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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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A death rattle means death is very near... maybe 1 day. It's caused by the buildup of mucus in the back of the throat that the patient can't clear. There is no pain involved. The hospice nurse can administer some suction to alleviate the sound but it doesn't extend the person's life. I'm sorry.
I am sorry you are going through that. So, did I... I didn't realize it had a name... It lasted way too long... It was the ultimate suffering and suffocation.. Hospice gal , new on my team, didn't believe me when I called... Angel showed up in the am.. I am so thankful for him.. I am so sorry for everyone who goes through this... on all sides... Still I ask her to forgive me. the gal left me with directions on how to administer the morphine... she did not mention the ativan... had I had known, that rattling and suffocation may not have been so devastating. ativan would have let her body relax a bit... perhaps she would not have suffered so much. Again, I am sorry.
I was told 3-4 days before my husband died by his hospice nurse that he had the "death rattle", so I was expecting him to die soon as from what I read death comes shortly after that, but in my husbands true fashion, he lingered longer, and the final 2 days he no "death rattle" at all. Things that make you go hmmm.....
Death Rattle is something a full code would authorize suctioning its removal. A DNR blocks that .... meaning your relative is stuck with zero assistance to choke ... suffocate on their saliva .. So sorry that you're experiencing this harsh part of death. Forcing a dying person to lie on their back when a fetal position would be better, is awful. So sorry for everyone who goes through this, patient and families, etc.
Our hospice nurse told us that suctioning was only done to bring comfort to the family, it did nothing for the patient, and in fact often was uncomfortable and even cruel to them. She said the secretions and fluids making the sounds aren’t harmful or uncomfortable for the person who is dying, they are a bother to those listening to it. She would only suction if we insisted on it, and didn’t advise it at all. The reading I did supported what she told us. I’m sorry for all those walking through this, it’s so very hard
I'm sorry that you're going through this. If you don't have hospice, get it ASAP. The mucus builds up & causes the sound that's known as the death rattle. Meds can be given to decrease secretions & lessen the sound, but it usually doesn't go away. Death is usually imminent. Keep him comfortable. No one knows when death will happen, only predict.
I wished it was just "snoring sounds like a gorilla or octopus", but it wasn't... not when the body is withering and clawing and convulsing to get a gasp of a bit of air.. No, that wasn't just "snoring". It was not good. Wiped the nose, and mouth, and again, the fluids would come out... and here we go, all night long... SO ANYONE WHO IS READING THIS... YES... PLEASE PLACE PATIENT ON THIER SIDE SO FLUIDS WILL FLOW OUT OF BODY ONTO BEDDING,.. Hopefully to get a bit of relief. DEMAND YOUR HOSPICE TEAM STAY WITH YOU ALL NIGHT LONG, NO MATTER IF THEY ARE YOUR TEAM, or a NEW TEAM MEMBER... Even if you do not feel that is the night LO is going, and you just need support.. wish I had the option. But he did show up in the morning...THANK GOD!!! Now my NEXT LO is getting a bit older. Her doctor FINALLY CALLED ME TONIGHT! I thanked him. He said he didn't feel she was ready although palliative care asked for an evaluation. I agreed with doctor. So I will call everyone tomorrow to tell them.. The "house" was saying to get "their" hospice team on board... They know all the nurses and care team... But she still eats, and responds, and sleeps, and thumbs up, and all that good stuff. To me those motions show me she is not quite ready for hospice, and her doctor supports that. He says if anything changes, just call and we can discuss it again. So I am keeping her as is, palliative care and a close eye... :)
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 my dad was dying, he had the rattling around mid-morning and passed away at 10:25 p.m. that evening.
If you are awaiting the passing of a loved one, I pray that God will give you strength during a very difficult time.
Clinically, there is an average of the death rattle lasting 23 hours.
However, like an average blood pressure reading of 120/80 for an adult, very few actually have that reading.
The experience will be different for each patient before they breathe their last breath. If hospice is present, they can give you more information.
If this is your loved one dying, my condolences on your impending loss.
It lasted way too long... It was the ultimate suffering and suffocation.. Hospice gal , new on my team, didn't believe me when I called... Angel showed up in the am.. I am so thankful for him..
I am so sorry for everyone who goes through this... on all sides...
Still I ask her to forgive me. the gal left me with directions on how to administer the morphine... she did not mention the ativan... had I had known, that rattling and suffocation may not have been so devastating. ativan would have let her body relax a bit... perhaps she would not have suffered so much.
Again, I am sorry.
not when the body is withering and clawing and convulsing to get a gasp of a bit of air.. No, that wasn't just "snoring". It was not good. Wiped the nose, and mouth, and again, the fluids would come out... and here we go, all night long...
SO ANYONE WHO IS READING THIS... YES... PLEASE PLACE PATIENT ON THIER SIDE SO FLUIDS WILL FLOW OUT OF BODY ONTO BEDDING,.. Hopefully to get a bit of relief.
DEMAND YOUR HOSPICE TEAM STAY WITH YOU ALL NIGHT LONG, NO MATTER IF THEY ARE YOUR TEAM, or a NEW TEAM MEMBER...
Even if you do not feel that is the night LO is going, and you just need support.. wish I had the option. But he did show up in the morning...THANK GOD!!!
Now my NEXT LO is getting a bit older. Her doctor FINALLY CALLED ME TONIGHT! I thanked him. He said he didn't feel she was ready although palliative care asked for an evaluation. I agreed with doctor. So I will call everyone tomorrow to tell them.. The "house" was saying to get "their" hospice team on board... They know all the nurses and care team...
But she still eats, and responds, and sleeps, and thumbs up, and all that good stuff. To me those motions show me she is not quite ready for hospice, and her doctor supports that. He says if anything changes, just call and we can discuss it again. So I am keeping her as is, palliative care and a close eye... :)