Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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.
Share a few details and we will match you to trusted home care in your area:
Let me feel peaceful. Not concerned, worried, or anxious. I have pills that work. But that doesn't take away all the anxiety. And with things that could cause problems or go wrong so many days I have trouble feeling calm.
What's the point in spending any time and energy thinking about all the things that COULD go wrong - what danger lies around every corner.
I could get in a car accident. Slip in the shower and hit my head. My son could turn the stove on and burn the house down. There could be a gas leak. I could be sitting in my house - in my favorite chair, avoiding the dangers of the outside world and have a heart attack.
This is no way to live. In fact, it's not living - not really. So I push the negative thoughts away and take my chances doing the best I can to be smart and safe about the choices I make - while not letting those choices impinge on living a full life. After all, I've only got one life and I sure don't want to waste it by becoming stagnant and fearful.
I think most people live the same way. If you find you are unable to live your life because of fear and worry - perhaps you need to become more aggressive in your mental health care. See your therapist more often. If your medication isn't doing it's job - ask about a higher dose or a different medication. Stop wasting your life inventing problems where there are none!
And yes, at times I wish everyone would go away and leave me be for a while. I'll bet everyone has that thought from time to time. It's NORMAL! Stop worrying about it and if you can't - pick up the phone and make an appointment with your therapist - cause now you're worrying about your worrying.
Sometimes, I feel anxious too. But, I find that being around other people who are anxious or worried, makes me feel overly anxious. I try to avoid those people and do things that lift my spirit.
Just last weekend I was feeling the need for a little lift. I just got in my car and went for a drive playing this CD that I just got on sale. I LOVE this old song by Dolly Parton and Kenny Rogers called Islands in The Stream! Boy, that song always makes me smile. Check it out. You can find it on You Tube. That was before Dolly was skinny and Kenny had plastic surgery. Both looked pretty good too. lol
Sorry to hear how you feel. I know we all have days where we want to run away from our lives. It is hard. I too have anxiety and it hard for those around us to understand. Try to be as kind and gentle with yourself as you can. I know its easier said than done.
If you can watch a movie that makes you happy, listen to a song that cheers you, go for a walk, eat your favorite foods, call a good friend for a chat. Even going for a walk can be uplifting. Try small things and go from there.
And if you need to, seek our resources in the community or church. Or try counselling or joining a support group. There is help. Please know we are all here to listen and support you. Thinking of you.
Let go of the "Let me feel peaceful. Not concerned, worried, or anxious." Change this to "I feel peaceful, confident and at ease." Look in the mirror and affirm this (or words more to your liking) to yourself many times a day. Your brain believes whatever you tell it. Sort of a fake it till you make it approach.
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 could get in a car accident. Slip in the shower and hit my head. My son could turn the stove on and burn the house down. There could be a gas leak. I could be sitting in my house - in my favorite chair, avoiding the dangers of the outside world and have a heart attack.
This is no way to live. In fact, it's not living - not really. So I push the negative thoughts away and take my chances doing the best I can to be smart and safe about the choices I make - while not letting those choices impinge on living a full life. After all, I've only got one life and I sure don't want to waste it by becoming stagnant and fearful.
I think most people live the same way. If you find you are unable to live your life because of fear and worry - perhaps you need to become more aggressive in your mental health care. See your therapist more often. If your medication isn't doing it's job - ask about a higher dose or a different medication. Stop wasting your life inventing problems where there are none!
And yes, at times I wish everyone would go away and leave me be for a while. I'll bet everyone has that thought from time to time. It's NORMAL! Stop worrying about it and if you can't - pick up the phone and make an appointment with your therapist - cause now you're worrying about your worrying.
...just a temporary fix
...I trust I will not need "meds" someday soon, still learning and listening here!
...getting "wiser" and a "tiny bit stronger" cuz of all the sweet, caring people here!!
Thank you all for sharing your stories...I am learning from ALL of you!!!
💜Bella🌷
Just last weekend I was feeling the need for a little lift. I just got in my car and went for a drive playing this CD that I just got on sale. I LOVE this old song by Dolly Parton and Kenny Rogers called Islands in The Stream! Boy, that song always makes me smile. Check it out. You can find it on You Tube. That was before Dolly was skinny and Kenny had plastic surgery. Both looked pretty good too. lol
Sorry to hear how you feel. I know we all have days where we want to run away from our lives. It is hard. I too have anxiety and it hard for those around us to understand. Try to be as kind and gentle with yourself as you can. I know its easier said than done.
If you can watch a movie that makes you happy, listen to a song that cheers you, go for a walk, eat your favorite foods, call a good friend for a chat. Even going for a walk can be uplifting. Try small things and go from there.
And if you need to, seek our resources in the community or church. Or try counselling or joining a support group. There is help. Please know we are all here to listen and support you. Thinking of you.
Change this to "I feel peaceful, confident and at ease." Look in the mirror and affirm this (or words more to your liking) to yourself many times a day. Your brain believes whatever you tell it. Sort of a fake it till you make it approach.