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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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The morphine ativan combination that is so controversial can be a godsend for those at the end of life when used appropriately. Some people like dev's mom are still able to participate in the care plan at that point but with many others family and health providers have to use clues and their experience to guide them. There is an inordinate fear of morphine in the community, it would be a terrible thing to deny anyone ease at the end of life because of it. Once it reaches that point I would much rather my own mother be allowed to slip away peacefully than possibly suffer pain and fear just to accommodate the hope of hearing her final words, but that is only my opinion.
I'll answer you but I'm truly not getting much input on this site. Maybe it's because I'm an activist and I scare people because there is so much wrong with our health system as well as the care giving system and I'm still suffering trauma and financial woes from the so called "agencies" which in my opinion for the most part are a money making racket, not covered by insurance or Medicare and hire incompetent people. Go figure.
Re: Morphine. What I did was have my Mom, who was lucid, tell me the scale of her pain on a scale of one to ten. If it was over a five, I'd give her the oral solution under the tongue. I had advice from a palliative care doctor as she was in pain due to cancer spreading through her body. I based my dosages on her pain, not what the doctors said, as morphine affects a person and puts them in a vegetable state if too much is given. It's not cookie cutter. Every person is different. Some days she didn't need it. In fact, there were weeks she went without and only had tylenol if in a little bit of pain. You know your mother, so I suggest this. If you have hospice coming by, perhaps you can ask them for their opinion also. I guess my point is you don't want to turn your mother into a zombie which morphine can do. Every case is different I realize. Too bad the medical profession doesn't.
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.
Re: Morphine. What I did was have my Mom, who was lucid, tell me the scale of her pain on a scale of one to ten. If it was over a five, I'd give her the oral solution under the tongue. I had advice from a palliative care doctor as she was in pain due to cancer spreading through her body. I based my dosages on her pain, not what the doctors said, as morphine affects a person and puts them in a vegetable state if too much is given. It's not cookie cutter. Every person is different. Some days she didn't need it. In fact, there were weeks she went without and only had tylenol if in a little bit of pain. You know your mother, so I suggest this. If you have hospice coming by, perhaps you can ask them for their opinion also. I guess my point is you don't want to turn your mother into a zombie which morphine can do. Every case is different I realize. Too bad the medical profession doesn't.
20 mg per 5 mL (4 mg/mL) strength Oral Solution: Each 5 mL of clear light pink to reddish pink solution contains 20 mg of morphine sulfate.
100 mg per 5 mL (20 mg/mL) strength Oral Solution: Each 5 mL of clear colorless to light yellow oral solution contains 100 mg of morphine sulfate.
Do you mean that 500 mL is being used up over the course of two weeks?
Are the relatives physicians or otherwise medical professionals? Or do them simply want to see your loved one is pain?
How much is being given in each dose, and how much time in between each dose is the real question.
Morphine Oral Solution 10mg/5ml
Adults: Recommended dose: 10-20 mg (5-10 ml) every 4 hours.
Maximum daily dose: 120 mg per day
This indicates 500ml over 14 days is a very conservative dosage.