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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?
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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.
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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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Usually if one takes the Cognitive Assessment test, this has to do with thinking and memory. Curious why Rehab would be involved? Rehab wouldn't be able to help the memory.
Do you mean whether she is mentally able to live on her own? I don't think a test score alone is able to determine that, but it may be something considered.
If she isn't able to go home, where would she go? Assisted Living? Nursing Home? Have you discussed this with the rehab social worker and/or occupational therapist?
Sandyphysics, I think a MOCA score of 15/30 is pretty solidly in the "mild dementia" level indicating that reasonable supervision is needed at home, but is probably not low enough, by itself, to suggest that a person cannot safely be sent home from rehab. As jeannegibbs implied, a MOCA score is not a full assessment of capability to perform activities of daily living (ADL), which is probably a good idea to have done before your mom is released from rehab, just so you know what adaptations to make for her comfort and safety, especially given that you expect and "need to leave her alone some."
Thanks for the thoughts. Mom is in rehab after hospital stay for infected bed sores. Her health has deteriorated since January when arthritis pain and heart failure swelling caused heel sores. The nursing home/rehab facility has her in rehab status right now but we have an ongoing conversation about the next plan. Her ADLs are improving and thus might approach the line to go home, but the 15/30 MOCA and the level of medical care she requires (20 meds to manage, daily wound dressings and elevations, heart failure diet) have made the conversation shift back and forth each day as far as the plan. The 15/30 MOCA is what scares me the most given she will soon be alone all day when I go back to work after taking a year off to help care for her. I have about a week to figure this out before she is switched to staying status or comes home, and I am tormented over what to do. I just do not know how impaired she is at 15/30. When she arrived four weeks ago to rehab, she had a 23/30, which if was accurate for her state of mind, was challenging for me to manage, but still workable.
Sandyphysics, I empathize with you for your situation and hard decisions you need to make. Based on the additonal information, I, too, would be scared. Your mom's 4-week decline in MOCA score from 23 to 15 makes me wonder if she has been tested for a urinary tract infection (UTI). While I'm sure MOCA scores vary depending on time-of-day, skill of the tester, mood of the testee, etc., the rapid 8-point decrease seems pretty significant to me. If she does return home in the next couple of weeks, it looks like she shouldn't be left alone for hours at a time without a trial period and/or a monitoring system in place (e.g. an audio/video link or frequent in-person checks). Adult daycare may be a good alternative to frequent monitoring -- if your mom was a war veteran or if she was married to one, then the VA may help pay for daycare.
For comparison, due to safety concerns when my now 96-year-old dad's MOCA score was 19/30 in Aug. 2013, I advised my sister-caregiver that he shouldn't be left alone for many hours at a time. My dad did not have the multiple physical and medical problems that your mom has (and still doesn't), but some of his ADL skills were quite low. Shortly after a MOCA score of 18/30 in Feb. 2014, my wife and I moved him to our home where his MOCA scored declined to 5/30 by Sep. 2016 and I ended up moving him to a memory care facility 11 months later.
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.
If she isn't able to go home, where would she go? Assisted Living? Nursing Home? Have you discussed this with the rehab social worker and/or occupational therapist?
For comparison, due to safety concerns when my now 96-year-old dad's MOCA score was 19/30 in Aug. 2013, I advised my sister-caregiver that he shouldn't be left alone for many hours at a time. My dad did not have the multiple physical and medical problems that your mom has (and still doesn't), but some of his ADL skills were quite low. Shortly after a MOCA score of 18/30 in Feb. 2014, my wife and I moved him to our home where his MOCA scored declined to 5/30 by Sep. 2016 and I ended up moving him to a memory care facility 11 months later.