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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.
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Yes, if she's receptive to going to the doctor to try to figure out what's going on. How old is she? With her lack of exercise and falling, she's not safe alone.
Sounds similar to my mom. Overweight and no exercise. But mine is afraid of falling so is very careful and hasn't fallen for quite some time.
Will she be willing to go to PT? She needs to get moving and improve her strength and balance, etc.
Next, request an in-home evaluation through her county's social services (Dept of Health and Human Services, find online). She may qualify for some in-home aid (but it won't be much and only a few hours).
Hopefully your mom has a PoA who is local and reliable. If she doesn't have a PoA it is critical that she do this very soon. Help her get this in place. See articles on this website.
My MIL had Humana back in 2016 at it sucked. Hopefully they have improved since then. Not every state covers Assisted Living but maybe partially through a waiver that can be applied for through her county's social services. She may be a good candidate for Medicaid, but again her state doesn't necessarily cover all AL cost, just LTC, MC and hospice.
Before applying for Medicaid please know there is a "lookback" period that can be as long as 5 years into her past financial activity. It is very important that she hasn't been gifting money or assets to people as this may delay or disqualify her. Best to pay for a consult with an elder law attorney familiar with Medicaid issues (it's money well spent in the long run).
Finally, temper your expectations of how this will go. Even with access to PT and good medical care, she may not do it no matter what. Plan for the worst, hope for the best. Good luck!
Medicaid also offers in home help. You may want to check that out. I agree about a good physical. Does she suffer from diabetes? Because neuropathy in the feet and ankles can happen causing falling.
You don't mention Moms age. I have a friend who is my hairdresser. She has been overweight for years and at 67 her knees have given out. She can stand long to cut hair but then sits down on her rollator and scoots around. Mom is in a catch 22. She puts on weight because she doesn't exercise and because she has put on weight she doesn't have the energy to exercise. But, she needs to lose that weight. It will improve her health and being able to get around.
If you don't already have medical and financial durable power of attorney, get that important paperwork done now. IMO, it is a bad idea for anyone to take on the responsibility of caregiving for a parent without having the authority to do so. If she refuses to give you DPOA, she will have to sort these matters out for herself.
It's so hard as a senior to lose weight! And yet we know that it's something we often need to do---I am 64 and have battled my weight all my life. I'm not enormous, but I could also stand to drop 40 lbs. I thought when I went through cancer I'd lose a lot but I did not lose a single pound!!
As hard as it is, we have to stay active.
Mother did in home PT after both knee replacement and her hip replacement and all 3 back surgeries. Within weeks of the end of PT she was back to slumped over a walker. She still has all the equipment to do in home PT but opts not to. In fact, I took the rubber bands b/c they had sat in the window and were rotted--actually making them dangerous.
I am finally sick of the back pain and hip pain that are a remnant of chemo. I plan to see the PT and do a round of exercises that work on the the specific areas that hurt all the time. I can only stretch and strengthen, the pain is for life.
If mom doesn't want to 'go' somewhere, there are tons of video-exercise dvd's out there that are gentle and simple to follow. Just moving---whether it's just walking with the walker for safety or following a video--I don't like to exercise, but something gentle gets me going and I do feel better.
(67 is scary-young to be using a walker. Our home won't accommodate one so both DH and I better stay mobile!)
For your mom, you'd have to call her ins co's and see what they can do for her. I can't imagine them agreeing to a NH or some such place just b/c she can't/won't exercise and move. Probably in home PT.
If your mom has Medicare it will pay for some therapy at home. Possibly at an outpatient rehab center if she has a way to get there. Call her doctor and ask if s/he can order therapy since she continues to fall. S/he will probably want her to come in but a telemedicine visit can be arranged with many doctors these days through FaceTime on your phone. Medicare covers that and it’s much easier for the caregiver and the patient. The doctor could also order home health to evaluate her for services such as setting up her meds, getting a bathing aide in and setting up the physical therapy. Now this is if your mom is on traditional Medicare with the Humana as a supplement or for drug coverage. If she is on one of the “advantage” Medicare plans,I don’t know what it will cover. Contact your Area Agency on Aging and see what services are available for her there.
NYDaughterInLaw is so correct. If the paperwork is not already done this is the time to do it. Many Lawyers will actually attend your family at home to do this, with distancing and masks. You will need MPOA and DPOA. What with the weight issue, if there is age involved, then I think you already know where this is headed. Begin to gently broach the subject. Stress the positive (to keep you more mobile, to increase help for you, safety, activities, help with appointments). I do not think that home health will help this long term with the weight issue. One of these falls is going to involve hospitalization. That is the time to swing in quickly with Social Workers. They are masters at finding placement, something almost impossible for you in Covid-19 times. There is only Social Security, medicare and supplemental insurance so you are looking at applications for medicaid. It is time to get that paperwork together as well, for the 2.5 to 5 year lookback on checking, looking over applications, searching out information. You are one of the wise ones who sees this coming. You are also wise enough not to spend years of trauma drama over "guilt and whether or not" you can keep the elder in your home. So use the knowledge to begin to educate yourself and prepare.
