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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.
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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.
Remember, this assessment is not a substitute for professional advice.
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Me, I would talk to the DON and ask if the choking has been brought to her attention. She is the one, or one of the RNs, that should have called the Doctor and ordered a swallow eval. Then the dietician makes sure Mom is given the correct diet. There are usually aides helping during meals. IMO they should have reported a choking problem to the RN. If Mom can't feed herself, an aide should be.
Your mother should be monitored for choking complications. Her doctor should order the appropriate tests to determine the problem. Patients with dementia are at high risk. I would speak to the director and have her arrange a consultation with the doctor . Meanwhile she should be on pureed foods and thickened liquids until the test is performed. A staff member should always be present monitoring the patiient. My mother has a swallowing delay and is on pureed foods and thickened liquids with her being elevated 90 degrees with her meals, snacks or liquids. A person can choke to death. i would get on this immediately. and If she does not get appropriate care and treatment move her to another facility where she will get the care she needs and deserves.
At some point her foods will need to be pureed if they are not already. And she will need to have her liquids thickened. I suggest that you request the doctor see her and place the order for pureed foods and thickened liquids. If mom is on Hospice talk to the Nurse that visits and they will quickly see that the changes are made. They should monitor any and all residents that have "problems eating" this goes from not being able to feed themselves to people that may choke. And there should be staff assigned to help those that need it. If this is not being done a phone call to your States Ombudsman to file a complaint will result in an inquiry and hopefully a resolution
You may want to have her Dr. order a swallowing evaluation, to determine if the food she's eating is going into her lungs instead of her stomach. If her food is going into her lungs, it can cause aspiration pneumonia, which in many cases can be deadly. In the meantime though, I would request that the nursing home only give her pureed food and thickened drinks just to be on the safe side.
My husband who had vascular dementia, developed aspiration pneumonia and almost died in 2018. The Dr. in the ICU said that because he had dementia, that his brain was no longer telling his throat to close, thus allowing his food and drink to go into his lungs. He had to remain on thickened drinks, and pureed and eventually soft foods until his death in 2020.
I wish you and your mom the best in getting to the bottom of what's going on.
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.
And she will need to have her liquids thickened.
I suggest that you request the doctor see her and place the order for pureed foods and thickened liquids.
If mom is on Hospice talk to the Nurse that visits and they will quickly see that the changes are made.
They should monitor any and all residents that have "problems eating" this goes from not being able to feed themselves to people that may choke. And there should be staff assigned to help those that need it. If this is not being done a phone call to your States Ombudsman to file a complaint will result in an inquiry and hopefully a resolution
In the meantime though, I would request that the nursing home only give her pureed food and thickened drinks just to be on the safe side.
My husband who had vascular dementia, developed aspiration pneumonia and almost died in 2018. The Dr. in the ICU said that because he had dementia, that his brain was no longer telling his throat to close, thus allowing his food and drink to go into his lungs. He had to remain on thickened drinks, and pureed and eventually soft foods until his death in 2020.
I wish you and your mom the best in getting to the bottom of what's going on.