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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?
Acknowledgment of Disclosures and Authorization
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.
Remember, this assessment is not a substitute for professional advice.
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How physically disabled is your mother following her stroke? And how mentally disabled?
The physical effects matter because they will give you an idea of just how uncomfortable bathing might be for her. Modesty is an issue, of course, although it's one that the aides should be trained to handle appropriately; but on top of that make allowances for possible discomfort verging on actual pain - it depends how her mobility has been affected.
Her mental/cognitive function is important because if she is unimpaired then it is entirely up to her how often, or indeed whether, she takes a bath and NOBODY has the right to decide for her. In that case, if she is in charge, the correct approach is to keep offering, reassure her, and show her how this can be done in a way that she will find acceptable. Talk it through with her and see if you can find out what is stopping her. I appreciate that communication is difficult because her speech is impaired, but you can still explain things to her and then gauge her response by facial expression and body language. Remind her that she will feel better and more like herself once she is clean and comfortable, to encourage her to make the effort.
How is her continence care currently being managed? If she is coping with changes all right, and getting used to that, it might be possible to introduce some "mission creep" during the procedure without upsetting her.
Twice a week. If a patient or family member insist, then maybe they will add one more a week. And on the other hand, if a competent patient declines a bath, they will skip it for now (patient's rights), but the staff should be asking them at a later time if they want it now. I've seen patient's decline to bathe for weeks and there was really nothing that staff could do.
Where I live 2 baths a week are mandated. "Bathing 33. (1) Every licensee of a long-term care home shall ensure that each resident of the home is bathed, at a minimum, twice a week by the method of his or her choice and more frequently as determined by the resident’s hygiene requirements, unless contraindicated by a medical condition."
This depends on so many things. Actually, for SENIORS there are only a few places really important for cleansing. I will go no further. You already know those places. As to all the rest of skin, for the most part cleansing is not a good thing, robbing the skin of oils that are already way too scarce. Making the skin dry and even more fragile and it is already becoming. Good gentle cleansing wipes for the important areas, and to be honest anything else is not good, robs them of needed nutrients to their skin, protective oils already in short supply. If you have an obese person, then you have other issues, yeast forming in folds of skin.
My mom got two whirlpool baths a week, if she requested a bath in addition to the scheduled two, she got it. I had Residents who refused their baths. I worked Evening shift 3:00 PM-11:30 PM. Nurse Manager tried doing their bath on Day shift and the Resident would be more compliant.
When my mom was in the NH for skilled nursing rehab they bathed her a couple of times a week.
They should do a sponge bath in bed if the patient can’t or won’t get into the shower. Some homes also have whirlpool bath areas for certain patients with certain conditions.
The perfect nursing home will assist the resident to bathe as often as the resident wishes and is used to doing.
There are, of course, all sorts of variable factors in the answer to your question; so could you explain why you ask? It will help us come up with something more useful :)
she had a stroke - so all modesty is down the drain and she is very modest. I think she tries to avoid it and I was wondering if she can really do that- do they insist- she definitely should have several at least as she wears the adult diapers and has no control over her kidneys.
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 physical effects matter because they will give you an idea of just how uncomfortable bathing might be for her. Modesty is an issue, of course, although it's one that the aides should be trained to handle appropriately; but on top of that make allowances for possible discomfort verging on actual pain - it depends how her mobility has been affected.
Her mental/cognitive function is important because if she is unimpaired then it is entirely up to her how often, or indeed whether, she takes a bath and NOBODY has the right to decide for her. In that case, if she is in charge, the correct approach is to keep offering, reassure her, and show her how this can be done in a way that she will find acceptable. Talk it through with her and see if you can find out what is stopping her. I appreciate that communication is difficult because her speech is impaired, but you can still explain things to her and then gauge her response by facial expression and body language. Remind her that she will feel better and more like herself once she is clean and comfortable, to encourage her to make the effort.
How is her continence care currently being managed? If she is coping with changes all right, and getting used to that, it might be possible to introduce some "mission creep" during the procedure without upsetting her.
"Bathing
33. (1) Every licensee of a long-term care home shall ensure that each resident of the home is bathed, at a minimum, twice a week by the method of his or her choice and more frequently as determined by the resident’s hygiene requirements, unless contraindicated by a medical condition."
They should do a sponge bath in bed if the patient can’t or won’t get into the shower. Some homes also have whirlpool bath areas for certain patients with certain conditions.
There are, of course, all sorts of variable factors in the answer to your question; so could you explain why you ask? It will help us come up with something more useful :)
Compliant residents two or three times a week.