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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.
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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Oh--also, drinking enough water daily, makes a good difference, usually. Drinking a couple cups of water 1st think in morning, and a few over the day, and one about an hour before bed, DOES help many health issues, getting a total of about 8 cups of water [not juice, not coffee] per day, seems to be the key.
Plain tea might be a decent tradeoff for some cups of water, as tea helps the body maintain a more alkaline state. Drinking water really helps so many body systems work better!
Some women respond to using estrogen creme, or a slow-release low-dose device. Estriol is a type of short-acting [about 4 hours] estrogen, can be derived from natural sources, and has the added benefit of making the body hostile to certain cancer cells. There are a few Compounding Pharmacies around the country, that can make whatever strength creme is needed, to your Doc's prescription.
Just about ALL humans respond to using Kegal Exercises daily, often within days, if done right and often. The trick is, tighten those muscles used to control holding back pee and poop--- AND keep those tightened, as long as possible--most can only manage a few seconds, but work up to a minute or so if you can---then release. Repeat these several times at a time, at least. Can be done repeatedly, in just about any position one is in--sit, stand, reclining. And these are free!
There are weighted devices that insert into the vagina, but those cost money for something you can do without them--besides--when those muscles are too lax, why start with something that keeps them stretched? Bladders often get too relaxed, too, or get pressured by other body parts, so fail to totally empty when they urinate. When that happens, a person can be more vulnerable to bladder infections & more trouble with loss of urine at bad times. For that, it can be helpful to twist the torso or otherwise change position while sitting on the commode, or lift the lower abdomen to relieve excess pressure or tissue position on the bladder: these maeuvers can often help get that last bit of retained urine to empty while sitting on the toilet.
Drugs are more applicable for things like muscle spasms--which can also contribute to urine loss.
The very most important thing one can do, ever, no matter how many babies one birthed, are those blessed Kegal exercises, though! The longer one waits to get in the habit of doing them, the more work needs done to make them respond. It's worth it!
Cranberry juice is very good for any urinary problems my mum drinks this alot since she became incontinent seems to stop infections she hasnt had one for awhile. Also no drinking after 6pm and limit tea and coffee.
If you google "pharmacy times anticholinergic burden" you will find a professional article for pharmacists about the problem along with a chart that rates anticholinergic drugs by the numbers of 1, 2 or 3. It will show you how to calculate the anticholinergic load of your medicines and states that even taking one medicine of a level 1 on a regular basis could increase your chances of memory loss or dementia. I have personally send the link to 5 pharmacists who were unaware of the list's existence. And except for the neurologist, only two of my mother's doctors were alarmed at the combinations of medicines she had been taking.
I'm not blaming the doctors, mind you, for what she was being given before they knew any better. However, after 2010 when they knew, her primary doctor prescribed three additional anticholinergics without regard to the problem. Don't worry, I look them up myself, question the doctor, and either didn't give them to her or got alternatives. My ALERT to all of you is that the doctors should be up to date and very careful about this but they're just not, so if you don't do it yourself, you or your loved one is going to continue feeding the body with possible brain damage.
Be VERY careful of the medications for urinary incontinence. DITROPAN was the first one identified in 2006 for causing dementia like symptoms. And these drugs are given more to women. Then a neurologist presented a paper at a 2008 convention implicating ALL drugs with anticholinergic action as possibly causative and the creation of dementia. My mom was the victim of this type of dementia, having been given a combination of several anticholinergic drugs before the medical profession knew or understood about the problem. She had memory loss onset starting in 2005 but, as her medications were continued, it wasn't until she had a psychotic break in 2010 that she was diagnosed by a neurologist. Taking her off the ascending medications did not reverse her condition.
My Mom has had the issue as long as I can remember, she even had surgery for it. Shortly after my Mom was diagnosed, they put her on meds (don't work). She does wear the adult diapers to bed and the pads during the day.
You could also try cutting out the coffee and tea as well as the excellent advice offered above. Kegels make a huge difference and they even have exercise devices to go with them.
There are many causes for urinary incontince. I would have her seek medical advice on her possible resolution. It could be that she has an over active bladder and all she would need is a pill taken daily to relieve the bladder spasms that cause the frequent urges and leakage that goes along with it. Please try to convince her that this isn't the silent embarrassment for women, or men, for that matter, that it used to be, and seek the help she needs.
Do you know about Kegels? You tighten your peepee muscles, hold them, and release. Look it up online.
I use Estring, a vaginal ring that releases estrogen. Whenever I get a brand new one, every three months, my bladder gets better. Maybe estrogen cream might help.
There are specific medications for overactive bladder, but I don't know too much about them. Is she embarrassed to tell her doctor? Go to her next appointment with her and spill the beans. If her regular doctor or GYN isn't helpful, look for a specialist. I Googled female urinary incontinence, and found several links.
This is a major issue that can ruin her life if she is afraid to go out. Encourage her to do what's necessary to regain her freedom.
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.
Drinking a couple cups of water 1st think in morning, and a few over the day, and one about an hour before bed, DOES help many health issues, getting a total of about 8 cups of water [not juice, not coffee] per day, seems to be the key.
Plain tea might be a decent tradeoff for some cups of water, as tea helps the body maintain a more alkaline state. Drinking water really helps so many body systems work better!
Estriol is a type of short-acting [about 4 hours] estrogen, can be derived from natural sources, and has the added benefit of making the body hostile to certain cancer cells. There are a few Compounding Pharmacies around the country, that can make whatever strength creme is needed, to your Doc's prescription.
Just about ALL humans respond to using Kegal Exercises daily, often within days, if done right and often.
The trick is, tighten those muscles used to control holding back pee and poop--- AND keep those tightened, as long as possible--most can only manage a few seconds, but work up to a minute or so if you can---then release. Repeat these several times at a time, at least. Can be done repeatedly, in just about any position one is in--sit, stand, reclining. And these are free!
There are weighted devices that insert into the vagina, but those cost money for something you can do without them--besides--when those muscles are too lax, why start with something that keeps them stretched?
Bladders often get too relaxed, too, or get pressured by other body parts, so fail to totally empty when they urinate. When that happens, a person can be more vulnerable to bladder infections & more trouble with loss of urine at bad times. For that, it can be helpful to twist the torso or otherwise change position while sitting on the commode, or lift the lower abdomen to relieve excess pressure or tissue position on the bladder: these maeuvers can often help get that last bit of retained urine to empty while sitting on the toilet.
Drugs are more applicable for things like muscle spasms--which can also contribute to urine loss.
The very most important thing one can do, ever, no matter how many babies one birthed, are those blessed Kegal exercises, though! The longer one waits to get in the habit of doing them, the more work needs done to make them respond.
It's worth it!
I'm not blaming the doctors, mind you, for what she was being given before they knew any better. However, after 2010 when they knew, her primary doctor prescribed three additional anticholinergics without regard to the problem. Don't worry, I look them up myself, question the doctor, and either didn't give them to her or got alternatives. My ALERT to all of you is that the doctors should be up to date and very careful about this but they're just not, so if you don't do it yourself, you or your loved one is going to continue feeding the body with possible brain damage.
I use Estring, a vaginal ring that releases estrogen. Whenever I get a brand new one, every three months, my bladder gets better. Maybe estrogen cream might help.
There are specific medications for overactive bladder, but I don't know too much about them. Is she embarrassed to tell her doctor? Go to her next appointment with her and spill the beans. If her regular doctor or GYN isn't helpful, look for a specialist. I Googled female urinary incontinence, and found several links.
This is a major issue that can ruin her life if she is afraid to go out. Encourage her to do what's necessary to regain her freedom.