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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Even with memory loss she may be able to sign the PoA if she can understand what the documents permit, and an attorney would interview her to this end. I would make an appointment with an elder law attorney for the both of you. In my experience the attorney will take her into an office without you in order to protect her from any pressures, and to assess whether she can in fact understand what the docs do and what she is doing in signing them. I took my very elderly aunts to do this and one of them has memory loss and mild/moderate dementia and she got her documents created.
At this same meeting, if your mother wishes, the attorney can also help her create a Last Will. If the attorney has experience with estate planning and Medicaid qualification, I strong recommend you also discuss this as well. Some attorneys will give a free consult for their first meeting with you. Even after that, it is an excellent investment of effort and money.
Medically, she needs to ask for the Medical Representative form at every one of her doctor's offices and assign you as her MR. Without this the team cannot discuss her medical info with you without her being present. This is part of HIPAA rules. It is also very important that, with her primary physician's input, she fill out a Living Will so that she does not receive too little or too much intervention to prolong her life if she is unable to make those decisions herself. One copy goes to you and the other to her physician's office for their files. Once you have these documents in place, you both can breath easier.
Ask for the Social Worker or a Social work connected with the Assisted Home. They can guide you how to do temporary guardianship for your Mother so you can manage her affairs. In fact I am shocked no one has reached out to you during admission or prior hospitalization, because they generally need family involved when patients cannot sign their own admission papers. You will need to collect mail meanwhile and will have to have someone in charge of paying crucial bills that might have serious repercussions. Do not sign your name to anything. Keep diary daily in composition book with no tear out pages and with no erasers, so you can be recompensed if you have to pay a bill. You do not say how much family is involved. You will need a get-together to decide who wants to do what/is willing or able to do what. You will eventually perhaps need an elder law attorney so someone can take over as conservator or guardian for your Mom.
Focusing only on one aspect, does she have assets that would be distributed? Who and how many heirs does she have? Is there friction in the family by those anticipating to receive post death assets? Are any assets held jointly with others?
If she has no assets, and holds accounts jointly, the issue of estate planning is moot.
With rapid memory loss, though, you're wise to address this now.
If she does have disposable assets, I would read some estate planning guidelines of firms in your area before choosing an elder law or estate planning attorney, as you want to be sure that you're getting someone very experienced, knowledgeable and amenable to working with someone facing declining memory.
Check your state's or county's bar association for practice area groups, identify the EP and EL firms, review their websites, get pricing (hourly or by EP package planning), and raise the memory loss issue before you decide on someone.
My grandmother had a series of strokes that took her from Friday being fine to Monday with full blown dementia. It is difficult when it happens quickly.
A certified elder law attorney can help you navigate through this situation.
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.
Even if she has lost her memory, can she still understand legal documents that she is signing in the moment?
At this same meeting, if your mother wishes, the attorney can also help her create a Last Will. If the attorney has experience with estate planning and Medicaid qualification, I strong recommend you also discuss this as well. Some attorneys will give a free consult for their first meeting with you. Even after that, it is an excellent investment of effort and money.
Medically, she needs to ask for the Medical Representative form at every one of her doctor's offices and assign you as her MR. Without this the team cannot discuss her medical info with you without her being present. This is part of HIPAA rules. It is also very important that, with her primary physician's input, she fill out a Living Will so that she does not receive too little or too much intervention to prolong her life if she is unable to make those decisions herself. One copy goes to you and the other to her physician's office for their files. Once you have these documents in place, you both can breath easier.
If she has no assets, and holds accounts jointly, the issue of estate planning is moot.
With rapid memory loss, though, you're wise to address this now.
If she does have disposable assets, I would read some estate planning guidelines of firms in your area before choosing an elder law or estate planning attorney, as you want to be sure that you're getting someone very experienced, knowledgeable and amenable to working with someone facing declining memory.
Check your state's or county's bar association for practice area groups, identify the EP and EL firms, review their websites, get pricing (hourly or by EP package planning), and raise the memory loss issue before you decide on someone.
My grandmother had a series of strokes that took her from Friday being fine to Monday with full blown dementia. It is difficult when it happens quickly.
A certified elder law attorney can help you navigate through this situation.
nelf.org is where we found ours.
Best of luck and a great big warm hug for you.