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.
Sounds similar to my mom. Overweight and no exercise. But mine is afraid of falling so is very careful and hasn't fallen for quite some time.
Will she be willing to go to PT? She needs to get moving and improve her strength and balance, etc.
Right away you can "seniorize" her home to make it less of a fall risk for her until you figure out long-term plan:
https://www.agingcare.com/articles/making-home-safer-for-seniors-a-room-by-room-assessment-121363.htm
Next, request an in-home evaluation through her county's social services (Dept of Health and Human Services, find online). She may qualify for some in-home aid (but it won't be much and only a few hours).
Hopefully your mom has a PoA who is local and reliable. If she doesn't have a PoA it is critical that she do this very soon. Help her get this in place. See articles on this website.
My MIL had Humana back in 2016 at it sucked. Hopefully they have improved since then. Not every state covers Assisted Living but maybe partially through a waiver that can be applied for through her county's social services. She may be a good candidate for Medicaid, but again her state doesn't necessarily cover all AL cost, just LTC, MC and hospice.
Before applying for Medicaid please know there is a "lookback" period that can be as long as 5 years into her past financial activity. It is very important that she hasn't been gifting money or assets to people as this may delay or disqualify her. Best to pay for a consult with an elder law attorney familiar with Medicaid issues (it's money well spent in the long run).
Finally, temper your expectations of how this will go. Even with access to PT and good medical care, she may not do it no matter what. Plan for the worst, hope for the best. Good luck!
You don't mention Moms age. I have a friend who is my hairdresser. She has been overweight for years and at 67 her knees have given out. She can stand long to cut hair but then sits down on her rollator and scoots around. Mom is in a catch 22. She puts on weight because she doesn't exercise and because she has put on weight she doesn't have the energy to exercise. But, she needs to lose that weight. It will improve her health and being able to get around.
As hard as it is, we have to stay active.
Mother did in home PT after both knee replacement and her hip replacement and all 3 back surgeries. Within weeks of the end of PT she was back to slumped over a walker. She still has all the equipment to do in home PT but opts not to. In fact, I took the rubber bands b/c they had sat in the window and were rotted--actually making them dangerous.
I am finally sick of the back pain and hip pain that are a remnant of chemo. I plan to see the PT and do a round of exercises that work on the the specific areas that hurt all the time. I can only stretch and strengthen, the pain is for life.
If mom doesn't want to 'go' somewhere, there are tons of video-exercise dvd's out there that are gentle and simple to follow. Just moving---whether it's just walking with the walker for safety or following a video--I don't like to exercise, but something gentle gets me going and I do feel better.
(67 is scary-young to be using a walker. Our home won't accommodate one so both DH and I better stay mobile!)
For your mom, you'd have to call her ins co's and see what they can do for her. I can't imagine them agreeing to a NH or some such place just b/c she can't/won't exercise and move. Probably in home PT.
Call her doctor and ask if s/he can order therapy since she continues to fall. S/he will probably want her to come in but a telemedicine visit can be arranged with many doctors these days through FaceTime on your phone. Medicare covers that and it’s much easier for the caregiver and the patient.
The doctor could also order home health to evaluate her for services such as setting up her meds, getting a bathing aide in and setting up the physical therapy.
Now this is if your mom is on traditional Medicare with the Humana as a supplement or for drug coverage.
If she is on one of the “advantage” Medicare plans,I don’t know what it will cover.
Contact your Area Agency on Aging and see what services are available for her there.
Here is a link.
https://www.aacog.com/108/Bexar-Area-Agency-on-Aging
By the way. Good that you are advocating for her now.
A loss of only 10% of her weight can make a big difference in the quality of her life.
What with the weight issue, if there is age involved, then I think you already know where this is headed. Begin to gently broach the subject. Stress the positive (to keep you more mobile, to increase help for you, safety, activities, help with appointments). I do not think that home health will help this long term with the weight issue.
One of these falls is going to involve hospitalization. That is the time to swing in quickly with Social Workers. They are masters at finding placement, something almost impossible for you in Covid-19 times. There is only Social Security, medicare and supplemental insurance so you are looking at applications for medicaid. It is time to get that paperwork together as well, for the 2.5 to 5 year lookback on checking, looking over applications, searching out information.
You are one of the wise ones who sees this coming. You are also wise enough not to spend years of trauma drama over "guilt and whether or not" you can keep the elder in your home. So use the knowledge to begin to educate yourself and prepare.