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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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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.
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People think I’m being overly critical when I refer to myself as a reluctant caregiver, but reluctance is the correct term when describing my family’s perspective on mortality. My father had escaped death at least twice and his previous brushes with the Grim Reaper left him with a deeply rooted sense of fear about the dying process. My mother, the eternal optimist, would talk about any topic under the sun except for her end-of-life wishes. Her retort whenever I gingerly broached the subject: “We’re not dead yet!” I was reluctant to force the issue because as an only child I dreaded the overwhelming responsibility of being a solo caregiver. What remained unsaid came with its own set of consequences. My parents left a Southern California suburb to retire in the picturesque mountain village of Ruidoso, New Mexico. They appreciated the lower cost of living and enjoyed life there — until they became ill. Then the secluded locale became a major liability. My father’s dementia complicated his final journey as he was no longer able to communicate his wishes. He was placed in the nearest memory care center with availability, which was 75 miles away. The distance made it difficult for my mother to visit and the pricey monthly fee depleted my father’s modest savings. When moved to a skilled nursing facility after his physical health decline, he collapsed and his ribs were cracked as the emergency medical technicians tried to revive him. His Do Not Resuscitate order was ignored. My father’s death was everything he feared. I was overcome by grief and guilt. Karmic forces didn’t waste any time giving me a chance to make amends. My mother was diagnosed with stage III colon cancer just six months after my father’s death, following in my father’s trail in a 75-mile ambulance ride. I quit my job in Georgia and moved to New Mexico for six months to care for her. I believe that having a brush with mortality, as well as becoming dependent on others to care for her, had a profound impact upon my mother and softened the resistance she had to discussing end-of-life issues. One way I’ve found to introduce the topic is by discussing the journeys of relatives who have already passed, both positive and negative. This can have a more profound impact than discussing statistics. In my mother’s case, it also helped to have a third party, the nursing staff, gently prod her to have these discussions. We finally discussed her wishes. Better late than never. My mother’s goal was to regain her strength and her ability to walk so she could return home and live independently. She also granted me medical and financial power of attorney. There was so much other paperwork to fill out, so these became just a couple more forms to complete. My mother recovered well enough to return home, which I retrofitted with safety features such as bathroom grab bars and a shower bench to reduce fall risk. I returned to Georgia to find a job and replenish my exhausted financial resources. A little over a year later, my mother’s cancer returned. She wanted to remain at home, and I was determined to honor her wish. I had supplies shipped to her home. I hired a personal aide to assist with housekeeping and errands who also provided my mother valuable companionship. With my mother in significant pain, most of our discussions were focused on pain relief. My mother associated hospice with dying, but she also understood that morphine was provided, so she became more willing to enroll in the program. My mother suffered in pain needlessly because of delays in getting her approved for home hospice care. Over the last month of her life, I served as my mother’s patient advocate, caregiver, and nurse at the expense of being her daughter. I wish I’d had more moments just to be present with my mother, instead of being preoccupied by caregiving duties. Just a few weeks before her death, my mother and I watched the Kentucky Derby together. Horse racing had long been a love of my parents. Cont above
They met because of their shared pastime. My mother was too weak to leave the bed. She was generally suspicious of technology but marveled at how we could watch the race on my computer. My mother was happy and alert, and I wished the moment would never end. That year there was a Triple Crown winner, the first in 37 years. It broke my heart my mother did not live long enough to see the historic event.
If life is about the journey and not the destination, then so is death. My father died in a facility without any family members present; my mother died at home as I held her hand. One might assume my mother had the better death, but I’m not so certain. To other caregivers, I would say: you may reach a time when honoring your parents’ end of life care wishes is not viable or is not in their best interest. Be gentle with yourself and accept that you did your best under difficult circumstances. What I did learn has made me a passionate advocate in encouraging others to have those awkward and difficult conversations about aging, medical care, and end-of-life wishes.
