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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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She was on 21 for over a year.... nursing home switched to 28 last year and seems she is always close to or dehydrated and now for first time has a UTI.
Just wondering if the change to 28 could have anything to do with it.
I wouldn’t think so. My aunt takes the Namenda XR 28 and also generic aricept. She’s taken them in the combo form of Namzeric when it’s less expensive than the two sep drugs. It’s cheaper in the two sep forms this year. She’s taken them both for years. She has been borderline dehydrated once I think on her blood work. Has had one or two UTIs but at 93 I think she does very well with it considering her low fluid intake. She doesn’t drink enough water and her urine is foul but when I really push the water she does better. She used to drink three or four cups of decaf coffee a day but has stopped that so fluids are even less. Even though caffeine dehydrates I’ve considered going back to half caf just to get her drinking. She is eating more citrus fruit now so that’s helpful. It’s a struggle with elders to drink enough fluids. Anything you can think of that is mostly water is a good thing to bring her for a treat. I also bring Aunt the small bottles of water. I’ll say “Dr says I have to drink more water. Here you help me out. You drink this one and I’ll drink the other”. She will chug it right down. But if I’m not around I know she just drinks a few sips to take her pills. I hate buying the plastic bottles but in her case I think it’s worth it since she will drink those. Some elders will purposefully not drink water to keep from having to go to the bathroom. But no. I wouldn’t think it’s the Namenda.
Thanks... when I was able to be there for lunch and supper with mom ( before they locked down the long term care facility ) I could get her to drink similar to what you do. Now having to rely on the staff to do it , I think they just dont have the time... have to move on to the next resident. 3 weeks of me not being there she became dehydrated and a UTI. I dont believe in coincidences.
Yes I’m sure you are right Russ. Three weeks without enough water is enough to make her ill. I would try to get it on her chart that she must drink 4oz (or whatever amount seems appropriate to you) each time she has her meds. That might be a pipe dream in this time of rushed staff but she really needs water and since she has these issues now, you might be able to get it on her chart. If you are allowed to speak to her you might ask her to drink it while you are on the phone with her. Hopefully things will be better soon for her and all of humanity.
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.
She has been borderline dehydrated once I think on her blood work. Has had one or two UTIs but at 93 I think she does very well with it considering her low fluid intake.
She doesn’t drink enough water and her urine is foul but when I really push the water she does better. She used to drink three or four cups of decaf coffee a day but has stopped that so fluids are even less. Even though caffeine dehydrates I’ve considered going back to half caf just to get her drinking. She is eating more citrus fruit now so that’s helpful. It’s a struggle with elders to drink enough fluids. Anything you can think of that is mostly water is a good thing to bring her for a treat. I also bring Aunt the small bottles of water. I’ll say
“Dr says I have to drink more water. Here you help me out. You drink this one and I’ll drink the other”. She will chug it right down. But if I’m not around I know she just drinks a few sips to take her pills. I hate buying the plastic bottles but in her case I think it’s worth it since she will drink those.
Some elders will purposefully not drink water to keep from having to go to the bathroom.
But no. I wouldn’t think it’s the Namenda.