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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.
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It's going to depend a lot on what is available in your area. In my opinion she would get better care in most nursing homes because they are equipped with patient lifts, accessible bathing options, dysphagia compliant menus, and higher staffing ratios.
I see no need to move her now. Hospice is now in charge of her medications and care. There is a doctor associated with them. You should be getting an aide a few times a week to bathe Mom so no need for one of the AL aides to be doing that so no need for that service. I would just pay the extra for the care the AL aides are now being asked to give because she is bed bound. To private pay for a NH is going to cost maybe 10k.
I really don't see how she would get more "complete care" in a nursing home. Hospice will be in charge there too. The AL is her home and she is familiar with the staff and her surroundings. I would not even go thru the process in transferring her.
I think it’s better to be in a SNF…an ALF is more for residents who can help themselves more & usually able to walk. Also, hospice &/or Medicaid is available at SNF but not ALF. In addition, most ALF don’t have license for hoyer lift transfers…which she now needs Hugs 🤗
I'm amazed she's been allowed to stay in assisted living. She's far beyond the level of care they provide -- are you paying for 24/7 caregivers? If not, she needs it.
Perhaps she could go to a hospice facility or a skilled nursing facility. Even Memory Care would provide more complete care than what AL does.
Your mother will get no better care in a nursing home than where she is. Once hospice comes in they become the caregiver and make sure your mom lives out her final days with dignity and in comfort. The ALF or the nursing home no longer manages her care. If you would move her, that probably would require a different hospice agency and also cost you more. Leave her where she is.
With hospice, I recommend memory care not assisted living. My dad is on hospice but before this lasted 3 weeks in assisted living. He wasn't used to it and I kept trying to up his care levels but no matter what I paid they couldn't give him enough care. even if she has just a little bit of dementia she's better off in a memory care and the sooner the better because she can adjust better.
A nursing home is also a good idea. I disagree that Hospice is going to give her the kind of 24/7 care she is going to need, but they will help you find caregivers if you want her to stay in assisted living. They will also help you choose a memory care or nursing home and get her moved.
Ask the hospice organization if there is a hospice house or facility for her to stay in. My mom recently stayed in a hospice house for about a month where she died. The care is excellent. You are also provided with a social worker and clergy.
In a hospice house there are caregivers and nurses available 24/7. They are angels.
I am pleased to say that my mom died with dignity, free from agonizing pain. She was 95 and had Parkinson’s disease.
Ask the facilities you are considering what their policies are. Someone from the facility will do an assessment on you mother to determine what level of care she will need based on her physical and mental state.
A Memory Care facility might be the best option. There may be no need for the care given at a Skilled Nursing Facility. And Assisted Living might not be able to give enough care. With the combination of Memory Care staff and Hospice I think that is the perfect balance.
In reading this question and all the varying answers, it shows me that it is important to know how much extra care can be provided where she is now, how that extra cost compares to a NH and what would be least upsetting to Mum.
It is also a case that depending on where you are AL and NH may offer different degrees of care.
My mother is in a similar situation. She's in memory care with her own familiar furniture and pictures around her, and has hospice care. If your mother is bedridden, and her facility can take care of her, she can probably stay where she is. Speak to her facility about your concerns. Do you have reason to think they are not able to handle her care if her condition declines? My mother has to be fed and helped with everything (bathing, dressing, moving from the bed to a wheel chair or geri chair). Moves are usually disturbing to seniors, so you should consider keeping her where she is, if her care is good and they can handle what may come. A nursing home environment is more hospital-like.
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.
I really don't see how she would get more "complete care" in a nursing home. Hospice will be in charge there too. The AL is her home and she is familiar with the staff and her surroundings. I would not even go thru the process in transferring her.
Hugs 🤗
Perhaps she could go to a hospice facility or a skilled nursing facility. Even Memory Care would provide more complete care than what AL does.
A nursing home is also a good idea. I disagree that Hospice is going to give her the kind of 24/7 care she is going to need, but they will help you find caregivers if you want her to stay in assisted living. They will also help you choose a memory care or nursing home and get her moved.
Good luck!
In a hospice house there are caregivers and nurses available 24/7. They are angels.
I am pleased to say that my mom died with dignity, free from agonizing pain. She was 95 and had Parkinson’s disease.
There may be no need for the care given at a Skilled Nursing Facility. And Assisted Living might not be able to give enough care.
With the combination of Memory Care staff and Hospice I think that is the perfect balance.
It is also a case that depending on where you are AL and NH may offer different degrees of care.