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 behavior meds are you describing? That sounds promising. Should I ask the neurologist about it tomorrow or does the GP handle that?
I'm going to see what the neurologist says tomorrow and then ask for a reassessment. My LO, who is actually my second cousin, was doing pretty good before she took a fall. She's been in pain since then, and so it could be that is causing the failure to cooperate. I suppose it's worth it to see if she improves, once her spine fracture heals.
Also, the GP put her on a mild anti-anxiety med yesterday, so that will kick in today. Hopefully, it will help too.
I have located an excellent Dementia Only facility that is located in a great location, but they will not accept Medicaid patients for at least a couple of months. My cousin is on Medicaid and if a facility accepts Medicaid residents, they have to take the patient for what their income is minus $66.00 per month. The state pays the rest to the facility. The facility has to accept this a full payment if they accept Medicaid patients.
The ALF where she resides now is full of dementia patients. Many are not communicative, most are in wheelchairs and most do not function nearly as good as my cousin does, so I 'm not sure what their criteria is for being too advanced in dementia. The place also has a Nursing Home next door, but that is for people who cannot get out of bed. She is fully functional or she will be when her back heals in a few weeks.
Mom fell, split her knee, went to the ER and the head nurse said she could not return to the ALF. The ER wanted to discharge her to us. We said NO WAY, and we left the ER. So the hospital was forced to keep her. She was non-compliant and fell again there. then she was transferred to rehab for a week. They had to keep her at the nurses' station the first day because she was yelling and throwing stuff. Her behavior meds had to be slightly increased. Finally she was able to walk enough to get back to assisted living and willing to play nice. One day at a time.
Sunnygirl, it may be that your mother can still be in AL, but in a memory care unit. We have two in within 10 miles of me, so I imagine that they are in most cities. They are not as restrictive as the heightened care of NHs, but have staff who are trained to deal with the trials of dementia. The bad thing about these facilities is they are expensive. If your mother can afford it, it is something you may want to look into. It may be simpler to move her to a memory unit of a NH if there is a nice one around. I don't know how incapacitated your mother is. A reassessment of her skills may point you in the direction to go.
In my opinion, this is failure of staff. I'd figure, if mom were in a nursing home and I were paying $8,000 a month (what it costs at the facility where she'd be placed), they'd better find a way to get her to take her pills or make suggestions on what I should be doing to solve the problem.
Some suggestions THEY ought to have come up with:
When the nurse first begins dispensing meds, the goes into her room first and tells her, "I'll be back in 15 minutes to give you your pills. How does that sound to you?" (Mom, at least, always says it sounds good. That's her warning bell.)
Keep an individual serving of applesauce with her pills, put them on a spoon, and administer them that way.
Promise her a small treat after she's taken her meds.
Offer to have her escorted to wherever after she's taken them. (The garden...the dining room...the gathering room.
Have a different staff member than is currently doing it administer them. Maybe your mom doesn't mesh with him/her.
This is their problem to solve. If they think some anti-anxiety meds would help? Or a very mild tranq would do the trick? They should discuss that with you. For $8,000 a month? You'd better find a way. I'd discuss this with the Managing Floor Nurse.
Is there a social worker at the AL? She would be the one to go to for a reassessment but if you're already thinking that your loved one needs more assistance the reassessment will probably agree with you.
In a nursing home or memory care unit the residents are encouraged and assisted by staff in getting up in the morning.
Staff in a nursing home can be very persuasive in getting the residents to take their medication. Maybe if the responsibility isn't on your loved one anymore to take them she'll be compliant with staff in a nursing home.
It doesn't sound like your loved one is being difficult, it sounds like she's just not able to get up and going by herself. She needs some motivation. You've been giving that to her but you can't continue to do it everyday. She'd get what she needs in a nursing home.