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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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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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What is the reason he's refusing to give it to her? Knowing this would be very helpful.
From what your profile says you are their caregiver, and probably a hired one, not a family member.
If so, do you know if she has a MPoA who is not her husband? Like an adult child perhaps? If so, I would let this person know.
If you don't know if she has a MPoA but were hired through an agency, I would let the admin know.
Other than this I don't think you have any power. Due to HIPAA you can let her doctor know but without being her Medical Representative they cannot legally act on the information you give to them.
Who are you to 'her' and how do you know her husband is 'refusing' to give his wife 2 aspirin a day?? Short of forcing your way into their home & sticking around for the whole day to administer these aspirins yourself, providing you don't live there, I doubt you can do anything 'legally' to see that this person gets 2 aspirin a day.
"I am caring for Her, who is 81 years old, living at home with alzheimer's / dementia."
and "Wife new onset dementia, recent knee replacement, husband is refusing to give her baby aspirin 2x a day to reduce chance of blood clots. What can I do? "
It's not clear to me if she's a male caring for a woman, or a paid caregiver.
I think I would contact APS, Adult Protective Services.
Situations like this need an authority to look at it. This could mean the husband has ill intent or dementia with loss of executive function. Whatever it is, they obviously need intervention.
Low dose aspirin as a blood thinner is quite a new concept. Does he not believe in it? Or in any medication? Has he read that it's bad for the kidneys (true)? Has she choked on one, and he doesn’t know about crushing the tablet? Perhaps ask him to explain, rather than just trying to force the issue.
MargaretMcKen, this concept is at least 20 years old. My mother was taking it for heart health in the early 2000s prescribed by her internist.
Also, if crushed aspirin is extremely bitter and the taste may put her off no matter what food it was hidden in. The caregiver could talk to the pharmacist to see if there are alternative forms.
Can u call the doctor? Can they order her back to the hospital. My sister died of a blood clot after a knee surgery and they were not doing aspirin. Not intentionally they just did not remember the doctor ordering it. Some people are more susceptible to blood clots than others. Maybe some more experienced posters have better advice on how to get this done quicky.
Is he well, and does he understand the reason? Because he may be well and not AGREE with the reason, and as medicine is anything but an exact science, who knows but that she wouldn't have bleeding as a side effect and he would then be "right". I would notify the MD. I assume husband is well and POA. MD won't discuss with you but he may call in the hubby and explain. Then, if after all of that, he still won't, that's about that; hope for the best. Because you are very unlikely to get POA away from a WELL husband who has made a decision for his wife who cannot make that decision. A long, 10,000.00 guardianship fight would bring misery to all, and would likely, almost certainly, lost. So explain the reasoning here, that the best science is that slightly thinner blood and also less inflammation can be a lifesaver, and given this isn't blood thinners side effects from it are very rare. Then leave it in his hands. We have had to do that with Covid-19 vaccines, after all. It happens.
Why? Why is the husband refusing to give the aspirin? For what reason(s)? Has the aspirin been prescribed by the lady's surgical team?
Support with medications is a basic element of adequate care. If the aspirin has been prescribed, and if you are certain that it is not being given, you (or anybody) can report the failure to give it to the prescriber. Assuming that the husband is the wife's medical proxy, MPOA or anyway recognized primary caregiver with responsibility for administering medications, and must therefore be the wife's representative as far as her healthcare providers are concerned, the prescriber or a member of the surgical or healthcare team can then take this up with the husband with the aim of changing his mind.
You don't say who you are or what your relationship with either the wife or the husband is, so we can't know how you came by this information. That leaves us with a number of possible scenarios: the husband doesn't think it's any of your business and resents your questioning him - he may or may not be giving the aspirin, he's just determined not to tell you about it; the husband has been made aware of the risks associated with aspirin and thinks he knows better than to give it; the husband has been given an alternative prescription that you aren't aware of; the husband is very confused; the wife is confused - you asked her if she was taking her aspirin, she says no, you say she must, she says her husband doesn't give it to her - but actually he has given it, she has taken it, and you're asking the wrong person; the wife is refusing the aspirin (possibly it's soluble aspirin and she dislikes it) and the husband doesn't know how or anyway isn't prepared to push it...
Could be anything going on. Is he in charge of all her medications? Is the rest of the px being given?
And, also very important - when was the knee replaced?
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.
From what your profile says you are their caregiver, and probably a hired one, not a family member.
If so, do you know if she has a MPoA who is not her husband? Like an adult child perhaps? If so, I would let this person know.
If you don't know if she has a MPoA but were hired through an agency, I would let the admin know.
Other than this I don't think you have any power. Due to HIPAA you can let her doctor know but without being her Medical Representative they cannot legally act on the information you give to them.
"I am caring for Her, who is 81 years old, living at home with alzheimer's / dementia."
and "Wife new onset dementia, recent knee replacement, husband is refusing to give her baby aspirin 2x a day to reduce chance of blood clots. What can I do? "
It's not clear to me if she's a male caring for a woman, or a paid caregiver.
Situations like this need an authority to look at it. This could mean the husband has ill intent or dementia with loss of executive function. Whatever it is, they obviously need intervention.
Also, if crushed aspirin is extremely bitter and the taste may put her off no matter what food it was hidden in. The caregiver could talk to the pharmacist to see if there are alternative forms.
Then, if after all of that, he still won't, that's about that; hope for the best. Because you are very unlikely to get POA away from a WELL husband who has made a decision for his wife who cannot make that decision. A long, 10,000.00 guardianship fight would bring misery to all, and would likely, almost certainly, lost.
So explain the reasoning here, that the best science is that slightly thinner blood and also less inflammation can be a lifesaver, and given this isn't blood thinners side effects from it are very rare. Then leave it in his hands. We have had to do that with Covid-19 vaccines, after all. It happens.
Has the aspirin been prescribed by the lady's surgical team?
Support with medications is a basic element of adequate care. If the aspirin has been prescribed, and if you are certain that it is not being given, you (or anybody) can report the failure to give it to the prescriber. Assuming that the husband is the wife's medical proxy, MPOA or anyway recognized primary caregiver with responsibility for administering medications, and must therefore be the wife's representative as far as her healthcare providers are concerned, the prescriber or a member of the surgical or healthcare team can then take this up with the husband with the aim of changing his mind.
You don't say who you are or what your relationship with either the wife or the husband is, so we can't know how you came by this information. That leaves us with a number of possible scenarios:
the husband doesn't think it's any of your business and resents your questioning him - he may or may not be giving the aspirin, he's just determined not to tell you about it;
the husband has been made aware of the risks associated with aspirin and thinks he knows better than to give it;
the husband has been given an alternative prescription that you aren't aware of;
the husband is very confused;
the wife is confused - you asked her if she was taking her aspirin, she says no, you say she must, she says her husband doesn't give it to her - but actually he has given it, she has taken it, and you're asking the wrong person;
the wife is refusing the aspirin (possibly it's soluble aspirin and she dislikes it) and the husband doesn't know how or anyway isn't prepared to push it...
Could be anything going on. Is he in charge of all her medications? Is the rest of the px being given?
And, also very important - when was the knee replaced?
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