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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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Mother on Hospice at Home given Haldol to control agitation and aggressive behavior. She was previously at Hospital where treatment started. Currently on extended life shot of Haldol, and given as needed every 6 hrs.
Hi, My father in law suffered from the same two years ago and the Haldol made all of the difference for him and for the rest of our family and friends who were largely providing care at home. Allowing Dad to struggle with his aggressive behavior served no good purpose that we could see and when the Hospice nurse suggested Haldol we decided to go ahead with it. He was calm and no longer was combative and able to rest peacefully and eventually leave this life with the dignity he deserved. I am sorry for what you’re going through right now. For us the endless decisions we had to make was daunting as we wanted to do what we believed Dad would have chosen for himself while dealing with the sadness of having to let him go. Good luck to you and remember to care for yourself when you can. 🌺
Haldol is contraindicated in LBD for the increased potential of Neuroleptic Malignant Syndrome and subsequent death. One of the important pieces of information here is that your mom is under hospice care. In my personal opinion, I would consider the risks and benefits. Is your mom resting comfortably? Does she appear to be at peace? For me, I would rather have my loved one transition peacefully even if that meant one of the medications could be hastening her death. If that is not something you are comfortable with, discuss it with your hospice team so they may consider a different medication. Hugs to you. I wish you and your family well during this very difficult time.
It is well documented and strongly advised that Haldol NOT be given to people with LBD. This is not just hyperbole, someone in my extended family died within 24 hours of treatment given to control his aggressive behaviour while in hospital.
"First-generation antipsychotic medications, such as haloperidol (Haldol), should not be used to treat Lewy body dementia. They may cause severe confusion, severe Parkinsonism, sedation and sometimes even death. Very rarely, certain second-generation antipsychotics may be prescribed for a short time at a low dose but only if the benefits outweigh the risks."
And I agree with you, cwillie. I just encourage an informed choice. I can clearly understand your concerns considering the loss your extended family suffered. For some, in certain circumstances, it would be a blessing to not have their loved one continue an agonizing life with agitation and combativeness. I don’t think it’s reasonable to automatically disregard the use of haldol. And I don’t find it helpful to frighten the OP with worst-case scenarios. I have faith the family will discuss it with hospice and make the right decision for their LO. Thank you for all the wonderful advice and support you offer on this site!
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.
My father in law suffered from the same two years ago and the Haldol made all of the difference for him and for the rest of our family and friends who were largely providing care at home. Allowing Dad to struggle with his aggressive behavior served no good purpose that we could see and when the Hospice nurse suggested Haldol we decided to go ahead with it. He was calm and no longer was combative and able to rest peacefully and eventually leave this life with the dignity he deserved. I am sorry for what you’re going through right now. For us the endless decisions we had to make was daunting as we wanted to do what we believed Dad would have chosen for himself while dealing with the sadness of having to let him go.
Good luck to you and remember to care for yourself when you can. 🌺
Hugs to you. I wish you and your family well during this very difficult time.
"First-generation antipsychotic medications, such as haloperidol (Haldol), should not be used to treat Lewy body dementia. They may cause severe confusion, severe Parkinsonism, sedation and sometimes even death. Very rarely, certain second-generation antipsychotics may be prescribed for a short time at a low dose but only if the benefits outweigh the risks."
https://lewybodyresourcecenter.org/what-is-lbd/treatment-important-information/medications/