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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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Mom will be released from the hospital soon and I will need help with her medication etc.. She was in ICU and has several issues. Mom is 83 and in poor condition.
Yes you can contact with Social workers or just go to Doctor and ask him about take more care in hospital only for some days.If not possible then hire one nanny for her she will take best care of your mom.
Thanks so much for all the helpful advice. I feel like this is going to be an ongoing thing with my Mom. We went through it about 6 months last year and that is how this year is starting out. I really appreciate all the tips and things to look for, do and say. I have run upon those that aren't so nice and it really frustrates me because I try to be so nice in order to work with them. I know they have guidelines, but they personally act like it is coming out of their pocket. Kindness goes a long way, and I surely appreciate the kindness I receive you you all.
So true. Here is a little inside information from someone who worked many years at a hospital. Once you are admitted they cannot kick you out until you are "stable." The trick is knowing what "stable" means because it can change from year to year depending on insurance reimbursement. If your loved one is confused and a high fall risk they are not stable. Many times they may need additional care in a nursing home or rehab facility. The fact is the family members have to be advocates for their loved ones care. The hospital is going to look for the quickest way to get them out but once they are admitted they must DO WHAT IS BEST FOR THE PATIENT. That is where the social worker comes in because they usually arrange for placement. Many times they are not very nice people - they have seen it all, blah blah blah....but they still must do their job and you must demand that they do it.
Something to remember, Medicare will NOT pay for rehab in a rehab center or NH if the patient was in the hospital only 'under observation'. They will only pay after a 3-day or more hospital 'admission'. It's getting harder and harder to get a patient admitted as guidelines are stringent, so frustrating for all involved.
If your mother is too weak for home care (visiting nurse, PT, OT etc) ask if she can go to a rehab for a month or so. Normally medicare will cover these costs. If you can manage her at home with a home health aide in addition to the visiting nurse, PT and OT that may even be better than the rehab. Of course the home health aide is not paid by medicare if needed for a complete shift normally. However, most elderly prefer it. Elizabeth
Thanks for the info. Every time Mom goes into the hospital for a "recharge" or a bout with pneumonia, her doctor always tries to send her home too early and the only way I can get her admitted is through the ER. He always said, well these numbers have to be so, so or a certain amount in order for insurance and medicare to kick in or if we put her in it can only be for observation for 2 or 3 days. Last time she was in for observation, she was there for 5 days because she was sicker than he thought, but he still sent her home after 5 days. From now on, I will speak up and say that I do not think she is able to be at home. She lives with us, but still she was not able to be released, or that is what we thought. Thanks for the advice and information.
The hospital cannot make you take her home if you feel she is not ready. They must find her placement. Talk to the social worker, do not let them bully you. It is their job to get the patient out of the hospital so of course they would like to send her home. Use these words - "I do not think my Mother would be safe in my home at this time, her risk for falling is just too high, she needs additional care." Good luck.
I had this same concern after my mother was hospitalized for 7 days. She lives with my family, however, she had no strenghth left to care for herself. I spoke to the doctor, and her doctor wrote a script for home healthcare, including physical therapy, nutrition, personal care, and nursing care. The traveling nurse came once a week and oversaw the other disciplines. The physical therapy was the most important, and assisted her back to normal activity. Medicare covered most if the expense. Physical therapy lasted 8 weeks.
If your mother is going home alone, look into nursing home care first. If you are adament about having her in her home, then talk to the doctor and insist on home care.
Mother had to go from ICU to intermediate care before release. They sometimes release to long-term care for rehab. Never heard of ICU release. The social work should talk to you about options and if inhome services needed a provider will be recommended and they will have everything your Mom needs at home before she gets there (oxygen, walker, potty chair, etc)
Yes, check with the social worker at the hospital. They can usually direct you the right way. My Mom was in the hospital with brain surgery and wasn't able to come directly home. So they took her from the hospital to the NH for rehabilitation. They did wonders with her and this was over 2 yrs ago. Best of luck to you. Hang in there.
Hi! I just wondered how she could be discharged directly from the ICU. I've never heard of that in my experience. I would concur with Mamoogins about working with the social worker. I'm wondering if insurance would cover in-home nursing care if she needs it. I hope everything works out. Hugs to you and your family. :)
Talk with the social worker that is assigned to your mother's case at the hospital. They are there to help with issues such as this. If she is bad off as you say, they may suggest an NH. If you are not wanting to place her there, there is the option of home care, or hospice depending on how bad her condition is and her life expectancy. Hugs, S.
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.
Yes you can contact with Social workers or just go to Doctor and ask him about take more care in hospital only for some days.If not possible then hire one nanny for her she will take best care of your mom.
Elizabeth
If your mother is going home alone, look into nursing home care first. If you are adament about having her in her home, then talk to the doctor and insist on home care.
Best wishes and God bless!
If she is bad off as you say, they may suggest an NH. If you are not wanting to place her there, there is the option of home care, or hospice depending on how bad her condition is and her life expectancy.
Hugs,
S.