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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?
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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.
Remember, this assessment is not a substitute for professional advice.
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Is your loved one in the hospital? From my experience if this is the case, the social worker who is case manager for the patient should recommend what option is needed as part of their discharge plan. Whether this is home health, in patient rehab or other option like nursing home. The social workers make the decision in consult with the attending doctor. Also physical therapy will do an evaluation and make their recommendations. It may depend also on the patients insurance. If it is 24 hour care it means the person can’t take care of activities of daily living on their own and are not mobile. Usually they go to in patient rehab or also nursing home unless you have long term care insurance perhaps that would cover that level of home care at home. There may be something called against medical advice; if you take someone home who needs 24 hr care insurance may not pay if they fall or have the same issue that led to hospitalization.
No. It is a WARNING that you could be responsible for her death if you do not act to protect her. When a doctor says that 24/7 care is needed it means she is no longer SAFE alone.
24 hour care likely means the person can not take care of themself. Either because they are not mobile, or in danger of falling when trying to walk. Also, they need someone to manage medication, toileting or incontinence care.
My husband suffered a stroke which left him unable to walk or even sit up on his own, unable to speak clearly, unable to chew and swallow solid food, no use of right arm or leg, and doesn't know how to use the tv remote, or telephone, so he can not call anyone for help. He needs 24 hour care. I stay home with him all day, every day. I do occasionally leave for an hour or so to run an errand, do quick shopping and such only because there are things I need to do and I don't always have someone available to stay with him. I make sure he is comfortable, in his bed, with tv on, a thickened drink on the table next to him before I go. I also have a camera focused on him so I can look in on him from my phone, and talk to him.
I thought I was responding to Power of Attorney: Why Not Buy a Form Online?
For healthcare the only POA I trust is 5 WISHES which is legally accepted in 42 states and has been translated into 22 languages. There is also a pediatric form. Why I like it? The 1st wish allows you to select 3 individuals and 2 alternates to form a team to aid with your health care issues with you or if you are unable to make the decision. The next wishes relate to how you wish to be treated during your health decision road. The final wish allows you to determine how you wish to have your memorial. The language is very comforting and very legal. There are attorneys who pu-pu the notion of a team making the decisions but it is legal. Aging with Dignity or google 5 Wishes. It is $5.00 for 1 but is definitely worth the investment for your loved one and yourself and family.
AbsolAbsolutely not a suggestion I know a lot of people believe that doctors sometimes make educated guesses but I'd rather rely on them than uneducated anything
That's fine but the cost to find a good place for a loved one is very expensive. I think our insurance should pay towards care for people who need 24 hour care.
Ask the doctor. I'd think NO. . . otherwise, why would she say that? You must ask your MD to clarify anything and everything s/he says that you are not absolutely clear about / understand.
Not true about you being liable for a parent. Adult children are never responsible for anything that their parents do. If he has the mental capacity to make his own decisions, it is entirely his choice to accept help or not. If he is not capable of making decisions then he would need to have a guardian appointed by a court.
Our doctor didn't "suggest" 24/7 care for our dad, my sister, as a nurse, decided it needed to happen. Dad didn't want it, though he was a brittle diabetic. I wanted to respect Dad's wishes, as this was a great point of contention with him, so asked his elder law atty about it. His comments (FL law) were that if we knew Dad needed care and didn't provide it, regardless of not having a doctor "prescribe" it, we would be liable if something happened and could go to jail. Food for thought.
On the other hand, the doctor did let dad go home from an assisted living facility, after a stroke, knowing that he lived alone, not ordering home health care for him, and not letting us know that he was even going home! We had to scramble to get someone there to look after him! Who told us?? The neighbor who picked him up from the facility and took him home, gave us a call. Geez.
Doesn't sound like a mere suggestion to me. If you have doubts, a second opinion from an experienced medical professional who has seen and evaluated the patient face-to-face is probably a good idea.
Twenty-four home care can be very expensive. If you look into this option read all of the terms of the care, including hourly quotes as well as to the minute quotes. Also care givers have to be monitored. One of mine at $33 per hour slept on my couch, wanting blanket, pillow, etc. Another did not know what a boost was. These care givers came from a very reputable company or so I thought. I opted for care up to 10 or 11 and then used a baby monitor. I am a very light sleeper so I was aware of any movement or need. You will be inconvenienced by having someone in the house but nursing homes seem understaffed. At least I knew care was given.
I’m confused, because you have not completed your profile or explained much. 24 hour care for whom? I first read it as being for you. But perhaps not!
24 hour care can be one of several different things: Three shifts of carers sitting by the bedside at home, 24 hours a day? A nursing home? AL with a bit of extra monitoring? A babycam, and a pressure alarm if the person wakes up and tries to get out of bed? They are all forms of 24 hour care.
For that matter, doctors differ in their suggestions, their understanding of the total situation at home, and their realism about finances. Saying ‘24 hour care’ is easier than doing it. It reminds me of another recent post where the doctor said that MIL ‘would not thrive’ in a NH – without considering whether the carer, husband or children would ‘thrive’ with MIL at home and the carer quitting her job, or even whether ANY elder ‘thrives' in a NH.
If you have doubts about the need for 24 hour care, I’d suggest that you look at all the options. Then go back to the doctor for a more detailed recommendation – or find another doctor who can give more useful advice.
