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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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FarmGirl, your father's having to rely on his adult children might be part of the issue. Since your mother cared for him, he was reliant on her, and she was I assume close in age. Some parents don't seem to have as much confidence in their adult children; we're still "children" in their eyes, so they sometimes challenge us.
Try backing off and not mentioning the issues of concern to you and see if there's any change.
Since he goes to church, perhaps you can ask your pastor to "observe" that your father is getting thin, and "decide" to discuss it with him, out of concern. Perhaps he'll open to someone older, and in a position of respect.
Thanks for all of the suggestions. I will take them into consideration and discuss these issues with my siblings. Dad is currently only eating hot oatmeal and toast with coffee in the mornings. He has refused everything else that my sister and I were cooking and/or fixing for him and has even stopped eating the Little Debbie's snack cakes he was eating in the afternoons. This has been a gradual thing for a year or so, especially since Mom passed, but has accelerated to this point just in the last 2-3 weeks. He does still go out of the house and walk around some when he feels up to it and always goes to church on Sunday morning with me. Since he is losing weight and getting weaker, him falling is a big concern for us, too. If anything major happens, though, I believe we will be able to get him to go to the hospital, but pretty sure it will have to be that before he will agree to see a doctor. He is almost 95, by the way, and his memory is failing and he is close to being deaf. This is a challenge for us. Mom just always took care of him. We had no idea until she died just what she had been dealing with.
If your father is of sound mind, there is nothing you can do to make him eat, drink, take meds, go to the doctor or anything else he doesn't want to do.
If he has dementia, that's a different story. You would need to go over his decisions for his best interest.
Thanks for replying Farm Girl. I’m sorry for the loss of your mom. I’m sure you dad is really missing her. 8 months is not very long in the grieving process but it’s certainly long enough for his health to begin to fail. Have you been able to get him to leave his house at all? Will he share a meal if you bring him to your house or bring a hot meal to sit at the table and eat with him? You might try bringing him Ensure Plus as that would give him some calories. As others have said don’t pressure him. Gardens idea of a call to his primary and requesting HH is a good one. Do you know if your dad has Original Medicare? That will pay for it if that’s a concern. Perhaps your mom had it in the past and you know a HH you can call. Sometimes they will contact the doctor for him and help get the ball rolling. Watch out for dehydration. Sometimes a visit from an old friend or relative will spark a little interest. Come back and let us know how he is doing.
If you and your sibs sit down and make a plan, for as many contingencies as you can think of--that would help. All being on the same page will make any care process go faster and be easier to implement, should something suddenly change and you have to move fast ( a fall, a stroke, etc)
Get all paperwork dad will let you have, but don't harass him for it. Just find out what HE would want and then figure out what can be afforded and where his care should take place.
No doubt he is still grieving, and you need to let him process his loss. And it's VERY likely he has never had to make a meal for himself and won't know how to shop for, nor fix healthy meals.
Most of all, just be there for him. Ask him what HE wants. If you suspect dementia or a slow slide into incompetence, better to start acting on that now, before he cannot make a decision.
You're one of the sibs? I don't think you need to function under the umbrella of guilt or worry. APS will look at the whole scenario, it's not like you are abusing him, or stealing from him---you are in fact, involved in his life and care for him.
We all act like APS is a bunch of NInjas, sneaking in during the night and attacking--they're not. Just a fail safe for the elderly. IMHO, haven't been terribly effective at doing much of anything.
FarmGirl, your father could be resisting medical treatment for a lot of reasons, beyond the basic fact that he just doesn't want to go. He's probably still grieving for your mother, possibly blaming the medical profession, fearing for his own health, and/or just wants to be left alone.
What you can do beyond trying to get him medical care is to bring it to him, to the extent that you can.
If he had a PCP or some other regular physician, you could contact the physician and ask about home care. Typically, doctosr won't script for home care w/o seeing a patient, but it's worth a try. Explain your concerns about his decline.
You can order Meals on Wheels for him so he gets more balanced meals, and more often. Order the daily meals as well as double meals so he has food over the weekend. Or, your siblings and you can make up meals, freeze them, and bring them to him.
I take it that someone does visit him every 2 - 3 hours for a checkup?
You can't force him to see a doctor, but if he continues to eat nominally and lose weight, at some point he may end up in the hospital, whether he wants that or not.
I think it's a good time to ensure that he's executed a Living Will or Advanced Directive as well as a DPOA so that you and/or your siblings can act when the probably inevitable decline occurs and you need to make decisions on his behalf.
I think that kind of alternate planning focus might be a better way of approaching the situation than being worried about someone reporting you and your sibs for improper care as he declines. But I do understand that concern, and I do know that there are people who would never help but would jump at the chance to report someone else.
Another thing you could do is get him a medic alert with fall monitoring so that if something does happen, he can press the button and the monitoring service can either call you or your sibs first, and EMS secondly, or in the reverse order if you prefer.
But, you can always as I wrote earlier, contact his former doctors and ask for recommendations, documenting your actions for future use. Hopefully it won't come to that.
You can't force a competent adult to accept medical attention if he refuses it.
If it were me, to err on the safe side I would call my parent's doctor, describe any symptoms and take advice. You would then also truthfully be able to tell your father what the official, medical view was, so that it would be "Dad, the doctor says it's really important for you to get seen" rather than his being able to dismiss it because it's 'only' his children telling him this.
And if he still says no, you've tried and it's on record.
He can make his own choices but eventually you all will have to deal with the consequences, is there a plan in place for when he inevitably falls of becomes too ill to remain on his own?
