds they are. Even with our latest scares I have no doubt she will last another 10-20yrs. With Grannie the first 3 strokes really didnt do alot of damage physically, but the TIA's and this 4th has been a doozy along with the UTI's. For grannie it was mental, now physical and more mental. As she put's it the strokes and TIA's are eatting her brain, her words not mine, but she gets it.
Vascular dementia doesn't have stages and the steps downs are based on further brain damage from continuing strokes or TIAs or whatever other mechanism is causing the brain to be deprived of blood and oxygen. My mom has never had a diagnosis but based on her past history I assume vascular dementia, she had an MRI that "lit up like a christmas tree" and several scary TIAs and perhaps a small stroke or two. Mom's first major step down was physical, not mental. At the time we all assumed she was dying, her BP was dropping alarmingly and she couldn't get out of bed. Since then she has had her ups and downs physically but has gradually lost her ability to think. I was sure she would stroke out when her doctor recommended palliative care and took her off her crestor, aggrenox, and almost all her BP meds several years ago but she has stabilized and I am starting to believe she will make it to her 100th birthday in 2019.
A simple google search can give you alot of information, but TBH it's a tough one, My MIL has Vascular dementia.. and we see huge step down, so basically expect anything. She has had 4 major strokes, 100 plus TIA's and honestly most folks succumb to the strokes before the dementia. We have been lucky her 1st stroke was in 2009, latest was Dec 17th 2016.. left side very weak but she is gaining strenght. Will she ever walk again probably not but we have high hopes for assisted transfers. She went from being very combative ( black eyes and scratches to prove it) to now after this latest one seems abit clingy, some confustion, but no anger to date ( thank goodness!) She does fairly well in the morning but as noonish rolls around she starts sundowning, getting confused, wanting us in her sight at all times ect. Hope this helps.
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.
My mom has never had a diagnosis but based on her past history I assume vascular dementia, she had an MRI that "lit up like a christmas tree" and several scary TIAs and perhaps a small stroke or two. Mom's first major step down was physical, not mental. At the time we all assumed she was dying, her BP was dropping alarmingly and she couldn't get out of bed. Since then she has had her ups and downs physically but has gradually lost her ability to think. I was sure she would stroke out when her doctor recommended palliative care and took her off her crestor, aggrenox, and almost all her BP meds several years ago but she has stabilized and I am starting to believe she will make it to her 100th birthday in 2019.