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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?
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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.
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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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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.
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I got it for my father at a health care complex which also had rehab, which is the reason for the admission in the first place. He segued from rehab, into PC, then hospice, each with the recommendation and concurrence of the facility's attending physician, and social worker, who had to concur with the recommendation.
I don't recall whether or not PC could have been provided at home, but by the time my father needed it, he was unable to live at home, so the issue wasn't even raised.
When I chose that particular facility, PC and hospice weren't even considerations. I just lucked out.
You will need a doctor's recommendation. Start there, preferably with a physician who's treated your mother for some time and knows her well.
And be aware that home care doesn't provide a lot compared to in-facility care. Explore well what you'll get so you're not disappointed. I was when I began investigating home hospice care.
If you have a preferred facility, explore the issue with them as well to ensure that they provide that service.
From what I read Palliative care is not paid for by Medicare. You need to check with your insurance company whether they cover Palliative care.
Here's what I found:
"Where Do I Receive Hospice or Palliative Care? Hospice care is delivered at home or in home-like hospice residences, nursing homes, assisted living facilities, veterans' facilities, hospitals and other facilities. Palliative care teams typically work in a hospital. What Kind of Patients Choose Palliative Care? The American Society of Clinical Oncology has identified the characteristics of a patient who should receive palliative care but not curative treatment; these characteristics are applicable to patients with other diseases, too. The patient has limited ability to care for himself. The patient has received curative treatment and is no longer benefitting from it. The patient does not qualify for an appropriate clinical trial. There is no evidence that further treatment would be effective. Talk to your family and your doctor about your goals of care and whether palliative care and/or hospice might improve your quality of life."
Seems the person has to have an illness and be hospitalized. I think what you may need is Medicaid homecare. Your Mom would need to fit the criteria. Which means she is low income.
Palliative care is not a program, like hospice. Palliative care is a care choice you discuss with your doctor. You let your doctor know that you are ready to go now. That you do not wish any tests that are for prevention. That you do not wish any treatments for your illnesses other than what you directly discuss with him. That your main goal now is comfort and "QUALITY" of life rather than a long life. Your Doc will help you make out an advance directive POLST that hangs on the refrigerator directing emergency personnel that you are a no code. You get a bracelet that says DNR/No Code. You write out full instructions as to what you will accept and what you will NOT (for instance any artificial food or fluid not accepted but will accept an IV for a morphine drip). So basically there are now Palliative Care doctors who do this work as a practice in larger cities. This is a conversation for you and your doctor, and good luck. There is also an option for you to refuse food, fluids and etc. but this is not for the faint of heart as it is quite uncomfortable for some days and you would need support at your bedside to do this. Explore the internet for all the options by looking up "end of life care", POLST, Palliative care. Wishing you every bit of good luck. I am 77 with an 85 year old brother. I know a bit of what you are feeling. Start to make note now of what you want, what you will accept, what you do not want, what you will not except in times of illness, in times when you are in need of care.
Have you had your mom evaluated for hospice? Or are you under the assumption she doesn’t qualify because she’s not terminally illend of life? Hospice is not just for end of life care, so if there hasn’t been an evaluation done, ask the doctor for one. Because hospice would provide pallaitive care. And yes Medicare (part b) does cover palliative care.
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.
I don't recall whether or not PC could have been provided at home, but by the time my father needed it, he was unable to live at home, so the issue wasn't even raised.
When I chose that particular facility, PC and hospice weren't even considerations. I just lucked out.
You will need a doctor's recommendation. Start there, preferably with a physician who's treated your mother for some time and knows her well.
And be aware that home care doesn't provide a lot compared to in-facility care. Explore well what you'll get so you're not disappointed. I was when I began investigating home hospice care.
If you have a preferred facility, explore the issue with them as well to ensure that they provide that service.
Here's what I found:
"Where Do I Receive Hospice or Palliative Care?
Hospice care is delivered at home or in home-like hospice residences, nursing homes, assisted living facilities, veterans' facilities, hospitals and other facilities. Palliative care teams typically work in a hospital.
What Kind of Patients Choose Palliative Care?
The American Society of Clinical Oncology has identified the characteristics of a patient who should receive palliative care but not curative treatment; these characteristics are applicable to patients with other diseases, too.
The patient has limited ability to care for himself.
The patient has received curative treatment and is no longer benefitting from it.
The patient does not qualify for an appropriate clinical trial.
There is no evidence that further treatment would be effective.
Talk to your family and your doctor about your goals of care and whether palliative care and/or hospice might improve your quality of life."
Seems the person has to have an illness and be hospitalized. I think what you may need is Medicaid homecare. Your Mom would need to fit the criteria. Which means she is low income.
Palliative care is a care choice you discuss with your doctor.
You let your doctor know that you are ready to go now. That you do not wish any tests that are for prevention. That you do not wish any treatments for your illnesses other than what you directly discuss with him. That your main goal now is comfort and "QUALITY" of life rather than a long life.
Your Doc will help you make out an advance directive POLST that hangs on the refrigerator directing emergency personnel that you are a no code. You get a bracelet that says DNR/No Code.
You write out full instructions as to what you will accept and what you will NOT (for instance any artificial food or fluid not accepted but will accept an IV for a morphine drip).
So basically there are now Palliative Care doctors who do this work as a practice in larger cities.
This is a conversation for you and your doctor, and good luck.
There is also an option for you to refuse food, fluids and etc. but this is not for the faint of heart as it is quite uncomfortable for some days and you would need support at your bedside to do this.
Explore the internet for all the options by looking up "end of life care", POLST, Palliative care. Wishing you every bit of good luck. I am 77 with an 85 year old brother. I know a bit of what you are feeling. Start to make note now of what you want, what you will accept, what you do not want, what you will not except in times of illness, in times when you are in need of care.