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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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Many of the people in this forum are nurses, care managers, and professional caregivers with decades of experience.
I've had hundreds of care clients with Sundowner's over a 25 year career in the field of homecare. So have many others here. People like me know what works and what doesn't.
A doctor or APRN or geriatric psychiatrist don't have any actual and practical experience dealing with these conditions.
Many times a person is better off asking the doctor for a specific medication rather than having him try something out on the elderly person who is sundowing every night.
Definitely seek a doctor’s recommendation and prescription. Not everyone responds the same to the array of anxiety meds. So, you’ll have to try each one out until you find an effective one for her. It was very stressful every day close to sundown time. I dreaded the moment my mom would instantly change to a monster. Sometimes it lasted for an hour but sometimes it would go on for hours. Lorazapam was my go-to drug, but her body began to get used to the medication so I had to gradually increase the dose. When it was no longer effective, the hospice nurse said I needed to detox my mom for 3 days. This would allow the medication to get out of her system. Then, I could start giving her a low dose all over again. It worked! But 3 days seemed like 30 days! Get a doctor’s recommendation and save yourself heartache and stress.
Liquid Ativan (lorazepam) or liquid Valium (diazepam) as needed. Both are anti-anxiety drugs drugs from the class of drug class benzodizepines. In the liquid form they work almost instantly to calm them down.
These drugs are Caregivers' Little Helpers. Ask the doctor for some in liquid form. They work fast too.
Yes there are prescription meds. If there is a personality change especially with anxiety, anger or hypersexuality, then you need to seek geriatric psych
Every person with Alzheimer's is different, what works for one may not work for others. What helped the best for her was to ignore her. If I didn't her crying spells or pacing would go on forever. If there was a camera on me I would of looked like such a jerk, she was all upset. And I just thumbed through a magazine and didn't even look up. It lasted 5 minutes, other wise it would of been forever. Best of luck.
Ativan worked quite well for my mother during her agitation periods of Sundowning with dementia. She was furiously looking for her deceased siblings and parents, insisting they were in the Memory Care building but she couldn't find them. Thank God for the Ativan. Speak to moms doctor about a medication for her.
If mom is home alone while you're working full time every day, that's not safe for her. Please look into using her funds to pay for caregivers to come in or to place her in Memory Care Assisted Living.
This is a question that requires an MD working with you. The truth is that each individual is as unique as his own fingerprint when it comes to medication. What works for "Aunt Anne" might drive your own Mom up the wall, literally. Some folks with dementia have what is called "paradoxical reaction" meaning that a med meant to calm them just sent them into a frenzy. So do speak with the doctor about this. It is often a matter of experimentation to see what works. Work closely together and keep a diary. Some meds take a bit of time to work. You don't want oversedation and falls. I wish you luck. The really bad news is that when you find "an answer" it doesn't always continue to work.
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.
Many of the people in this forum are nurses, care managers, and professional caregivers with decades of experience.
I've had hundreds of care clients with Sundowner's over a 25 year career in the field of homecare. So have many others here. People like me know what works and what doesn't.
A doctor or APRN or geriatric psychiatrist don't have any actual and practical experience dealing with these conditions.
Many times a person is better off asking the doctor for a specific medication rather than having him try something out on the elderly person who is sundowing every night.
These drugs are Caregivers' Little Helpers. Ask the doctor for some in liquid form. They work fast too.
Seroquel is often prescribed for this issue as well.
If there was a camera on me I would of looked like such a jerk, she was all upset. And I just thumbed through a magazine and didn't even look up. It lasted 5 minutes, other wise it would of been forever.
Best of luck.
If mom is home alone while you're working full time every day, that's not safe for her. Please look into using her funds to pay for caregivers to come in or to place her in Memory Care Assisted Living.
Good luck to you.
The truth is that each individual is as unique as his own fingerprint when it comes to medication. What works for "Aunt Anne" might drive your own Mom up the wall, literally. Some folks with dementia have what is called "paradoxical reaction" meaning that a med meant to calm them just sent them into a frenzy.
So do speak with the doctor about this. It is often a matter of experimentation to see what works. Work closely together and keep a diary. Some meds take a bit of time to work. You don't want oversedation and falls.
I wish you luck. The really bad news is that when you find "an answer" it doesn't always continue to work.