I agree with your posting. It’s really hard to be a caregiver for many years. I personally feel that it changes a relationship as well. We lose them as ‘our parents’ and take on the responsibility of caregiving.
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 was reluctant to force the issue because as an only child I dreaded the overwhelming responsibility of being a solo caregiver. What remained unsaid came with its own set of consequences.
My parents left a Southern California suburb to retire in the picturesque mountain village of Ruidoso, New Mexico. They appreciated the lower cost of living and enjoyed life there — until they became ill. Then the secluded locale became a major liability.
My father’s dementia complicated his final journey as he was no longer able to communicate his wishes. He was placed in the nearest memory care center with availability, which was 75 miles away. The distance made it difficult for my mother to visit and the pricey monthly fee depleted my father’s modest savings. When moved to a skilled nursing facility after his physical health decline, he collapsed and his ribs were cracked as the emergency medical technicians tried to revive him. His Do Not Resuscitate order was ignored. My father’s death was everything he feared. I was overcome by grief and guilt.
Karmic forces didn’t waste any time giving me a chance to make amends. My mother was diagnosed with stage III colon cancer just six months after my father’s death, following in my father’s trail in a 75-mile ambulance ride. I quit my job in Georgia and moved to New Mexico for six months to care for her.
I believe that having a brush with mortality, as well as becoming dependent on others to care for her, had a profound impact upon my mother and softened the resistance she had to discussing end-of-life issues. One way I’ve found to introduce the topic is by discussing the journeys of relatives who have already passed, both positive and negative. This can have a more profound impact than discussing statistics. In my mother’s case, it also helped to have a third party, the nursing staff, gently prod her to have these discussions. We finally discussed her wishes. Better late than never.
My mother’s goal was to regain her strength and her ability to walk so she could return home and live independently. She also granted me medical and financial power of attorney. There was so much other paperwork to fill out, so these became just a couple more forms to complete.
My mother recovered well enough to return home, which I retrofitted with safety features such as bathroom grab bars and a shower bench to reduce fall risk. I returned to Georgia to find a job and replenish my exhausted financial resources. A little over a year later, my mother’s cancer returned. She wanted to remain at home, and I was determined to honor her wish. I had supplies shipped to her home. I hired a personal aide to assist with housekeeping and errands who also provided my mother valuable companionship.
With my mother in significant pain, most of our discussions were focused on pain relief. My mother associated hospice with dying, but she also understood that morphine was provided, so she became more willing to enroll in the program.
My mother suffered in pain needlessly because of delays in getting her approved for home hospice care. Over the last month of her life, I served as my mother’s patient advocate, caregiver, and nurse at the expense of being her daughter. I wish I’d had more moments just to be present with my mother, instead of being preoccupied by caregiving duties.
Just a few weeks before her death, my mother and I watched the Kentucky Derby together. Horse racing had long been a love of my parents.
Cont above
They met because of their shared pastime. My mother was too weak to leave the bed. She was generally suspicious of technology but marveled at how we could watch the race on my computer. My mother was happy and alert, and I wished the moment would never end. That year there was a Triple Crown winner, the first in 37 years. It broke my heart my mother did not live long enough to see the historic event.
If life is about the journey and not the destination, then so is death. My father died in a facility without any family members present; my mother died at home as I held her hand. One might assume my mother had the better death, but I’m not so certain. To other caregivers, I would say: you may reach a time when honoring your parents’ end of life care wishes is not viable or is not in their best interest. Be gentle with yourself and accept that you did your best under difficult circumstances. What I did learn has made me a passionate advocate in encouraging others to have those awkward and difficult conversations about aging, medical care, and end-of-life wishes.
I agree with your posting. It’s really hard to be a caregiver for many years. I personally feel that it changes a relationship as well. We lose them as ‘our parents’ and take on the responsibility of caregiving.
A Good Death Is More About The Journey Than The Destination
I should have said that! 😁😂🤣