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.
What does the placement part of it mean? Placement of the medicines where she can't get them? Placement in a care facility? She's taking 8 drugs after this visit for various things wrong with her.
the simultaneous use of multiple drugs to treat a single ailment or condition.
the simultaneous use of multiple drugs by a single patient, for one or more conditions.
(Most of us elders are taking too many medications. Because my husband is diagnosed with Alzheimers, he's no longer taking any medications that dull or fog his memory.)
If the doc thinks she isn't safe living on her own then they need to be explicit about the reasons, and IMO not discussing the problems with the patient (and if possible including her substitute decision maker or other trusted family member/friend) is a total cop out.
The doctor is thinking "8 medications is a lot to keep straight, for anyone. My patient would be better served in a good AL with a Medication Management program".
One hopes the doctor FIRST thought "does my patient NEED all of these medications?".
If he cognition is declining the chance of taking the medications incorrectly increases.
the alternate to Assisted Living would be a caregiver that would manage her meds and make sure she is safe.
There are medication dispensers that will dispense medications at the correct time so there is little chance to over dose BUT someone has to fill them and with declining cognition she may have to be reminded to take the meds that are dispensed.
My dad had CHF, kidney disease, diabetes, dementia, a pacemaker /defibrillator requiring blood thinners, etc and he wasn't on 8 meds.
So why is she on 8 meds? That would be what I look at.
From what you said, I think the doctor should have spoken to her and not put that crap on the portal. May be time to find a geriatric doctor that gives a care.
Idk what dose of Rosuvastatin your friend is taking, but my dh was prescribed 600mg 1x a day of it. It took his cholesterol down SO fast, esp his triglycerides, whereas no other statins were able to that, that he had a lot of harsh side effects. He had to stop taking it entirely for 3 weeks, then was put on 100 mgs tabs instead. I just wanted to let you know that. Yes, many of us NEED statins otherwise we'll die of heart attacks or strokes, yes....but Rostuvastatin is strong and can have worse side effects than the other statins that are frequently prescribed. Chuck was having bad muscle aches and cramps in his arms, bad fatigue and exhaustion, things like that. He seems ok with the 100 mg tabs.
Its tone deaf of this doctor to make recommendations w/o speaking to his patient first, imo. We all deserve to be treated with respect and dignity at all times by our health care providers, and not like we need to get an interpreter to understand what they're saying about us! 😶
Wishing the best outcome for your friend.
At this point her husband and the patient need to ask the geriatrician to meet with them to discuss her health and what to expect, they need to get supportive services for her (if husband can verify that she does take all her meds on time and that he fills med boxes, then that is adequate management of polypharmacy).
If she does not have a health care proxy chosen, and a power of attorney for health care given (husband and then an alternate, usually), that needs to be done post haste, while she is still legally capable to make these decisions.
often the local senior services agency can do a home assessment and make safety suggestions, and also connect them to useful services for now, and in future.
This seems like an odd note for a geriatrician who treats patient and.spouse...I wonder if there is something else going on that he did not want to put in record.