My mother died 8 months ago and my father is competent enough to live alone with someone just checking on him every 2-3 hours. He is beginning to get weaker because he only wants to eat breakfast and any mention of going to the doctor gets a resounding "No". I am only concerned because my siblings and I don't want to be reported for not "making" him get medical treatment as he gets weaker.
What is your role and position on this situation? Are you a family member, a concerned relative or neighbor?
As others wrote, it really depends on the nature of the "abuse" and what his medical condition is. Have you spoken with the 3 adult children about your concerns?
If you think your father is suffering from self neglect call APS and discuss this with them. If your father is competent and refuses medical care that’s his choice. If it is to the degree that you feel the children would be held liable then bring APS in on the situation. It has to be extremely bad for them to take any action but he would be on their radar as a vulnerable elder. If he is not competent and has given his children the authority to take action and they have not then the process would be basically the same. He would be evaluated and it would go from there. You could also call the Area Agency on Aging and ask for an evaluation. As has been mentioned we can only guess at the problem without more information. From your profile he sounds competent.
We need more information before we can give any suggestions or answers. Why do you not want to pursue medical treatment for your elderly father? What kind of medical treatment are you wanting to refuse for your father? What health problems does your father have? Is he on Hospice? Where is he living--in assisted living or a nursing home? We really can't offer appropriate answers unless we know more about your situation.
We need to know more. Is their father of sound mind? Does HE want medical treatment? Many times adult children try to honor the wishes of their parent until it no longer makes sense. And if the parent is making bad decisions but hasn't been declared incompetent, there may not be much the children can do to help until there is an emergency with the parent that requires hospitalization. So tell us more about the situation and you'll get better answers.
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.
Try backing off and not mentioning the issues of concern to you and see if there's any change.
Since he goes to church, perhaps you can ask your pastor to "observe" that your father is getting thin, and "decide" to discuss it with him, out of concern. Perhaps he'll open to someone older, and in a position of respect.
If he has dementia, that's a different story. You would need to go over his decisions for his best interest.
Have you been able to get him to leave his house at all? Will he share a meal if you bring him to your house or bring a hot meal to sit at the table and eat with him? You might try bringing him Ensure Plus as that would give him some calories.
As others have said don’t pressure him. Gardens idea of a call to his primary and requesting HH is a good one. Do you know if your dad has Original Medicare? That will pay for it if that’s a concern. Perhaps your mom had it in the past and you know a HH you can call. Sometimes they will contact the doctor for him and help get the ball rolling. Watch out for dehydration.
Sometimes a visit from an old friend or relative will spark a little interest. Come back and let us know how he is doing.
If you and your sibs sit down and make a plan, for as many contingencies as you can think of--that would help. All being on the same page will make any care process go faster and be easier to implement, should something suddenly change and you have to move fast ( a fall, a stroke, etc)
Get all paperwork dad will let you have, but don't harass him for it. Just find out what HE would want and then figure out what can be afforded and where his care should take place.
No doubt he is still grieving, and you need to let him process his loss. And it's VERY likely he has never had to make a meal for himself and won't know how to shop for, nor fix healthy meals.
Most of all, just be there for him. Ask him what HE wants. If you suspect dementia or a slow slide into incompetence, better to start acting on that now, before he cannot make a decision.
You're one of the sibs? I don't think you need to function under the umbrella of guilt or worry. APS will look at the whole scenario, it's not like you are abusing him, or stealing from him---you are in fact, involved in his life and care for him.
We all act like APS is a bunch of NInjas, sneaking in during the night and attacking--they're not. Just a fail safe for the elderly. IMHO, haven't been terribly effective at doing much of anything.
What you can do beyond trying to get him medical care is to bring it to him, to the extent that you can.
If he had a PCP or some other regular physician, you could contact the physician and ask about home care. Typically, doctosr won't script for home care w/o seeing a patient, but it's worth a try. Explain your concerns about his decline.
You can order Meals on Wheels for him so he gets more balanced meals, and more often. Order the daily meals as well as double meals so he has food over the weekend. Or, your siblings and you can make up meals, freeze them, and bring them to him.
I take it that someone does visit him every 2 - 3 hours for a checkup?
You can't force him to see a doctor, but if he continues to eat nominally and lose weight, at some point he may end up in the hospital, whether he wants that or not.
I think it's a good time to ensure that he's executed a Living Will or Advanced Directive as well as a DPOA so that you and/or your siblings can act when the probably inevitable decline occurs and you need to make decisions on his behalf.
I think that kind of alternate planning focus might be a better way of approaching the situation than being worried about someone reporting you and your sibs for improper care as he declines. But I do understand that concern, and I do know that there are people who would never help but would jump at the chance to report someone else.
Another thing you could do is get him a medic alert with fall monitoring so that if something does happen, he can press the button and the monitoring service can either call you or your sibs first, and EMS secondly, or in the reverse order if you prefer.
But, you can always as I wrote earlier, contact his former doctors and ask for recommendations, documenting your actions for future use. Hopefully it won't come to that.
If it were me, to err on the safe side I would call my parent's doctor, describe any symptoms and take advice. You would then also truthfully be able to tell your father what the official, medical view was, so that it would be "Dad, the doctor says it's really important for you to get seen" rather than his being able to dismiss it because it's 'only' his children telling him this.
And if he still says no, you've tried and it's on record.
As others wrote, it really depends on the nature of the "abuse" and what his medical condition is. Have you spoken with the 3 adult children about your concerns?
It has to be extremely bad for them to take any action but he would be on their radar as a vulnerable elder.
If he is not competent and has given his children the authority to take action and they have not then the process would be basically the same. He would be evaluated and it would go from there.
You could also call the Area Agency on Aging and ask for an evaluation.
As has been mentioned we can only guess at the problem without more information. From your profile he sounds competent.