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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
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 ConsumerFeedback@aplaceformom.com 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.
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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
While a doctor is the determining factor if a person is "Hospice eligible" I did not take my Husband to the doctor nor did I talk to the doctor. I happened to stop in at the Hospice facility and while I was filling out some information the Nurse made a few phone calls and I presume she spoke to my Husbands doctor and she came back and said that he qualified, his doctor said that he was eligible. That began our almost 3 year Journey with Hospice. The best thing to do would be start with the Hospice of your choice and make a call and ask what the steps are to have a hospice evaluation. the person you talk to will give you all the information that you need. It is very possible that they will call the doctor (or ask you to) and have the dx faxed so that they have the information. Know that Hospice will not be there 24/7 There needs to be a Primary Caregiver. If the person does not currently need 24/7 care if at anytime Hospice feel that they need 24/7 care they can ask that a Primary Caregiver be named and if the person refuses Hospice can withdraw if they think it is unsafe. A Nurse will come 1 time a week. (more if medically needed) the Nurse will order medical supplies and equipment. A CNA will come 2 maybe 3 times a week to give a bath, shower and order personal supplies. Also part of the Team is a Social Worker that may come 1 time a month, more if needed, a Chaplain, 1 time a month, more if requested. And you can ask for a Volunteer to come and sit with the patient. The Volunteer can do NO hands on care.
PeggySue is correct. This must come from the doctor.
Do know that today's hospice often amounts to little more than two bedbaths weekly, and one RN visit, a call from Social Services and a call from clergy as well as some medications and equipment such as hospital bed, bedside commode and etc. If these things would be helpful then speak with your MD.
You can call the hospice agency of your choice yourself and they will come out and do an assessment to see if your loved one qualifies for their care. Hospice will also check with your loved ones doctor to find out exactly what is going on. So to get the ball rolling call the hospice agency of your choice today as they are available 24/7. But just know that with in-home care from hospice, that you will still be responsible for 99% of your loved ones care, as they will only send a nurse once a week to start to check vitals and such, and aides to bathe your loved one at least twice a week. They will however supply any and all needed equipment, supplies and medications all covered 100% under your loved ones Medicare. I wish you well in getting this all figured out.
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 ConsumerFeedback@aplaceformom.com 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.
That began our almost 3 year Journey with Hospice.
The best thing to do would be start with the Hospice of your choice and make a call and ask what the steps are to have a hospice evaluation. the person you talk to will give you all the information that you need. It is very possible that they will call the doctor (or ask you to) and have the dx faxed so that they have the information.
Know that Hospice will not be there 24/7
There needs to be a Primary Caregiver. If the person does not currently need 24/7 care if at anytime Hospice feel that they need 24/7 care they can ask that a Primary Caregiver be named and if the person refuses Hospice can withdraw if they think it is unsafe.
A Nurse will come 1 time a week. (more if medically needed) the Nurse will order medical supplies and equipment.
A CNA will come 2 maybe 3 times a week to give a bath, shower and order personal supplies.
Also part of the Team is a Social Worker that may come 1 time a month, more if needed, a Chaplain, 1 time a month, more if requested. And you can ask for a Volunteer to come and sit with the patient. The Volunteer can do NO hands on care.
Do know that today's hospice often amounts to little more than two bedbaths weekly, and one RN visit, a call from Social Services and a call from clergy as well as some medications and equipment such as hospital bed, bedside commode and etc. If these things would be helpful then speak with your MD.
So to get the ball rolling call the hospice agency of your choice today as they are available 24/7.
But just know that with in-home care from hospice, that you will still be responsible for 99% of your loved ones care, as they will only send a nurse once a week to start to check vitals and such, and aides to bathe your loved one at least twice a week. They will however supply any and all needed equipment, supplies and medications all covered 100% under your loved ones Medicare.
I wish you well in getting this all figured out.