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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?
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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
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.
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My uncle requires insulin injections 4 times a day. He can no longer do it properly alone. He wants to continue living at home. What kind of caregiver is required to give insulin injections?
You can give it to him. Ask the doctor if you can be shown the correct way. An aide or CNA cannot give shots. Usually in a facility, its a medtech, LPN or RN by law. But I don't think that those laws apply in a private home. If ur not comfortable doing it, call his PCP and ask if he can have homecare nurse come in. Medicare may cover it or may not. I can't find where they do or don't.
I did them at home for my aunt for several years - 3 times a day. Her doctor wrote prescription for insulin and needles 3 times a day. Very easy to do. I do my own blood checks. I am not insulin dependent.
Actually in most states, whether it be private home or care facilities, properly trained health aids and CNAs can administer medication including giving insulin shots. You don’t need a nurse to come out to the house and it’s highly unlike that any insurance would send one 4 times a day. You are in California and....caregivers and CNA can give insulin. If he’s low income and qualifies for medi-cal, maybe he can get IHSS in home support services. That program also allows caregivers to administer insulin.
Just read your profile and it says your uncle is in Florida which practically the only state that does not allow home health workers to administer medication under any circumstance, trained or not trained. If he can’t take care of himself, he’ll have to go to a nursing home unless he’s got family willing to step up.
That would be way too complicated for this gentleman. The pump alarms a lot for high and low blood sugar, some patients pre count their carb intake enter the grams anticipated and give the insulin dose according to carbs, the insulin cartridge must be changed. I’m not sure a 104 y/o could do that especially living alone. The pump also has a catheter with a needle as the insulin is pumped through subcutaneously. The pump is great, but one has to be tech savvy & very committed to learning the in’s and outs of the pump including how to prime, operate and troubleshoot it.
As per JoAnn’s reply, you or any semi adult family member can get taught to do it and you can give it yourself. It’s not too difficult once you’ve done it several times.
How long do you and your wife plan to stay with your uncle during this visit, Bill? I'm just wondering how much you'll reasonably be able to do in the way of assessment and care planning.
I don't know, but I would be surprised if something can't be done about the frequency of injections. Who's in charge of your uncle's px and diabetes care, his PCP or somebody else?
Here (this won't be helpful, I'm afraid, I'm just explaining the approach) our district nurses do "insulin rounds" - they go from house to house taking readings and administering injections and in theory nothing else (though I suspect it's a rare round when no patient asks if they can "just have a quick look at..." 101 other problems).
Since patients themselves and family members can both be readily trained to manage insulin, it would seem odd if there weren't some qualification for home health aides which would allow them to undertake this very common care task; and yet I haven't heard of one.
Have you researched if there is an insulin management service in your uncle's area? There may be.
On your profile page, you mention that there are major decisions ahead: your uncle wishing to stay at home, while you and your wife believe that may not be possible for long. The heart of the matter is your uncle's mental capacity: is he legally competent to make decisions of this kind for himself?
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.
The pump is great, but one has to be tech savvy & very committed to learning the in’s and outs of the pump including how to prime, operate and troubleshoot it.
I don't know, but I would be surprised if something can't be done about the frequency of injections. Who's in charge of your uncle's px and diabetes care, his PCP or somebody else?
Here (this won't be helpful, I'm afraid, I'm just explaining the approach) our district nurses do "insulin rounds" - they go from house to house taking readings and administering injections and in theory nothing else (though I suspect it's a rare round when no patient asks if they can "just have a quick look at..." 101 other problems).
Since patients themselves and family members can both be readily trained to manage insulin, it would seem odd if there weren't some qualification for home health aides which would allow them to undertake this very common care task; and yet I haven't heard of one.
Have you researched if there is an insulin management service in your uncle's area? There may be.
On your profile page, you mention that there are major decisions ahead: your uncle wishing to stay at home, while you and your wife believe that may not be possible for long. The heart of the matter is your uncle's mental capacity: is he legally competent to make decisions of this kind for himself?