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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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.
Share a few details and we will match you to trusted home care in your area:
Make her some pancakes and serve with lots of sugar-free syrup. That always gets me going. Sucralose, sorbitol or mannitol loosen things up. If you need to sedate her for an enema, ask the MD for an Rx or ask him if a dose of Benadryl (diphenhydramine) is safe for her. He may want you to regularly add fiber to her liquid intake such as Metamucil or Benefiber to prevent constipation. If she likes prunes, serve them at breakfast.
Is she still able to drink? If you've not got one already, go get a super blender. Grab a giant bag of kale, spinach, cucumbers, celery, BEETS... whatever you can find, blend in some berries and a nutritional drink..
Solved mom's constipation since she was no longer able to eat her fiber but she loves her shakes.
stay away from foods that cause constipation... here is a short list of foods that relieve constipation,,, sweet potatoes, green beans, peas, bananas, blueberry s,apples....igive my 92yr. mom applesauce,& a small glass of prune juice daily... this really helps...
also, PERI COLASE PILLS work great... she weights 90 lb. and gets 2 pills @ bedtime... the PERI of the colas stimulates her bowels to go.... with diet & colas, we have found this is ONLY thing that works consistently.
And Indian natural remedy called Triphala Churna stimulates the bowels to relieve constipation. I also use at least 3 tablespoons ground flaxseed in my juice or sprinkled on food throughout the day. Flaxseeds are great for you as a healthy oil too. Taking a really good probiotic helps as well. Breads, white flour, dairy creates constipation for me.
$50 you can buy an easy to clean Hamilton Beach juicer. I also use my $25 Walmart blender. Here's the blender breakfast drink I like: Trader Joe's fresh pineapple juice, Trader Joe's Green Drink powder (full of nutritional boosters), a half of a banana, a handful of spinach (baby spinach, or chopped kale), 3 tablespoons of ground flaxseeds. Go, go!
My dad didn't BM for 3 days. I was panicking because his stomach was bloating and he absolutely refuses to go to the clinic or ER for anything. I'm lactose intolerant. I figured I'll make his favorite 'chocolate milk' - just Ovaltine with his small box of milk from the Meals-on-Wheels lunches. 2 days - of one cup of Ovaltine milk - and he's back to pooping. I stopped giving him on the 3rd day because I didn't want to deal with runny BM. Lately, he's not drinking enough water.
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 you need to sedate her for an enema, ask the MD for an Rx or ask him if a dose of Benadryl (diphenhydramine) is safe for her. He may want you to regularly add fiber to her liquid intake such as Metamucil or Benefiber to prevent constipation. If she likes prunes, serve them at breakfast.
Solved mom's constipation since she was no longer able to eat her fiber but she loves her shakes.
sweet potatoes, green beans, peas, bananas, blueberry s,apples....igive my 92yr. mom applesauce,& a small glass of prune juice daily... this really helps...