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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:
Usually a complete exam is done initially to determine the type of dementia, whether is is vascular, lewy body, alzheimers. The follow up exams don't need to be so detailed because they have already narrowed down the scope of treatment. At the very minimum I would want an annual review. If there are sudden changes or symptoms that don't make sense other tests will be ordered.
Good question. I always thought it was a matter of observing symptoms and behavior. Maybe there is a test. I hope someone knowledgeable about this topic answers.
My husband had Lewy Body Dementia, which does not progress in stages, and I'm interested in how stages are determined for Alzheimer's, too.
pstegman, is this typically done several times throughout the course of the disease, to determine the present stage? What is the value of knowing the stage? (You can tell I haven't dealt with this.)
Jeanne, the AL and NH facilities now want a stage prior to placement. Families will opt for less expensive AL care, but the facility will have two separate staff interview the prospective client to determine if they can actually function. Independent Living apartments will take mom, they have no medical staff, but they will also tell you to move her out ASAP when it's not working. Treatment of co-morbidities is affected. If a patient has late stage Alzheimers and needs a hip replacement, insurance may say no, because the patient cannot participate in the recovery process nor do any PT. HMO's now demand that the Primary Physician certify the patient ready for surgery. Legal matters are affected. If you want Guardianship for someone in early dementia, the judge may not agree. On the other hand, a man with later dementia sued his children for taking away his car. Not only did the judge rule against him, he appointed a guardian. And of course over time, the stage will change, sometimes overnight.
The stages are generalities and different for everyone. Some will have parts of stage 3, 4, 5, others will have parts of 2, 4, 6. The stage is determined on a score from the "mini mental status test" which can be administered by a social worker. Some use early, middle and late instead of numbers. The numbers are very misleading because people will experience deficiencies in several areas. This is where the overall score from the MMST comes in.
Check out the Alzheimer's Association website they have the stages all written, activity deficiencies, etc.
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.
My husband had Lewy Body Dementia, which does not progress in stages, and I'm interested in how stages are determined for Alzheimer's, too.
Treatment of co-morbidities is affected. If a patient has late stage Alzheimers and needs a hip replacement, insurance may say no, because the patient cannot participate in the recovery process nor do any PT. HMO's now demand that the Primary Physician certify the patient ready for surgery.
Legal matters are affected. If you want Guardianship for someone in early dementia, the judge may not agree. On the other hand, a man with later dementia sued his children for taking away his car. Not only did the judge rule against him, he appointed a guardian.
And of course over time, the stage will change, sometimes overnight.
Check out the Alzheimer's Association website they have the stages all written, activity deficiencies, etc.