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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
You join a grief support group in which you not only help others to manage their grief but you receive their loving support. You learn to understand that although grief feels terrible, it is the process of stages we go through to begin to heal. Spend time with people who love you, eat well, sleep when you can. See a doctor if you can not sleep.
I am so sorry for the loss of your husband. It is a difficult time for you and words do not seem to be enough. A grief support group in your area is a great idea. And we, here, are another. Never hesitate to express yourself here...there are so many knowledgeable people who have been through similar things. Take care of yourself, Lilli
I am truly sorry for your loss. Hang on. It's still bad for me after 7 years. I retreated to my bedroom for some time after the death of my husband and mother, 3 months apart. My youngest, adult son was a great comfort to me and urged me to go on. Every day, then and thereafter, I look at a sign on dresser mirror that says, "Yes I Can". Sounds peculiar, but I wrote it in lipstick during one of my darkest hours at the urging of my son. At the time, I was working for the President, and my son told me to apply the same slogan to my own life. I know it's only a phrase but it has got me through when I didn't think I could do anything again or even get out of bed. I've always been the caretaker and still am. REMEMBER to take care of YOU!
Greif counseling can help. Hospice offers grief counseling, and many independent counselors do that, too. Nothing will take away the pain of your loss, but counseling can help you cope. Please see a doctor, and then seek out grief counseling. Take care of yourself - Carol
I've been in counseling and I'm beginning to fell over whelmed again.Just so you have the details, i lost my 15 yr old dog,husband,house in 6 months.The boys are finally trying to talk to me,but I was totally alone as our freinds dropped off the earth,so it seems.1 foot in front of the other is getting hard.
This is so tragic. I'm glad your boys are trying to talk to you. That's a start. Counseling often needs to be ongoing. You do need people who can listen. Are there any support groups that can help you? You can try calling 2-1-1. Many states have this helpline, with many services offered. Also, try your state Web site - you may find care and support there under "services" of different types.
I hope you find something. Your circumstances would be nearly overwhelming for most people. Carol
You were blessed with a good man that is why it is so hard for you and I am truly sorry for your loss and do join a grief group you will be helped and will help others and come here any time the most wonderful people in the world are here.
I am so very sorry for this horrible loss. I echo what others have said about seeking support from others. I know I want to pull into my shell when things are going wrong. I really have to make myself reach out. There is no right or wrong way to grieve, but I do think others can help. Please take care. One step, one deep breath at a time.
Find a Chat Room, Church, and lots of pets. Grow your garden and get ready for what is to come next, communism. You wont have time to think about the past with preparing for the future. The person is gone. You have the memories. That is what makes a life worth living, memories. We all will die someday. Show your family how to handle your death when that day should come. Buy new sheets, towels and rearrange the furniture, change your phone number, buy yourself a couple new outfits, get a new hair style, and clean out the deceased persons' closet and donate ALL of it. Good luck and may you live a healthy long life yourself.
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.
Lilli
Take care of yourself -
Carol
I hope you find something. Your circumstances would be nearly overwhelming for most people.
Carol
I pastor a small church in Millerton, PA. If I can be of any help whatsoever, please feel free to contact me. God bless you. I will pray for you.