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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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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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I have been caring for 97 year old mom and she is now very weak,bed confined. She takes medication for blood pressure and congenital heart failure. I was wondering at what point do one stop taking medications?
For me it is a matter of prolonging life vs maintaining quality of life. At 97 and bed bound, I'd drop any life-prolonging drugs, but continue with those that control pain or other immediate symptoms.
Sometimes it is not so clear-cut which drugs fall into which category. I'd be inclined to continue the blood pressure med -- the symptoms can be uncomfortable and also having a stroke would greatly impact quality of life for the remainder of her life. I feel the same way about treating CHF.
Would you consider hospice care for your mother at this time? The hospice staff helped me make decisions about my husband's many drugs. As I saw the results of dropping them I added a few back in because they really were keeping symptoms at bay. (That was fine with hospice, and they learned something from that experience.)
I hope that you can keep your mother comfortable and free from anxiety. Best wishes to you.
I don't know what we would have done without hospice. And what kills me is that the Dr. at the NH refused to sign off on hospice until my dad was too far gone to appreciate the services but they were of great comfort to me and my brother and when my dad got to the place where he had trouble swallowing hospice asked me how I felt about discontinuing his meds and I said "Yes, discontinue them." His emotional and mental distress was being medicated as was his pain and that was all.
You sound hesitant to stop the medications. If your mom can still swallow and it makes you feel better give her her medications. They won't hurt anything. But if you think it's time to stop giving her medications I think that's ok too. At age 97 and bedbound she's not going to recover.
I have consulted Hospice but feel I can manage at this point. I monitor mom's blood pressure daily and she is comfortable. I also worry about strokes and added heart problems if pills are removed. It's also hard to make her take the pills when she hardly eats or drinks anything.. I really struggle with making a decision on withdrawing the pills. Thanks
Sure you can manage, and you can probably manage until the very end. But it is just easier with the support of people who understand what is going on in the end stage. The hospice nurse noticed things that could be made more comfortable for my husband (that I would never have thought of), and then she made the improvements happen, with no red tape and no doctor visits. Too soon is better than not soon enough, in my opinion.
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.
Sometimes it is not so clear-cut which drugs fall into which category. I'd be inclined to continue the blood pressure med -- the symptoms can be uncomfortable and also having a stroke would greatly impact quality of life for the remainder of her life. I feel the same way about treating CHF.
Would you consider hospice care for your mother at this time? The hospice staff helped me make decisions about my husband's many drugs. As I saw the results of dropping them I added a few back in because they really were keeping symptoms at bay. (That was fine with hospice, and they learned something from that experience.)
I hope that you can keep your mother comfortable and free from anxiety. Best wishes to you.
You sound hesitant to stop the medications. If your mom can still swallow and it makes you feel better give her her medications. They won't hurt anything. But if you think it's time to stop giving her medications I think that's ok too. At age 97 and bedbound she's not going to recover.
It's a very good question.