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Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
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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
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Gardined, I am so sorry to hear about your husband. It sounds like you are doing everything you can to make him feel loved. Best wishes, and make sure you take care of yourself too!
Thank you all....unfortunately, my husband has entered the world of Hospice Care. He is declining so rapidly and with his FTD the doctors said you decline faster BUT...his is the most severe/extreme case they have seen. His personality has totally changed and his anger!! Unreal!! It's not the medications causing these symptoms, unfortunately, it's the disease. I know it’s hard to find a balance between controlling symptoms, but also making sure they are not just making very sleepy patients. Because my husband is so young and healthy other than his brain this is really hard to accept. Things that he is resistant to which are not a safety risk, such as showering, are not so important anymore. Hopefully hospice can get a sponge bath in. I can’t believe we ate at this stage of the disease already. Now we just want him to be comfortable and have a feeling of being loved. Quality of Life!! 💕
Thank you all so much for wonderful advice. Tried most of them... no luck!! He is adamant he will NOT get in the shower AGAIN... says he already did. Tonight I said ‘let’s’ get in the shower together and then we can snuggle in bed.... he said no, I could go ahead in shower but not him. So NOT the man I married. Yes, he is my husband, not my dad. Thank you all so much for taking time to help.
Perhaps a bribe is in order. Like he can get his favorite chocolate chunk ice cream or wouldn't it be nice to put on that new aftershave we got you after your bath, dad?
Is shaving essential? Maybe it would be a lot better just to let him grow a beard. As we have been told in this forum before, one should pick his/her battles. Showering is important, shaving is not.
This too goes with the territory. Who is upset? You or the memory home?
My DH will not bathe the way he used to but he's clean. He can't shave himself anymore and waits for me to realize he needs it. Sadly, when you are the only one and doing 24/7 caregiving, not everything gets done. I have asked DH to not wait but to ask or remind me of cutting his hair and shaving him.
As an aside, they also tend to not want to change clothes as often. So I now use a towel like a bib and change the shirt when soiled.
Dear One, Agree with Minstrel. My mother’s care giver is very gentle, speaks softly, never forces and is always smiling, smiling, smiling. She has mom choose the clothing she wants to wear just before showering. She now looks forward to her shower with Sally. Much Love.
PS Hit or miss shaving seems fine! He still has a sense of taking care of himself, and who really cares if he's not as clean shaven as he once was. It's all about HIM: his sense of security and comfort and independence.
If his vision is affected and the bath room is all white, could he be afraid of stepping into empty space? Could they use a colored patterned bath mat on the floor/shower? Would a cup of tea ahead of time calm him? So much is trail and error and in care homes they don't employ enough staff to give residents the time needed to figure out their needs, unfortunately. Families must advocate for better staffing.
I noticed that at my LO's MC, they play music during shower times. I think it helps relax the resident to have the staff member humming along with the music as they are bathed.
Make sure the staff is showing him around the same time of day he had his shower at home. That it's a staff person whom he gets along well with in other situations. That the shower/bath room is WARM ENOUGH, this is a big problem in LTC homes. Have some soothing music, music that he likes. Make sure the aide is SMILING with him, having a nice conversation before she even begins the bath. Suggest that the aide ask for your Dad's help. Maybe he doesn't like a stranger, especially if it's a female, to help, so they need to find ways around this. Have a male aide help, give your Dad a towel for his lap (you can still wash under it, or maybe he can wash himself). There are lots of reasons people with dementia have a hard time with bathing. Getting to the bottom of it may be time-consuming for the place he lives, but if they will give it time they usually can make progress. Be sure they are being gentle and pleasant with him. Re shaving: maybe they can organize a shaving party for all the men, just as they have nail time for the ladies. Make it fun and gentle, shaving can irritate if not done well. Dementia is difficult, for the person as well as for the caregiver. Confusing, scary. It's the caregivers job to take the time to make it less confusing, less scary. The problem is probably not your dad, it's the time constraints of those caring for him. Demand that aides are given the time they need to do good caregiving!
talkey: Interesting about the sign on his bathroom door. Perhaps, like many of us, in his working days, he had a schedule to follow and now this brings something familiar to his day.
I agree with Sunnygirl and LisaNJ. Dad thought he was showering every day, bc he had no concept of time, so twice a week was a struggle. The staff in his MC worked with him, tho, changing his shower time and even his aide, more than once, to make him comfortable. I found that there was always an aide Dad seemed to trust more--tho not always the same one-- so when there was a problem with showers or anything else, we just had to find out who he trusted that day. Also, the facility director came up with the idea to hang a sign in his bathroom that showed shower days and times. For some reason, that helped. They would point out the shower sign to Dad when it was shower time, and he was much more cooperative then.
I worked as a CNA in SNF and one of my ladies shower was scheduled for evening, my shift. She would be fine until we got into the shower room and she would start yelling. They switched her shower to the mornings and she was fine. I don’t know what time of day you dad is getting is shower, maybe they could change time of day..
I'd consult with his doctor about it. If he is not allowing anyone near him, he may be frightened, anxious, confused, etc. I'd see if medication could help ease his mental distress. That might help him relax and be less resistant to care. And, I'd check on the facility's credentials. Staff in Memory Care facilities are specifically trained in my state. They are experts at handling tough cases and they usually figure out how to best manage the care of the residents. It may take lots of different approaches, but, it's doable, without upsetting the resident. At least, that's been my experience.
Yes they have tried sponge baths but he just yells to get away. I’ve had success getting him in the shower but it wS a struggle and I’m sure he still had shampoo in his hair. He uses an electric razor and will do himself but it’s a hit and miss. So frustrating.
They can't force him, that's assault, although he may not know that. But they do.
Has anyone tried a sponge bath at the basin in his room? It's not ideal but it's better than nothing.
Maybe they could try doing a bath and a shave on different days so it's not as much at one time. An electric razor might be more agreeable than shaving creme and a razor.
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.
Would he prefer a bath to a shower, do you think? Does the facility have a walk-in tub?
My DH will not bathe the way he used to but he's clean. He can't shave himself anymore and waits for me to realize he needs it. Sadly, when you are the only one and doing 24/7 caregiving, not everything gets done. I have asked DH to not wait but to ask or remind me of cutting his hair and shaving him.
As an aside, they also tend to not want to change clothes as often. So I now use a towel like a bib and change the shirt when soiled.
If his vision is affected and the bath room is all white, could he be afraid of stepping into empty space? Could they use a colored patterned bath mat on the floor/shower? Would a cup of tea ahead of time calm him? So much is trail and error and in care homes they don't employ enough staff to give residents the time needed to figure out their needs, unfortunately. Families must advocate for better staffing.
Dementia is difficult, for the person as well as for the caregiver. Confusing, scary. It's the caregivers job to take the time to make it less confusing, less scary. The problem is probably not your dad, it's the time constraints of those caring for him. Demand that aides are given the time they need to do good caregiving!
Has anyone tried a sponge bath at the basin in his room? It's not ideal but it's better than nothing.
Maybe they could try doing a bath and a shave on different days so it's not as much at one time. An electric razor might be more agreeable than shaving creme and a razor.