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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
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?
Which best describes your loved one's social life?
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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I know what Sundowning is but is now experiencing it with my husband. Can time the clock to it around four or five and on through the evening. He becomes a different person. Any suggestions how to handle this strange thing.
Brighter lighting indoors. There are lights that are "daylight" and LED's are brighter than others and they do not seem to cast the same shadows like some lighting does. Close curtains, blinds before sunset. (about an hour or so before your husband begins sundowning) Medication to help with the anxiety might help. It might take a while for him to adjust, give it time. As with adding any new medication keep a log or diary of any reactions he may have. Keep him as occupied as you can during the day. If he is tired from activity he might settle down a bit more easily.
- install daylight spectrum light bulbs in the areas where he mostly stays during the day (tv room, bathroom, kitchen, hallways, etc).
- turn all those lights on even before it starts to get dark. and keep them on until the Sundowning passes.
- plan a distraction or activity before he starts sundowning: helping to cut vegetables, folding laundry, sorting things - these are all items that are just for this purpose... like a large stack of kitchen towels or multiple pairs of socks to sort and pair, nuts and bolts for him to sort and pair.
- have him read to you out loud; put in a "low-key", upbeat movie like something from Disney or Pixar, nothing stressful, violent or dark. Musicals, if he likes those.
- take him for a drive or walk down the block in nice weather.
- play a board game (but use his rules, don't argue with anything he does). Maybe have him sort the Monopoly money and pieces.
etc.
For my very elderly Aunt with mod/adv dementia we had her fold kitchen towels and sort poker chips (which she interestingly put into a nice pattern instead. She was a graphic artist in her youth). She read animal books out loud to us while we prepped dinner. Then we walked to the mailbox. Every day.
I wish you wisdom and peace in your heart on this journey!
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.
Close curtains, blinds before sunset. (about an hour or so before your husband begins sundowning)
Medication to help with the anxiety might help. It might take a while for him to adjust, give it time. As with adding any new medication keep a log or diary of any reactions he may have.
Keep him as occupied as you can during the day.
If he is tired from activity he might settle down a bit more easily.
- turn all those lights on even before it starts to get dark. and keep them on until the Sundowning passes.
- plan a distraction or activity before he starts sundowning: helping to cut vegetables, folding laundry, sorting things - these are all items that are just for this purpose... like a large stack of kitchen towels or multiple pairs of socks to sort and pair, nuts and bolts for him to sort and pair.
- have him read to you out loud; put in a "low-key", upbeat movie like something from Disney or Pixar, nothing stressful, violent or dark. Musicals, if he likes those.
- take him for a drive or walk down the block in nice weather.
- play a board game (but use his rules, don't argue with anything he does). Maybe have him sort the Monopoly money and pieces.
etc.
For my very elderly Aunt with mod/adv dementia we had her fold kitchen towels and sort poker chips (which she interestingly put into a nice pattern instead. She was a graphic artist in her youth). She read animal books out loud to us while we prepped dinner. Then we walked to the mailbox. Every day.
I wish you wisdom and peace in your heart on this journey!
Have you spoken to his doctor about medication to be given before it starts?
Often, the expertise of a psychiatrist can be invaluable.