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 mom's longtime PCP saw nothing wrong with her increasingly anxious and weepy behavior. We moved mom out of her home to an Independent Living facility (using the coming bad winter weather as an excuse for this "temporary" relocation).
Her new geriatrics doc referred her to a geriatric psychiatrist after 2 visits. GeriPsych called me after one visit and told me that mom needed a complete cognitive workup. It was stunning just how quickly these two medical professionals analyzed mom's anxiety and loss of confidence with COGNITIVE, not emotional issues.
A thorough (6 hours over 2 days) neuropsych evaluation showed mom's memory to be intact but her judgement, executive functioning and decision making abilities to be at about the level of a 6 year old. And the MRI showed evidence of an old stroke.
I highly recommend this sort of diagnostic workup as a baseline from which you can ascertain current functioning and abilities and chart decline, if any.
Many folk even if they say "I'm fine" will go for a regular medical checkup if prompted. Doc can get a base line for for blood pressure amoung many other things. Wouldn't expect a Doctor to notice memory issues in a 15min appointment though (unless very severe). It is possible he/she can do a MMSE which is just a simple screening test - NOT a diagnosis. More thorough neuro exam will be suggested & needed before jumping to any dx. I think Vascular Dementia is tricky to diagnose as not always presents as memory problems. Sometimes family notice something off with judgement, reasoning or spacial awareness first. Can vary a lot - depending on many factors: stroke location, hidden strokes/TIAs, lack of O2, small vessels damage, heart issues. It is possible a CT or MRI may pick something up - but also maybe not. Problems may be stable for a long time or progressively get worse quicker. Again, varies widely.
I'd start with a thorough general medical. It may be a completely different reason for her new behaviour.
I'd adapt what I could at home to increase her safety, depending on what you are noticing.
I'd also have a good think about how long you want to live together. Was this a temporary fix or a long term plan on your side?
https://www.heartandstroke.ca › clinical-update
PDF
Keep records of these "exams" for future use if they do not point to early stages of dementia.
Many doctors now give the short cognitive test to everyone over a certain age. When we changed docs, they tried with mom - not sure why, she had already been in MC for 2 years! She couldn't complete most of it and hearing was very bad (hearing aid had just gone through the laundry!) Anyway, at my checkup a few months later, then gave the test to me as well. Mostly it is for a baseline. You can tell her that you have to do this too, if she shows concern about it.
An alternative might be done at home. Before resorting to MC, I tried bringing in aides to keep mom in her condo longer (she thwarted that less than 2 months later, and it was only 1 hr/day, mainly to check on her.) Before they scheduled anyone, they sent a nurse who administered an even better test, right there in mom's place with 2 of us present (this was well before the doc visit.) Medicare does cover the cost. She was more comfortable being in her own place, so she didn't balk at anything. The doctor may be able to send someone to do this test. If not, you could inquire with aide agencies, to see if they have anyone who can do this. Tell them you're exploring care (you don't have to be) and would like to have an assessment.
But, I would highly recommend the checkup and blood/urine tests first, to rule out anything else. UTIs and other infections as well as imbalances in the blood can mimic dementia. Most conditions are treatable. If she seems better, then all is good. If not, cognitive testing might pinpoint something. Other tests (MRIs, CT, etc.) can be rather grueling, esp when one gets older.
If nothing else shows up, there's a good chance she might be in the early stages of vascular dementia, given she had a stroke before. Is she on BP meds? My mother was on BP meds for a LONG time. We don't know if she had a stroke or TIAs prior to dementia, but high BP, even treated, does predispose one to dementia or additional TIAs and strokes. Since mom lived on her own and I knew nothing about dementia, the very earliest signs were missed (recognized after the fact.) In those early stages, she will be okay with you, just learn all you can about dementia and understand that not everyone follows the same time line or has the same symptoms. Each person has their own "journey" but if we know what to expect and how to deal with it, things can be a little easier.
So, get that checkup scheduled and wait for the results. If it's something treatable, no worries! If nothing shows up, then move on to the next step, getting her tested/assessed for needs and start reading up on dementia.
FWIW if it is vascular dementia, my mother was 90 or 91 when I first noticed "issues", repetition, forgetting things she just said or asked about and having difficulty with finances. We couldn't get her into the MC unit until she was about 93. She remained in her own place until we could move her. We had to take the car away and help with necessities, but otherwise she managed. She lived in the MC for 4 years, stepping back in time to about 40 years ago, but otherwise relatively stable. It was a stroke around Labor Day that impacted her and then another in mid December that finished her. She was 97 at the time, so even if your mother is in the early stages, she could be okay for a number of years (you live with her, so no need to rush her in