Are you sure you want to exit? Your progress will be lost.
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.
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You tell us that you are a nurse practioner working in palliative care. So I am thinking you are on the front lines in some of this end of life care, perhaps with better access to info than we have. We sure could use more explanation, because this ultimately can be said of any car trip.
Are you speaking of bringing home a person to end his or her days in hospice at home? Can you recall car trips when you were young, falling asleep in back with your parents murmuring softly, feeling safe, transported, cared for? Would that be a terrible time or way to go?
Given the little you tell us to go on I would discuss with social workers at the facility you are transferring your loved one FROM as to your fears/specific concerns and whether you should order ambulance transport.
I hope this goes well for you. I wish you the very best.
Yes, we need to know why because this sounds like there isn’t enough insurance in the world to cover this privately not to mention potential legal issues such as kidnapping charges etc.
You’ll have to excuse us for going dark and illegal so quickly, but we have read some things over the years…..
There once was a patient on a ventilator whose family wanted to bring home. He was put on Hospice. A hospice nurse waited at the home for the transfer in order to ensure meds were available for the short duration of life on arrival. Paramedics did the transfer with the order to terminally extubate on arrival to the home. With every terminal extubation that I had been ordered to do, it is important for the nurse and all caregivers on site to do a huddle in order for this to be seemless. For example I would not want to extubate until the nurse did a RASS score and appropriately medicate. We frequently talked with the ordering physician to understand the circumstances and discussed any objections firsthand.
I think you’re asking this, because you want to remove LO from hospital AMA (against medical advice). If the doctor agreed, then you would have access to an ambulance bringing LO back home. So I’m guessing the doctor didn’t agree with removal, and you want to remove AMA.
1. Make sure the decision you’re making is in the best interests of the LO. Make sure LO would want to be brought home, even if they might die. If LO can’t voice their opinion, make sure you’re doing this, thinking LO would want this.
2. How to do it? Only you know LO’s medical needs. You must transport as carefully as possible.
3. Make sure it’s legally allowed. Under some circumstances, removal AMA, can be considered attempted murder.
This is a nurse practioner in palliative care, so I am hoping your guess is wrong, Venting. If one isn't POA this could be something amounting to loss of licensure. I surely do HOPE you are wrong.
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.
Are you speaking of bringing home a person to end his or her days in hospice at home? Can you recall car trips when you were young, falling asleep in back with your parents murmuring softly, feeling safe, transported, cared for?
Would that be a terrible time or way to go?
Given the little you tell us to go on I would discuss with social workers at the facility you are transferring your loved one FROM as to your fears/specific concerns and whether you should order ambulance transport.
I hope this goes well for you. I wish you the very best.
You’ll have to excuse us for going dark and illegal so quickly, but we have read some things over the years…..
Please give context.
With every terminal extubation that I had been ordered to do, it is important for the nurse and all caregivers on site to do a huddle in order for this to be seemless. For example I would not want to extubate until the nurse did a RASS score and appropriately medicate. We frequently talked with the ordering physician to understand the circumstances and discussed any objections firsthand.
1. Make sure the decision you’re making is in the best interests of the LO. Make sure LO would want to be brought home, even if they might die. If LO can’t voice their opinion, make sure you’re doing this, thinking LO would want this.
2. How to do it? Only you know LO’s medical needs. You must transport as carefully as possible.
3. Make sure it’s legally allowed. Under some circumstances, removal AMA, can be considered attempted murder.