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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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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:
Hospice uses drugs that make the person not have as much of a gurgle when they breathe, and the anti anxiety meds make the person more relaxed so they are not struggling to breathe. My FIL was on the dry up drugs only for the weekend before he passed so he could visit with all the grandkids and relatives. It was really good for him. Hospice help can last far longer than the 6 mos we are familiar with - mthr was on it for 2years before she improved enough to graduate to regular care! Call hospice, it's for the good of your loved one!
I too would like to know why you aren’t ready. It’s hard to say goodbye, but death unfortunately is part of life, & at 93 God Bless him that he lived so long. Try to take time and ask yourself about his quality of life. He may be tired of this cycle of ER visits but afraid to express this to family. Realistically his health is not going to improve and it sounds like his heart is just giving out. I am sorry that you and he have reached this stage and know firsthand how difficult it is to let go of someone you love. This recurring cycle of fluid gathering in his lungs & trips to the ER is only preventing the inevitable- his heart muscle isn’t going to improve. It’s hard but think of his anxiety & fear he suffers when he can’t breathe. Respectfully, he should be admitted to hospice and provided comfort, in my opinion. I wish you the best during this difficult time.
Jojo, is your loved one's CHF being managed with with diuretics?
My mom had CHF and had several chest taps. We saw a pulmonologist after the third one and he told us bluntly that it was "time to stop poking holes in your mother".
He gave me a very graphic description of what death from CHF looks like ( his father had had it) and told us that it was imperative for us to get hospice involved if it got worse, that morphine was the best way to ensure that she didn't die gasping for breath.
I hope that you have talked with her internist or pulmonologist about the what the long term prognosis is. At some point, dragging an elder to the ER is counterproductive .
I think that it would be a good idea to call the Palliative Care Nurse and talk to her about your situation. She would have a better idea of what type of nursing would be appropriate for the 93 year old person.
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.
It’s hard to say goodbye, but death unfortunately is part of life, & at 93 God Bless him that he lived so long.
Try to take time and ask yourself about his quality of life. He may be tired of this cycle of ER visits but afraid to express this to family.
Realistically his health is not going to improve and it sounds like his heart is just giving out.
I am sorry that you and he have reached this stage and know firsthand how difficult it is to let go of someone you love. This recurring cycle of fluid gathering in his lungs & trips to the ER is only preventing the inevitable- his heart muscle isn’t going to improve.
It’s hard but think of his anxiety & fear he suffers when he can’t breathe. Respectfully, he should be admitted to hospice and provided comfort, in my opinion.
I wish you the best during this difficult time.
My mom had CHF and had several chest taps. We saw a pulmonologist after the third one and he told us bluntly that it was "time to stop poking holes in your mother".
He gave me a very graphic description of what death from CHF looks like ( his father had had it) and told us that it was imperative for us to get hospice involved if it got worse, that morphine was the best way to ensure that she didn't die gasping for breath.
I hope that you have talked with her internist or pulmonologist about the what the long term prognosis is. At some point, dragging an elder to the ER is counterproductive .