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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?
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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.
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I found in my care plan meetings with the NH, it more for them than you. The SW is there, the nurse that does the care plan, therapist and one or two others. I had 15 min and was just told what they were doing for my Mom. And that was the first one. I learned to ask my questions to the Nurses that were the actual people who worked with my Mom.
The care plan meeting is held with a family member present and is to inform the family members how the facility is planning to care for their parent. The plan of care states the needs of the parent and how these needs are being met. At the care plan meeting there is discussion of the parent's changes in condition, if any and how the staff responded to the changes. For example, has there been weight loss? how much? what interventions were put in place to manage this weight loss. The care plan meeting is where the family member should voice any concerns or changes seen in their family member during visits.
I would start here: What are the levels of care? (usually I-IV) What does each level of care consist of? What level of care is my elder requiring now? What is the cost of each level of care?
Then it comes down to what your elder needs 1. Help with dressing? 2. Help with mobility? 3. Protection from wandering? 4. Night checks? 5. Medications and help with medications. Etc. That is sort of a start guide. But I am unclear on your exact question here.
Maybe start with, "Can you explain the purpose, schedule and my role (what you want from me) in these care plan meetings?"
At my mom's nursing home (NH), these "meetings" are actually conference calls and frankly I prefer that to wasting time with in-person meetings. If you prefer one way or the other (call or in-person) that could be another question to ask. Honestly with COVID (still cases at my mom's NH) I prefer to do as little as possible in-person there.
These "meetings" (in my case a phone call) are typically 15 mins in length, lead by the lead unit nurse (not necessarily the RN my mom often sees) is a run through of the "medical and psychological status" with a list of Rx or other meds, weight/weight changes, the status or change in any abilities (still able to feed herself if someone cuts up the food, etc.), any new medical or psychological changes and what they plan to do about it. The unit Social Worker is also on the line and often says nothing if there is nothing to report in the way of changes in "socialization, activities, needs such as perhaps some new clothing items."
I often have no questions, it has been 2.5 years since my mom became a permanent resident of her NH. But if I see or notice something they should be aware of, I will report it (of course one does not have to wait until this mtg which happens about every 90 days). For example if you notice worsening sundowning or agitation in the evening or a different behavioral pattern that is not urgent, I mentioned it on these care plan calls so they note it in her record and sometime they will say (depending on what it is, once was itchy/dry skin) they say they will look into it, perhaps having a aide come more often to check on them if there is a pattern/time when the sundowning starts, etc.
Of course when a loved one (LO) first arrives/is placed, there are lots of questions at first. Ask, if they feel the question should go to your LO's assigned doctor, they'll tell you that. They can help redirect who you should ask. They also will make it clear there is limited time for these call/mtgs so feel free to call (my mom's NH they are email oriented), email to talk with them later outside of the limited time for the care plan meetings.
First one I would ask is if they plan to retrain her to go to the toilet (if she's able to walk or walk with a walker) so that she doesn't leave facility in a diaper. Common problem to slap a diaper on folks in rehab because staff doesn't have to answer the call button so fast. They do have a training to get them up and to the restroom.
Then base your questions on observation of her at the facility - very important. If they have her laying in bed most of the day, you would like her practicing walking more, sitting in the chair, focus on improved mobility.
Ask what kind of in-home care can be ordered for her: continued physical therapy (legs) and occupational therapy (arms, upper body), weekly nursing visit, podiatry (toe nail trims and checking feet for overall health, especially if diabetic).
From observation, figure out what equipment you need. Maybe a bedside potty chair at first and then move toward making it into the bathroom. Bedside potty is great for night time use so caregiver doesn't have to try to get all the way back and forth to a bathroom and avoids fall hazards at night. Perhaps a handrail by the bathroom toilet to help lift off the toilet seat. Evaluate her weakness and get your gear together before she comes home. Estate or garage sales can save you lots of money when collecting what you need. Very often you can find 'like new' items, some never used.
Tarada: What is the level of care my LO should expect?, Will my LO be able to stay here in the long term care unit? and What bills will Medicare not cover?
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.
Who is the care meeting for? An elder or someone younger in a facility?
What specific concerns do you have, if any?
https://www.lcplfa.org/blog/making-most-care-plan-meetings-–-part-1
https://jehllawgroup.com/ten-questions-to-ask-during-a-nursing-home-care-plan-meeting
I would start here:
What are the levels of care? (usually I-IV)
What does each level of care consist of?
What level of care is my elder requiring now?
What is the cost of each level of care?
Then it comes down to what your elder needs
1. Help with dressing?
2. Help with mobility?
3. Protection from wandering?
4. Night checks?
5. Medications and help with medications.
Etc.
That is sort of a start guide. But I am unclear on your exact question here.
At my mom's nursing home (NH), these "meetings" are actually conference calls and frankly I prefer that to wasting time with in-person meetings. If you prefer one way or the other (call or in-person) that could be another question to ask. Honestly with COVID (still cases at my mom's NH) I prefer to do as little as possible in-person there.
These "meetings" (in my case a phone call) are typically 15 mins in length, lead by the lead unit nurse (not necessarily the RN my mom often sees) is a run through of the "medical and psychological status" with a list of Rx or other meds, weight/weight changes, the status or change in any abilities (still able to feed herself if someone cuts up the food, etc.), any new medical or psychological changes and what they plan to do about it. The unit Social Worker is also on the line and often says nothing if there is nothing to report in the way of changes in "socialization, activities, needs such as perhaps some new clothing items."
I often have no questions, it has been 2.5 years since my mom became a permanent resident of her NH. But if I see or notice something they should be aware of, I will report it (of course one does not have to wait until this mtg which happens about every 90 days). For example if you notice worsening sundowning or agitation in the evening or a different behavioral pattern that is not urgent, I mentioned it on these care plan calls so they note it in her record and sometime they will say (depending on what it is, once was itchy/dry skin) they say they will look into it, perhaps having a aide come more often to check on them if there is a pattern/time when the sundowning starts, etc.
Of course when a loved one (LO) first arrives/is placed, there are lots of questions at first. Ask, if they feel the question should go to your LO's assigned doctor, they'll tell you that. They can help redirect who you should ask. They also will make it clear there is limited time for these call/mtgs so feel free to call (my mom's NH they are email oriented), email to talk with them later outside of the limited time for the care plan meetings.
Then base your questions on observation of her at the facility - very important. If they have her laying in bed most of the day, you would like her practicing walking more, sitting in the chair, focus on improved mobility.
Ask what kind of in-home care can be ordered for her: continued physical therapy (legs) and occupational therapy (arms, upper body), weekly nursing visit, podiatry (toe nail trims and checking feet for overall health, especially if diabetic).
From observation, figure out what equipment you need. Maybe a bedside potty chair at first and then move toward making it into the bathroom. Bedside potty is great for night time use so caregiver doesn't have to try to get all the way back and forth to a bathroom and avoids fall hazards at night. Perhaps a handrail by the bathroom toilet to help lift off the toilet seat. Evaluate her weakness and get your gear together before she comes home. Estate or garage sales can save you lots of money when collecting what you need. Very often you can find 'like new' items, some never used.