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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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I am looking for suggestions of how to roll or clean the bottom of a 250 pound male who is terrified of rolling on his side and fights. Is there any equipment that can help with this that would make it less scary for him. Any out-of-the-box ideas?
I use a hoyer lift, but instead of using the sling that requires rolling of the person, I made my own leg sling. I hooked a transfer belt to the arms of the hoyer lift to create the sling and taped a foam tube around the belt webbing to make it soft and cushioned. I still have to give my mother plenty of warning and reassurance, but I can simply slide her legs unto the sling with the padding behind her knees and essentially jack her bottom up. It keeps her elevated off the changing surface and I have both hands free to make sure she is completely clean. It also allows me to carefully inspect her skin with every change. Reassurance, however is key, because she no longer understands what I am trying to do. I warn her ahead of everything I do, and spend a lot of time telling her that she is doing a good job before, during, and after diaper changes. Combined with the lift, it really helps make diaper changes easier on her.
Do you know what he is afraid of? Is he afraid he is going to fall off the bed? If so are you using a Hospital bed? If you are put the rail up on the one side you are going to roll him towards. Before you begin, tear the tabs or sides of the brief. Then if you are going to roll him on to the left side gather the sheet at his right shoulder and right hip and pull him towards you. If you are going to roll him onto his left side take his right hand an bring it over and place it on the bed rail on the left side of the bed. This is going to ease the rolling to the left. Clean him then repeat the process to roll him to the right. All the time you are doing this talk to him in a quiet calm voice explaining what you are doing and do so before you make a move so he can anticipate it. Even with dementia talking and explaining can calm someone simply because there is a calm voice and not someone just grabbing an arm a leg or rolling you back and forth.
If you need more help than this if this person is bed bound a Hoyer Lift might help. there are several different slings that can help. And with a Hoyer Lift there are straps that will lift just the lower portion of the body making a change easier (they are called Lavin Lift Straps)
Sorry, there are no special devices to keep his fear in check,. There are medications called anti-anxiety agents that can help him to relax more and fight you less.
Try using a folded flat sheet underneath him to help turn him on his side. You use the sheet to turn and not push or pull on him. Try cleaning the "front" areas first and then roll to side to clean the bottom areas. Adult diapers with tape tabs on sides may be easier to apply and take off than pull-ups. You can also try placing absorbent pads underneath him (like huge puppy pads) to help keep sheets and clothing from getting soiled. Disposable wipes or a lot of warm, wet washcloths work to clean up any mess. Also see if he can get a larger sized bed so he has more roll room - it might help him to keep from feeling he is falling.
There really isn't any special equipment that can help with the diaper changing. There are some ways to make it more comfortable though. Like using warm water and soap to clean him with instead of room temperature wipes. If he has a hospital bed, put the side rail up and have him hold onto it with a firm pillow behind him for support. Then repeat on the other side so you can clean him properly. I always kept the client's lower half covered with a large bath towel towel during the change and folded it over when cleaning them. Being covered also helps to keep a person calmer.
A Bed rail allowed my mom to go from being scared after her stroke to now being able to hold the rail and “help” me. We place pictures or things to read and look at while she is on her side (she has a window and we put a bird feeder there as well). Sometimes if we are doing like ear drops and she needs to stay on her side longer we use one of those heavy roll pillows to place behind her back (it helps her feel something behind her making her feel more secure). The pillow is heavy and she has nicknamed it “the tree trunk”.
Do you have a bed rail or a bed assist rail? My mom liked to grab hold of hers when she was turned on her side, it gave her reassurance that she wouldn't fall (plus she thought she was helping me turn her 😂)
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.
I still have to give my mother plenty of warning and reassurance, but I can simply slide her legs unto the sling with the padding behind her knees and essentially jack her bottom up. It keeps her elevated off the changing surface and I have both hands free to make sure she is completely clean. It also allows me to carefully inspect her skin with every change.
Reassurance, however is key, because she no longer understands what I am trying to do. I warn her ahead of everything I do, and spend a lot of time telling her that she is doing a good job before, during, and after diaper changes. Combined with the lift, it really helps make diaper changes easier on her.
Is he afraid he is going to fall off the bed?
If so are you using a Hospital bed? If you are put the rail up on the one side you are going to roll him towards.
Before you begin, tear the tabs or sides of the brief.
Then if you are going to roll him on to the left side gather the sheet at his right shoulder and right hip and pull him towards you.
If you are going to roll him onto his left side take his right hand an bring it over and place it on the bed rail on the left side of the bed.
This is going to ease the rolling to the left.
Clean him then repeat the process to roll him to the right.
All the time you are doing this talk to him in a quiet calm voice explaining what you are doing and do so before you make a move so he can anticipate it. Even with dementia talking and explaining can calm someone simply because there is a calm voice and not someone just grabbing an arm a leg or rolling you back and forth.
If you need more help than this if this person is bed bound a Hoyer Lift might help. there are several different slings that can help. And with a Hoyer Lift there are straps that will lift just the lower portion of the body making a change easier (they are called Lavin Lift Straps)
Try using a folded flat sheet underneath him to help turn him on his side. You use the sheet to turn and not push or pull on him. Try cleaning the "front" areas first and then roll to side to clean the bottom areas. Adult diapers with tape tabs on sides may be easier to apply and take off than pull-ups. You can also try placing absorbent pads underneath him (like huge puppy pads) to help keep sheets and clothing from getting soiled. Disposable wipes or a lot of warm, wet washcloths work to clean up any mess. Also see if he can get a larger sized bed so he has more roll room - it might help him to keep from feeling he is falling.
There are some ways to make it more comfortable though. Like using warm water and soap to clean him with instead of room temperature wipes.
If he has a hospital bed, put the side rail up and have him hold onto it with a firm pillow behind him for support. Then repeat on the other side so you can clean him properly. I always kept the client's lower half covered with a large bath towel towel during the change and folded it over when cleaning them. Being covered also helps to keep a person calmer.