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.
My Husband was on Hospice for almost 3 years and I have friends who have had spouses on Hospice for longer than that.
I can not stress enough to keep a log or journal that will help identify declines that may not be noticed. Also document an falls as that is also a sign of decline. Even if the fall was a non injury one. And do not try to lift someone yourself, or prevent a fall. Help someone to the floor as gently as possible then call 911 and ask for a “lift assistance”. In most cases there is no charge if the person is not transported to the hospital.
Thanks so much for responding, the information has been helpful.
I just have a weird feeling that they don't want to care for her anymore and just simply don't know what to do with her. Perhaps she's not dying fast enough and or not in enough pain etc. idk. With the exception of one nurse, I really like the staff and they seem to like mom and I.
I dreaded making the hospice decision a year ago but in hindsight I'm glad I did and its a comfort knowing that they are just a phone call away.
If they do discharge her, I'll have to switch health insurer's because she will need a homebound program.
There should be a documented, continued decline. If she has had any changes that would be considered a decline then she should be able to be recertified.
Changes might be
Weight loss. this can be shown by arm measurement or looser clothing not just a scale.
Was she walking a bit before and now not, or fewer steps? That would be a decline.
Was she sleeping 10 hours and now sleeps 12, 13 hours? That is a decline.
Was she eating a full meal and now only little bits? That is a decline.
Was she able to brush her hair before and not can't? That is a decline.
If one Hospice "graduates" her or discharges her from their service you can always contact another and have her evaluated.
I truly am surprised with the diagnosis of both cancer and CHF along with the dementia that they are thinking of discharging her. This would be a time to talk with the Social Worker from Hospice and see what your options are.
But again if you can document any declines that might help keep her on service.
Since my last posting, there has been back and forth discussion with hospice and PCP about documented decline as it relates to weight loss. Mom is bedbound so weight determinations are made by measuring hanging arm fat that's not going anyplace. Hospice never pulls back the covers to really look at my mom other than to check vitals.
Because I change and bathe her, I have noticed changes in her belly torso area and should hospice be monitoring this area for weight loss determination? If not, will we really know weight loss of a bed bond patient as all of her shirts are already too big.
Any feedback is greatly appreciated.