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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
There is one agency recommended by the Palliative care coordinator but they are refusing. This is a Medicare appointed program! How do I go about getting help?
Is this an in your home for hospice / palliative situation & is happening because it’s a level of care issue? Like the person is very large, needs a hoist, etc and the hospice provider cannot do care needed as neither their employees or the volunteers can physically deal with the individual or that they need black box warning drugs (like Fentanyl) and the hospice provider won’t take that type of care needed as it’s too risky (they are targets in iffy neighborhoods for robbery to car break in), or the hospice group is small so that there’s only 1 or 2 RNs that are bonded to do opioids.
if either of these might be the reason, then you probably need to look at getting placement with a big hospice company like VITAS or get them into an in-unit hospice situation or move them into a NH so that they have NH staff plus the 2-4 day a week hospice staff coming in for care.
My MIL was on in-unit hospice..... she was in NH, got ill then hospitalized, became septic & infectious, was starting into cascading organ shut down.... so was discharged from hospital to an in-unit hospice only facility that was adjacent to the hospital. If they are really close to death, they can do this and MediCARE will pay for a period of time if their chart shows they need hospice or palliative care in a specialized facility. Her being infectious was the reason used & she dyed within her first month & all covered by Medicare. What was interesting was that this in-unit was mainly younger patients at end stage cancer & needed serious opioids or other drugs with lots of oversight and was beyond what family could deal with safely at home.
Is your LO in a facility or at home? Have you checked with Doctors visiting homes or those that visit facilities? I know that when I explained to the doctor who visited my LO in her MC, he said, oh, okay. If you want Palliative we shall proceed with that. So, he discontinued some meds and started actually treating her for keeping her comfortable. Later, we went to Hospice care. If my LO comes off Hospice, we shall continue with Palliative care. Also, as Igloo says, some Hospices have a Palliative Care division.
There really is no agency needed in "palliative care". Palliative care is a treatment option. It is often run by a palliative care physician, but it need not be. It is a simple decision for patient or patient with or through his POA refusing treatment for future care. It is to say that you do not wish to TREAT any medical occurance but that you wish to be made COMFORTABLE. It is for end of life (elderly) or end of illness (hopeless more or less, or treatment options so odious you choose not to "go there"). Palliative care is a choice through your own mouth or through those with POA for your health care. It means "I know that I am close to the end of my life whether because of age, or illnesses, and I choose to FORGO further treatment, and I direct the MD in my care to carry forth my wishes to make me comfortable. USUALLY hospice is brought in at this point. Speak with the MD now of the patient concerned to see how to proceed, what papers you need implemented if any, and how best to legally express your wishes or the wishes of the person you have the power of attorney for. See an Elder Law attorney if at all possible to see how to implement these wishes. Certain things will be done such as, in the USA, a POLST which is physician orders to be followed if patient collapses in home and EMT is called in. The First Responders are by law to attempt to resuscitate without this posted order in the home for them to follow. Good luck.
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.
Like the person is very large, needs a hoist, etc and the hospice provider cannot do care needed as neither their employees or the volunteers can physically deal with the individual
or
that they need black box warning drugs (like Fentanyl) and the hospice provider won’t take that type of care needed as it’s too risky (they are targets in iffy neighborhoods for robbery to car break in), or the hospice group is small so that there’s only 1 or 2 RNs that are bonded to do opioids.
if either of these might be the reason, then you probably need to look at getting placement with a big hospice company like VITAS or get them into an in-unit hospice situation or move them into a NH so that they have NH staff plus the 2-4 day a week hospice staff coming in for care.
My MIL was on in-unit hospice..... she was in NH, got ill then hospitalized, became septic & infectious, was starting into cascading organ shut down.... so was discharged from hospital to an in-unit hospice only facility that was adjacent to the hospital. If they are really close to death, they can do this and MediCARE will pay for a period of time if their chart shows they need hospice or palliative care in a specialized facility. Her being infectious was the reason used & she dyed within her first month & all covered by Medicare. What was interesting was that this in-unit was mainly younger patients at end stage cancer & needed serious opioids or other drugs with lots of oversight and was beyond what family could deal with safely at home.