Are you sure you want to exit? Your progress will be lost.
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.*
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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:
Carol, could you give us a little more information?
How old is your mother? Does she have chronic conditions besides the dementia? (COPD, CHF, Diabetes, mobility issues, etc)
Of course things change as dementia progresses, but right now does she have hallucinations, delusions, paranoia, belief that others are stealing from her, extreme anger, depression, anxiety? Is she being treated for any of these things? How successful is the treatment? Does she wander?
What has the your relationship with your mother been like in the past? Best friends? Cordial relationship? Distance? Some conflict? Any abuse?
What is your home situation? Are there others in the household? Do you hold a job? How is your health?
Do you have brothers or sisters? What is their relationship with your mother like?
Each situation is unique. The more we know about your situation the more relevant our advice can be.
First off you do deserve credit, tons and tons of credit, but that doesn't mean its teh best thing to do. I have to agree with pamstegma on this one. Think long and hard, then think again and again before you do this. We all start off with the best of intentions and with lots of love. I burnt out and could no longer cope. The guilt at having to admit that almost destroyed me. My mum has been in assisted living now for 9 months and hasn't lived here with me for almost 12 months, but I'm nowhere near back to being myself. Mum, on the other hand is having a wonderful time. Caring for an elder, let alone one who may have dementia, is nothing like caring for a child. You can look after your mother in many ways other than by sacrificing your life and that is what can happen. It is of course your decision, but please think long and hard.
Regardless of what others say I think you deserve a h3ll of a lot of credit.When these people on here advise against it they forget when they were little and pooped there pants there mother and father did not put them in a home.Bring your mother into your home and give her the dignity she deserves.You are the kind of person this country is so lscking today.Thankyou for looking after ypur mother.
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.
How old is your mother? Does she have chronic conditions besides the dementia? (COPD, CHF, Diabetes, mobility issues, etc)
Of course things change as dementia progresses, but right now does she have hallucinations, delusions, paranoia, belief that others are stealing from her, extreme anger, depression, anxiety? Is she being treated for any of these things? How successful is the treatment? Does she wander?
What has the your relationship with your mother been like in the past? Best friends? Cordial relationship? Distance? Some conflict? Any abuse?
What is your home situation? Are there others in the household? Do you hold a job? How is your health?
Do you have brothers or sisters? What is their relationship with your mother like?
Each situation is unique. The more we know about your situation the more relevant our advice can be.
I have to agree with pamstegma on this one. Think long and hard, then think again and again before you do this. We all start off with the best of intentions and with lots of love.
I burnt out and could no longer cope. The guilt at having to admit that almost destroyed me. My mum has been in assisted living now for 9 months and hasn't lived here with me for almost 12 months, but I'm nowhere near back to being myself. Mum, on the other hand is having a wonderful time.
Caring for an elder, let alone one who may have dementia, is nothing like caring for a child. You can look after your mother in many ways other than by sacrificing your life and that is what can happen.
It is of course your decision, but please think long and hard.