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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.
Share a few details and we will match you to trusted home care in your area:
Start with routine and home prep: 1 - Go to toilet every 2 hours while he is awake. 2 - He might do better sitting down than standing. 3 - Put incontinence pads on his chair and his side of the bed. 4 - Make him wear incontinence briefs instead of regular underwear. 5 - Get rid of carpets/rugs as much as possible in favor of easier to clean flooring.
Talk to his doctor: 1 - Most older men have prostate enlargement (BPH) that makes them "feel like peeing" frequently. 2 - There are medications to help with BPH. 3 - Consider a referral to a urologist. He might have more serious issues than BPH that require a urologist to evaluate and treat. 4 - Catheters are not a solution for people who can empty their bladders on their own. Catheters are a serious source of infection and can cause sepsis (deadly infection).
Would a catheter help? My husband has a permanent Foley for other reason, but its a blessing in manybways, especially all the diuretic meds for his CHF
Incontinence develops because messages between the brain and the bladder or bowel don't work properly. Until your husband is no longer able to walk, set up a bathroom schedule for the caregiver to take him to the bathroom every two hours during the day and a couple of times during the night. "Teaching or training" a person with dementia may feel good to the caregiver, but the patient's brain is shrinking and so far, there is no treatment that prevents that horror from happening.
He needs to be placed. Dementia patients aren't trainable like puppies.
Your husband has a brain that doesn't work right, and that's the root of the problem. So far there's no way to fix this, so sadly, when they start peeing around and endangering health in the home (which it does), they need professional care in a place that's accustomed to dealing with it.
Please speak immediately with his PCP for further assessment of the husband's needs. It sounds like his " level of care needs" has changed significantly and, his PCP should refer you to other options.
There are "onesies" for adults that he would have problems getting off so he would have no choice but to use the incontinence underwear. And when if you see him getting up to go relieve himself you must accompany him and redirect him to the bathroom. You can also try a "bathroom schedule" every 2 hours get him up and get him into the bathroom.
You don’t have many choices. 1. Continue as is. 2. Hire an in-home caregiver, to see if he’ll listen to the caregiver. Although your husband has dementia, he can still learn some things. 3. Put your husband in a facility. 4. Have a bathroom schedule. For example, every 2 hours he must go to the bathroom. But what about during the night? 5. See a urologist. The doctor can help with a catheter, then you don’t have this problem anymore. You just need to maintain the catheter in good order. Disadvantage: catheters sometimes cause UTIs. But your husband urinating everywhere leads to many more health problems for you and him.
To prevent UTIs, your husband should drink lots of water every day, regardless of whether he has a catheter or not. All of us should drink more water.
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.
1 - Go to toilet every 2 hours while he is awake.
2 - He might do better sitting down than standing.
3 - Put incontinence pads on his chair and his side of the bed.
4 - Make him wear incontinence briefs instead of regular underwear.
5 - Get rid of carpets/rugs as much as possible in favor of easier to clean flooring.
Talk to his doctor:
1 - Most older men have prostate enlargement (BPH) that makes them "feel like peeing" frequently.
2 - There are medications to help with BPH.
3 - Consider a referral to a urologist. He might have more serious issues than BPH that require a urologist to evaluate and treat.
4 - Catheters are not a solution for people who can empty their bladders on their own. Catheters are a serious source of infection and can cause sepsis (deadly infection).
Your husband has a brain that doesn't work right, and that's the root of the problem. So far there's no way to fix this, so sadly, when they start peeing around and endangering health in the home (which it does), they need professional care in a place that's accustomed to dealing with it.
" level of care needs" has changed significantly and, his PCP should refer you to other options.
https://www.silverts.com/men/pants/alzheimer-s-jumpsuit
And when if you see him getting up to go relieve himself you must accompany him and redirect him to the bathroom.
You can also try a "bathroom schedule" every 2 hours get him up and get him into the bathroom.
1. Continue as is.
2. Hire an in-home caregiver, to see if he’ll listen to the caregiver. Although your husband has dementia, he can still learn some things.
3. Put your husband in a facility.
4. Have a bathroom schedule. For example, every 2 hours he must go to the bathroom. But what about during the night?
5. See a urologist. The doctor can help with a catheter, then you don’t have this problem anymore. You just need to maintain the catheter in good order. Disadvantage: catheters sometimes cause UTIs. But your husband urinating everywhere leads to many more health problems for you and him.
To prevent UTIs, your husband should drink lots of water every day, regardless of whether he has a catheter or not. All of us should drink more water.