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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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I have never heard of a care facility that has its own in-house x-ray department.
Perhaps find out a bit more of the medical issues so that you can understand the hospice approach - normally just to treat the pain. Do you think that discovering the cause would lead to surgery? That might be why hospice aren't keen.
Thank you! I didn't think about that. I think you're right and that's most likely what they're thinking. And, surgery is definitely not an option. On the other hand, I'm thinking that if it's something that can be fixed without surgery, I would love to find out what it is so she's not having pain. I found out now that she can get an xray through her private insurance and stay on hospice. That makes me happy. Thank you for your thoughtful answer💗
Thank you so much🙏 Mom has advanced dementia and has had a downturn in her health quickly and has been in a lot of pain recently. She has been on and off hospice for years. I was hoping hospice could do an in house X-ray due to my mom's pain so if it's something easily treated she could at least not have the pain she's having. However, there's also a good chance it's something that cannot be treated. It would just ease my mind to know if it's something that can be fixed easily or not.
Hospice is strictly end of life care and their goal is to keep folks as comfortable and pain free as possible until they die. You can take your mom to the ER for an X-ray, coming off hospice of course and then she can always go back under their care if you decide that's what she/you wants. But in reality what are you expecting the X-ray to show? And exactly where is she hurting? My late husband who was under hospice care in our home for the last 22 months of his life was pretty much in constant pain up until his death even while being on strong doses of fentanyl. I never once thought about taking him for an X-ray, but worked with hospice to try and make him as comfortable and pain free as possible, as I knew my husband was dying, and nothing I did or didn't do was going to change that fact. I'm sorry that your mother is dying, and I'm sorry that you're having such a hard time with all of this. I hope that whatever you decide to do that you will have peace about it.
Thank you so much for sharing and your thoughtful reply🙏 It's hard to tell where she's hurting because she is not able to tell me due to her dementia. She moans, grimaces, and bends her back in pain. It makes me so sad and I'm crying as I type. She has stronger pain meds now. I am going to call her primary doctor this coming week to see if she will order an in house X-ray.
Hospice is there for end of life care. They are responsible to STOP THE PAIN and they have the medications to do it. It little matters at this point what is causing the pain, because there isn't going to be treatments, and almost certainly not treatments she would survive. The goal now is MEDICATION and COMFORT. Hospice can provide that.
If Hospice is involved, your Moms PCP should not be ordering anything. It may mean Hospice discharging Mom.
Hospice means Mom is dying. She or you, as her POA, have agreed that no extreme measures will be used to keep her alive. No doctors, no hospitals. No meds or treatments that extend life will be used. The person is kept comfortable and hopefully pain free. The person you now talk to is the Hospice Nurse. There is a doctor associated with the Hospice service that writes any orders needed. You ask her about an Xray. You only deal with Hospice staff at this point. The Nurse should be available 24/7. If you can get hold of her, there is a main office you can call. You cannot contact her PCP.
People who suffer from Dementia become like small children. When a child scrapes their knee they cry and act like they are dying. An adult does not act this way. Mom might just have some discomfort but to her its painful. Me, I cannot lay flat for any length of time because my lower back starts to hurt. I sleep on my side or stomach with a leg bent to keep my back straight.
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.
Perhaps find out a bit more of the medical issues so that you can understand the hospice approach - normally just to treat the pain. Do you think that discovering the cause would lead to surgery? That might be why hospice aren't keen.
Curious as you say moms healthy , then why is she on hospice?
Very sorry you are going through this.
You can take your mom to the ER for an X-ray, coming off hospice of course and then she can always go back under their care if you decide that's what she/you wants. But in reality what are you expecting the X-ray to show? And exactly where is she hurting?
My late husband who was under hospice care in our home for the last 22 months of his life was pretty much in constant pain up until his death even while being on strong doses of fentanyl. I never once thought about taking him for an X-ray, but worked with hospice to try and make him as comfortable and pain free as possible, as I knew my husband was dying, and nothing I did or didn't do was going to change that fact.
I'm sorry that your mother is dying, and I'm sorry that you're having such a hard time with all of this.
I hope that whatever you decide to do that you will have peace about it.
They are responsible to STOP THE PAIN and they have the medications to do it.
It little matters at this point what is causing the pain, because there isn't going to be treatments, and almost certainly not treatments she would survive.
The goal now is MEDICATION and COMFORT. Hospice can provide that.
Hospice means Mom is dying. She or you, as her POA, have agreed that no extreme measures will be used to keep her alive. No doctors, no hospitals. No meds or treatments that extend life will be used. The person is kept comfortable and hopefully pain free. The person you now talk to is the Hospice Nurse. There is a doctor associated with the Hospice service that writes any orders needed. You ask her about an Xray. You only deal with Hospice staff at this point. The Nurse should be available 24/7. If you can get hold of her, there is a main office you can call. You cannot contact her PCP.
People who suffer from Dementia become like small children. When a child scrapes their knee they cry and act like they are dying. An adult does not act this way. Mom might just have some discomfort but to her its painful. Me, I cannot lay flat for any length of time because my lower back starts to hurt. I sleep on my side or stomach with a leg bent to keep my back straight.
I am so sorry you are going thru this.