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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.
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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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Becky, you prompted me to go and look these things up properly.
There are several different types of appliance, all with various drawbacks, and all only really recommended for use when it is essential to keep a bed-bound patient's skin uncontaminated (so that absorbent pads are no use, for example).
This is the list I found:
External anal pouch This consists of a bendable wafer which has an opening at its centre. One side of the wafer adheres to the skin around the anus and the other side is connected to a collection bag. The bag has a re-sealable port at the bottom end through which faeces can be emptied without the need to remove the wafer from the skin. This port can also be connected to a larger gravity drainage bag. Some bags also have a flap to allow flatus to escape and prevent the bag filling with gas.
Intra anal stool bag This is made of latex (20cm non extended, 26cm extended) that is inserted into the anus and an adhesive attachment (10cm in diameter) applied round the anus to secure it in position.
Rectal tubes and catheters These are inserted into the rectum to channel loose stool into a collection bag. A balloon near the tip of the catheter (inside the body) can be inflated once the catheter is in position to prevent leakage of stool around the catheter and to prevent the tube from coming out during a bowel movement
Rectal trumpets The trumpet is made up of a naso-pharyngeal airway connected to a drainage bag. The flange (wide) end of the trumpet is inserted into the rectum. A trumpet is shorter than a rectal tube so there is less chance of damaging the lining of the rectum. The other narrow end of the trumpet can be connected to a drainage bag.
If our OP's loved one's stool is extremely caustic, as sounds possible, it might be still worthwhile to ask. I agree with you that this is definitely not a decision for enthusiastic amateurs to make, though!
A rectal tube according tomRN’s I know is very painful throughout the the entire process. Most would not permit it to be used for their loved one unless the absolute only option. They be dangerous to the patient.
Yes; I mentioned this a lot in my post. Please read it again. It’s used for comatose ICU patients on liquid or IV diets most commonly. Turning the patient starts from the toes up; all tubes, wires; equipment, IV’s, drainage bags, kitchen sinks...need to be untethered and adjusted along with the turn of the patient. Not a task for most amateurs.
Sorry to say that in my experience the more readily available incontinence pull ups and briefs didn't do a very good job with fecal incontinence, very watery diarrhea just isn't easily absorbed and tended to overflow instead.
If you Google "continence care" you will get results for companies that specialise in products that suit a great variety of needs. Browse two or three websites until you find brands to try, then order a couple and take it from there.
I've just read Gemswinner's reply, which sounds interesting (if alarming!). If the problem you're dealing with is long-term it could be worth asking your doctor about.
Yes, there exists an item called a rectal tube. It’s really only useful for patients with only liquid diarrhea, and patients who are not combative. It’s inflated inside the rectum so pulls can cause severe damage: caregivers all need to be reminded with a note always at the head of the bed. The tube attaches to a bag that can be emptied: it’s for bed-bound patients.
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.
There are several different types of appliance, all with various drawbacks, and all only really recommended for use when it is essential to keep a bed-bound patient's skin uncontaminated (so that absorbent pads are no use, for example).
This is the list I found:
External anal pouch This consists of a bendable wafer which has an opening at its centre. One side of the wafer adheres to the skin around the anus and the other side is connected to a collection bag. The bag has a re-sealable port at the bottom end through which faeces can be emptied without the need to remove the wafer from the skin. This port can also be connected to a larger gravity drainage bag. Some bags also have a flap to allow flatus to escape and prevent the bag filling with gas.
Intra anal stool bag This is made of latex (20cm non extended, 26cm extended) that is inserted into the anus and an adhesive attachment (10cm in diameter) applied round the anus to secure it in position.
Rectal tubes and catheters These are inserted into the rectum to channel loose stool into a collection bag. A balloon near the tip of the catheter (inside the body) can be inflated once the catheter is in position to prevent leakage of stool around the catheter and to prevent the tube from coming out during a bowel movement
Rectal trumpets The trumpet is made up of a naso-pharyngeal airway connected to a drainage bag. The flange (wide) end of the trumpet is inserted into the rectum. A trumpet is shorter than a rectal tube so there is less chance of damaging the lining of the rectum. The other narrow end of the trumpet can be connected to a drainage bag.
If our OP's loved one's stool is extremely caustic, as sounds possible, it might be still worthwhile to ask. I agree with you that this is definitely not a decision for enthusiastic amateurs to make, though!
If you Google "continence care" you will get results for companies that specialise in products that suit a great variety of needs. Browse two or three websites until you find brands to try, then order a couple and take it from there.
I've just read Gemswinner's reply, which sounds interesting (if alarming!). If the problem you're dealing with is long-term it could be worth asking your doctor about.
It’s inflated inside the rectum so pulls can cause severe damage: caregivers all need to be reminded with a note always at the head of the bed. The tube attaches to a bag that can be emptied: it’s for bed-bound patients.