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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.
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Create a new habit. Every 2 hours tell dad matter of factly, "It's time to change your pants real quick." Does your dad wear pants with elastic waste bands? This will make the changing quicker. And I agree with the gal above me who suggested that the soiled pull-up be disposed of immediately for hygienic purposes.
Just don't give your dad a choice. Every 2 hours time to change.
Changing the pullups requires removal of trousers, shoes, and socks (at least it does for my ward) which may seem like too much work. I am wondering if tab closure products would be easier, and reduce reluctance to change.
The key issue for me in dealing with Mom's pull-ups is ODOR. If she stinks, we head for the bathroom.
Maybe it doesn't bother her as much, but I don't want to smell it, don't want the furniture stunk up and would hate for someone to visit and be greeting by a bad smell. And, if she were in her right mind, neither would Mom.
I'm sure she wouldn't have allowed me to remain for long in a dirty diaper 70 years ago and now it's time to return the favor. :-)
I forgot to mention in my earlier comment that the pull-ups we use for my mum can be torn off by tearing down each side and pulling the entire wet pants through the legs. When I am travelling anywhere with my mum her carers put two pairs of pull-ups on her so at the point when I know she needs to be changed, I simply tear off the pair closest to her skin, leaving her with a fresh pair on. Surprisingly, it's not too bulky wearing two pairs at once and it does give the opportunity to change and be clean without all the bother and strain of 'legs in and out' etc. I would also point out to your dad that by not changing regularly he is exposing himself to infection and that an IUT can be very debilitating - this might persuade him.
Obviously he can't smell it. The other possibility is kidney failure, where the urine smell is coming through the skin, and not the bladder. Desenex anti-fungal powder helps keep the urine from breaking down into ammonia.
Two simple suggestions - check that the action of changing the pull-up is not causing him pain. My mum finds this a strenuous activity which tires her out (even with carers to help) and it just might be that your dad wishes to avoid something similar. Secondly, check that what happens to the pull-up when it's changed doesn't cause him any psychological upset, i.e. does it get incinerated or removed from sight immediately, so he isn't reminded of his incapacity, or does it hang around somewhere. I am in the UK and my mum's carers are under strict instructions to place all clinical waste outside the house in a special bin after each visit but they often fail to do this - my job!
There is a lot of work involved in changing a pull-up as you said. I haven't had good luck with the tab kind. I don't think they're reliable. They don't have the seal and the protection a pull-up does. A soiled pull-up is like a little bowl with the contents tucked safely inside but with the tab kind things can just go everywhere. I don't think they fit snugly enough.
I would say he does not realize how hard this is on his skin and the consequences of doing this... I think changing every two hours is a good idea. If indeed he can understand just explain this is best for him and you want to help him. It has to be somewhat humbling for all involved! take care!
We have the opposite problem lately. He is obsessed with changing socks, Depends, pajamas.....he is constantly changing whether he needs it or not. We are blowing through Depends like it's nobody's business! Hard on the environment, hard on the pocket book. Just shows with dementia they need daily guidance. But like everything else...this too shall pass and he will be onto the next compulsion/obsession. :-/
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.
Just don't give your dad a choice. Every 2 hours time to change.
Maybe it doesn't bother her as much, but I don't want to smell it, don't want the furniture stunk up and would hate for someone to visit and be greeting by a bad smell. And, if she were in her right mind, neither would Mom.
I'm sure she wouldn't have allowed me to remain for long in a dirty diaper 70 years ago and now it's time to return the favor. :-)
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