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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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Bedrails can cause falls. We had my mom on a very low bed with half rails, and they proved to be unsafe. She could crawl around the end of the bed rail, and was too unsteady on her feet to make it safely to the commode.
On another occasion, with a full bed rail, she fell out of bed and broke her wrist.
Because she’d previously broken her hip, we never tried placing her mattress on the floor, as some caregivers do.
Our solution (?) was for me to sleep on the floor for 9 months. I definitely do not recommend this.
There are thick washable pads that may help with her urine management.
Hire a caregiver who stays all night. Or it's time for her to go to a facility where they can take care of this need. She can't help it, but it's putting you in the difficult position of dong the almost impossible, which is to keep her safe.
I don't know if you are familiar with the purewick system or not. They used it in the hospital for my Mom. We bought one when she went into hospice care. She tolerated it very well. It wicks the urine away into a container using a quiet pump. You have to buy the wicks. Unfortunately, it is not cheap. Neither is going through adult diapers like crazy. Maybe insurance would pay if you could get a doctor to prescribe it.
I did buy that and it is en route. I think for nights that would be ideal. She is good with Depends and Poise pads during the day. And can make it to the bathroom.
As Geaton777 wrote, the TENA for overnight work well. Make sure they're not too big. I had to size down from large to small/medium for my mom because she has skinny legs and urine would leak out the leg openings. Sometimes if mom has had lots to drink in evening I'll add a Tranquility liner inside her pullup. I do try to limit drinks after about 4-5pm or so but sometimes that just doesn't work out. I need to make sure mom pees before getting into bed. Also, just in case, a quilted waterproof pad protects the mattress and is comfortable. I hope you find something that works for you.
I found a pad that absorbed a LOT. Made by a company ConniUSA. I found it on Costco's website but they are available on line. Different sizes of pads and they have other products. The pad holds over a gallon of fluid. They (2 to an order when I got them.) were a bit pricy in my opinion but they were well worth it. When I was caring for my Husband though I would put clean brief (aka diaper) on at his bed time. I would check him before I went to bed a few hours later and if he was wet I would change him and I usually changed him again around 4 am. So to prevent a flood you might have to change her more often. I would change my Husband in bed, I did not get him out of bed to change him, to do so would have meant hooking him up to the Sit to Stand or later the Hoyer Lift.
I think using the most absorbant type of pad designed for nighttime would give you both the best sleep.
Providing a pad change middle of the night is what staff would do in a care setting for residents that have excessive nighttime output.
I don't even like to suggest it - sleep for caregivers is essential - but this might be something to consider if you already wake in the night...?Make it quick, low lighting, roll, roll, done. Back to sleep..
My mom had the same issue and believe it or not I found plastic pants to go over her overnite depends. She also slept on a washable bed pad. At least this routine kept her from being completely soaked head to toe in the morning.
Be very vigilant about healthy skin because this can cause rashes.
The plastic pants can go in the washer but need to be air dryed.
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.
On another occasion, with a full bed rail, she fell out of bed and broke her wrist.
Because she’d previously broken her hip, we never tried placing her mattress on the floor, as some caregivers do.
Our solution (?) was for me to sleep on the floor for 9 months. I definitely do not recommend this.
There are thick washable pads that may help with her urine management.
Good luck.
I used these for my Aunt and they worked great. I'm sure there are others that also work well, and will work within your budget.
When I was caring for my Husband though I would put clean brief (aka diaper) on at his bed time. I would check him before I went to bed a few hours later and if he was wet I would change him and I usually changed him again around 4 am.
So to prevent a flood you might have to change her more often.
I would change my Husband in bed, I did not get him out of bed to change him, to do so would have meant hooking him up to the Sit to Stand or later the Hoyer Lift.
Providing a pad change middle of the night is what staff would do in a care setting for residents that have excessive nighttime output.
I don't even like to suggest it - sleep for caregivers is essential - but this might be something to consider if you already wake in the night...?Make it quick, low lighting, roll, roll, done. Back to sleep..
My mom had the same issue and believe it or not I found plastic pants to go over her overnite depends. She also slept on a washable bed pad. At least this routine kept her from being completely soaked head to toe in the morning.
Be very vigilant about healthy skin because this can cause rashes.
The plastic pants can go in the washer but need to be air dryed.