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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.
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My husband sleeps about 16 hours a day, and dozes when he is up in his chair. He still has a fairly good appetite and isn't in any pain. He has a history of stroke, cancer and kidney failure.
Based on infolongtermcare.org, there are factors that determine when a person is eligible for hospice program, first, the person's condition is considered fatal and incurable,second, the doctor (usually the primary doctor) should indicate that the person's life expectancy is less than 6 months. Based on your description, I think your husband does not need hospice yet, but you can speak with his doctor to know which available long-term care setting will fit his needs. His primary doctor will be in the best position to provide you with advice if he needs to be in a long-term care facility or not.
You can call hospice first and they will come to your home and do an evaluation. If your husband meets the criteria for the program then hospice will contact your husband physician for the order. Even if they determine that he is not quite ready, you will be familiar with the program and benefits. It will lessen your anxiety when the time comes. Best wishes!
You do not need to be referred to hospice by the primary care physician. You can call for an evaluation yourself. But in general if you are uncertain I think a frank discussion with the pcp or a specialist who is seeing your husband would be a good first step.
While no one can accurately predict the exact life expectancy of an individual, for hospice the condition of a patient should be such that most people in that condition would not live more than six months. This is especially hard to conclude for people with dementia, but may be less challenging in your husband's case.
My husband had a good appetite until a few weeks before he died, and ate a good breakfast the day of his death. Pain was not an issue throughout his disease. Sleeping more and more is typically a sign of nearing end-of-life. Each individual situation must be assessed on its own merits. One size does not fit all.
My sisters and I were urged by the hospital to enroll Mother in a hospice program last week. After lots of anguish, we did. As a woman over 90, with dementia, who has just broken her hip, she is in the demographic group of people who often die within 6 months. She may die next month or live for years. We don't know. But I am glad she is getting the extra attention and care that hospice provides.
My husband's pcp offered to sign off on hospice need when we were ready. (I think his doctors could not figure out how he was living so long with Lewy Body Dementia) and he lived five weeks after enrolling. I am VERY grateful for their help through that difficult period.
If you search for Hospice in the box in the top right and then narrow the search to articles you will find very helpful information. One theme that is repeated is that most people don't take full advantage of the hospice program. We tend to delay getting them involved.
Personally, I think it better to inquire too soon and be told you'll need to wait a while, than to delay it and miss out on benefits that could have improved the experience.
In this situation with his history, his doctor would be the best to ask when it would be time for hospice. It would be good for the doctor to know about his sleeping 16 hours per day. You would not want any sign to go unchecked by the physician. Take care.
It's actually the MD who orders a Hospice evaluation, not you. So call the MD and ask if it is time. He may not make the referral, but adjust medications.
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.
While no one can accurately predict the exact life expectancy of an individual, for hospice the condition of a patient should be such that most people in that condition would not live more than six months. This is especially hard to conclude for people with dementia, but may be less challenging in your husband's case.
My husband had a good appetite until a few weeks before he died, and ate a good breakfast the day of his death. Pain was not an issue throughout his disease. Sleeping more and more is typically a sign of nearing end-of-life. Each individual situation must be assessed on its own merits. One size does not fit all.
My sisters and I were urged by the hospital to enroll Mother in a hospice program last week. After lots of anguish, we did. As a woman over 90, with dementia, who has just broken her hip, she is in the demographic group of people who often die within 6 months. She may die next month or live for years. We don't know. But I am glad she is getting the extra attention and care that hospice provides.
My husband's pcp offered to sign off on hospice need when we were ready. (I think his doctors could not figure out how he was living so long with Lewy Body Dementia) and he lived five weeks after enrolling. I am VERY grateful for their help through that difficult period.
If you search for Hospice in the box in the top right and then narrow the search to articles you will find very helpful information. One theme that is repeated is that most people don't take full advantage of the hospice program. We tend to delay getting them involved.
Personally, I think it better to inquire too soon and be told you'll need to wait a while, than to delay it and miss out on benefits that could have improved the experience.