I was told my dad needed memory care by a "Doctor", when I went to look at facilities I knew that my dad did NOT need memory care.
So, I highly recommend, that you get a needs assessment from your local council on aging and decide from there.
Some doctors are complete and total idiots and don't use the sense a sugar ant has, it is up to us to advocate or get an advocate to ensure we are getting the appropriate care for the actual needs.
24/7 care is generally only "suggested" when necessary. And it's not just having someone live with the patient or the patient living with someone. 24/7 care is having someone awake and alert 24/7 in order to see to the needs of the patient. That usually implies that the person can't be left on their own for any amount of time.
So is it a suggestion? I guess if you look at it from the perspective of can they they force you to do it - not unless something really bad happens and APS has to step in (and even then if she is "competent" she still gets to decide, unless she is Baker Act'd or something serious like that).
So sure - it's a suggestion. But it's not one I would ignore for very long - because it usually has a strong sense of urgency behind it.
When the doctor makes a suggestion, do you ignore it? Or only when it's for 24-hour care, which costs some money and a lot of inconvenience? Examine your conscience.
Not necessarily (actually I use a nurse practitioner, not a doctor). But I research everything she recommends myself online. She's always been right so far and sends links to reputable online information in the patient portal to back up what she recommends. All NPs, PAs, MDs, and DOs should do this. A well-informed patient is more likely to follow their advice after she or he has looked into it her or himself. Of course, this can be a spouse, child, sibling, or grandchild if the patient cannot look it up themselves.
The same as when the doctor says a patient needs heart medication. It's a "suggestion" in that it's up to the patient to actually follow doctors orders, or why ask for their expertise in the first place?
Lea, I follow doctors' instructions to the letter. I've had a couple of them express surprise when it's come up in conversation about meds or therapy. I gather from their reactions that ignoring doctors' advice is rampant. This puzzles me. If I didn't want their advice, I'd stay home and eat bon-bons.
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.
When a doctor says that 24/7 care is needed it means she is no longer SAFE alone.
Either because they are not mobile, or in danger of falling when trying to walk.
Also, they need someone to manage medication, toileting or incontinence care.
My husband suffered a stroke which left him unable to walk or even sit up on his own, unable to speak clearly, unable to chew and swallow solid food, no use of right arm or leg, and doesn't know how to use the tv remote, or telephone, so he can not call anyone for help.
He needs 24 hour care. I stay home with him all day, every day.
I do occasionally leave for an hour or so to run an errand, do quick shopping and such only because there are things I need to do and I don't always have someone available to stay with him. I make sure he is comfortable, in his bed, with tv on, a thickened drink on the table next to him before I go. I also have a camera focused on him so I can look in on him from my phone, and talk to him.
For healthcare the only POA I trust is 5 WISHES which is legally accepted in 42 states and has been translated into 22 languages. There is also a pediatric form.
Why I like it? The 1st wish allows you to select 3 individuals and 2 alternates to form a team to aid with your health care issues with you or if you are unable to make the decision. The next wishes relate to how you wish to be treated during your health decision road. The final wish allows you to determine how you wish to have your memorial.
The language is very comforting and very legal. There are attorneys who pu-pu the notion of a team making the decisions but it is legal.
Aging with Dignity or google 5 Wishes. It is $5.00 for 1 but is definitely worth the investment for your loved one and yourself and family.
They do sell a specific insurance product for this very scenario, it's called LTC insurance.
I'd think NO. . . otherwise, why would she say that?
You must ask your MD to clarify anything and everything s/he says that you are not absolutely clear about / understand.
Gena / Touch Matters
On the other hand, the doctor did let dad go home from an assisted living facility, after a stroke, knowing that he lived alone, not ordering home health care for him, and not letting us know that he was even going home! We had to scramble to get someone there to look after him! Who told us?? The neighbor who picked him up from the facility and took him home, gave us a call. Geez.
24 hour care can be one of several different things: Three shifts of carers sitting by the bedside at home, 24 hours a day? A nursing home? AL with a bit of extra monitoring? A babycam, and a pressure alarm if the person wakes up and tries to get out of bed? They are all forms of 24 hour care.
For that matter, doctors differ in their suggestions, their understanding of the total situation at home, and their realism about finances. Saying ‘24 hour care’ is easier than doing it. It reminds me of another recent post where the doctor said that MIL ‘would not thrive’ in a NH – without considering whether the carer, husband or children would ‘thrive’ with MIL at home and the carer quitting her job, or even whether ANY elder ‘thrives' in a NH.
If you have doubts about the need for 24 hour care, I’d suggest that you look at all the options. Then go back to the doctor for a more detailed recommendation – or find another doctor who can give more useful advice.
So, I highly recommend, that you get a needs assessment from your local council on aging and decide from there.
Some doctors are complete and total idiots and don't use the sense a sugar ant has, it is up to us to advocate or get an advocate to ensure we are getting the appropriate care for the actual needs.
So is it a suggestion? I guess if you look at it from the perspective of can they they force you to do it - not unless something really bad happens and APS has to step in (and even then if she is "competent" she still gets to decide, unless she is Baker Act'd or something serious like that).
So sure - it's a suggestion. But it's not one I would ignore for very long - because it usually has a strong sense of urgency behind it.