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
[email protected] 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.
*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.
You really are in charge of what to give your loved one.
If Mom has dementia she may need things like anti anxiety meds of which there are many to try.
It is just possible that the nurses were pushing the morphine in your Mom's case because it is very constipating and they were trying to control the diarrhea.
In the case of pain management the closer someone gets to death there is a chance that any pain may escalate which of course will need bigger doses of narcotics to control.
All drug use is centered on keeping your loved one comfortable and anxiety free not speeding up their death. Any medication increases are handled by gradual increases and the hospice nurses may be given some discretion in the amount they feel the patient needs but it still won't be enough to kill someone.
I am reading the book "Being Mortal" by Atul Gawande. Last night I read a section about hospice care, which I found very helpful. Dr. Atul has several examples of people on hospice, including his own father. Very readable.
Hospice was a complete Godsend for my daddy. I was an integral part of the "dosing" and what meds to give and when. His morphine dose was increase over the 2-3 weeks he was on Hospice, but VERY minimally. Even if we had administered the entire bottle he was given at one time, it would not have hastened his death. It was judiciously given, well monitored and that, along with a popsicle or two, and some liquid Ativan, he was always comfortable and I know his passing was peaceful.
What course of action worked for dad may not be the best for your mother. For some, as the pain increases, yes, they will increase the dose of morphine. Nobody with any compassion is going to question the desire to keep a loved one out of pain in their last days.
Now get ready for the few on these boards who just can't be polite about this subject.